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IMPORTANT CASE FOR GOVERNMENT WHISTLEBLOWERS
Law Office of George Allen
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Pre Interview
Name
*
City
State
Email
*
Phone Number
*
Name of Employer
In which city do or did you work
Number of local employees
Current or most recent position
How long employed?
Your salary or hourly wage
If you quit or were terminated, date of quit or termination
Is your leaving your employment what is motivating you to contact an attorney
If you are not now employed, under what circumstances did you leave
If you were terminated or laid off, what was the reason your employer gave you (even if you do not believe it)
If you do not believe your employer's reason, what do you think the real reason was
Is there a reason other than or in addition to your termination, what is the situation that is leading you to contact an attorney
If your complaint is about harassment, describe the nature of the harassment
What is the harasser's position (co-worker, supervisor)
What do you think is motivating the harassment (sex, race, religion, etc)
Did you complain about the harassment?
Yes
No
If yes, to whom did you complain (supervisor, HR, EEO, DFEH)
If your complaint is about disability/reasonable accommodation, describe your disability, the accommodation needed, and any communications with your employer on the subject
Are you a union member?
Yes
No
Have you made a complaint to any government agency (DFEH, EEOC, DLSE, etc.) and, if so, what is the status of that complaint
What do you want the lawyer to do for you?
Are there any other comments you think are important for the lawyer to know
How did you learn about this office?
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