Initial Consultation Form

  • Supervisor’s:
  • Replacement’s:
  • Have you signed one of the following with your employer:

  • The initial consultation is for the purpose of evaluating your claim and explaining possible remedies available. There is no guarantee that the attorneys will accept your claim for handling pre-suit, through administrative process or litigation. Should additional services be desired and agreed to, both you and the attorney will be required to sign a written Representation Agreement describing the services to be performed and the method of additional payment for those services.
  • Please type your name