Schedule a ConsultationPlease Answer These Questions to Help Us Help YouName*Phone*Email* Have you been terminated?* Yes NoWhat was your annual salary or wage?*How long did you work there?*How many employees did your employer have (in numbers):In total?*Within 75 miles from your workplace?*Why do you believe you were terminated?*Please select one.I have a disability.I requested FMLA leave.I complained about sexual harassment.I complained about serious safety violations.I am an older employee.OtherDo you think you are about to be terminated?*Please select one.YesNoAre you on a performance improvement plan?*Please select one.YesNoHave you made a complaint of harassment to your employer?*Please select one.YesNoAre you on FMLA or disability leave?*Please select one.YesNoDo you have a disability that is not being accommodated by your employer?*Please select one.YesNoDo you believe you are not receiving overtime pay you are entitled to?*Please select one.YesNoComments*CommentsThis field is for validation purposes and should be left unchanged.Δ