Contact Us

How are you paid? (Check all that apply)
SalaryBy the HourTipsBonusCommissionOther

What issues do you think you might have? Please select a box even if you are unsure whether or not you have a claim. (Check all that apply)
Not paid minimum wageNot paid overtimeWrong pay deductionsUnfair tip poolDiscriminationRetaliationWrongful dischargeHarassment/Hostile work environmentNot hiredPromoted, demoted, or reassigned unfairlDenied raise/pay cutFailure to accommodate medical conditionUnemployment benefitsMen and women not paid equallyMilitary leave/reinstatementOther leave/vacation/PTOGovernment employee rights/Federal employeeBreach of Employment ContractNon-Compete Agreement or Trade Secret issueSeverance AgreementUnpaid CommissionsUnpaid BonusOther

If you selected discrimination, check all discrimination that could apply
AgeDisabilityGenderNational OriginlPregnancyRaceReligionSexual HarrassmentSexual OrientationOther

Please describe what happened to you

Did you ever complain to the employer, to a government agency, or to anyone else about the employer’s actions? If so, please describe

Describe any evidence that supports your claims. Describe documents, emails, witnesses, admissions, recordings, etc.

How did you hear about us?

If referred, please specify

Is there anything else that you want to tell us?