Contact Wrongful Termination Law Group

Welcome! We're eager to hear about your case.

Let's review it together.

May I have your name, please?*

First Last

And your email address?*

(I prefer not to share my email)

What is your phone number?*

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What Language Do You Prefer?*

English

Spanish

Atendemos casos para clientes hispanohablantes. Pronto tendremos este formulario en español, pero por ahora, por favor complételo en inglés. Si prefiere, llámenos al 562-630-1500 y hable con nuestro personal hispanohablante. Gracias!

What can we help you with?*

Sexual Harassment

Age Discrimination

Racial Discrimination

Leave of Absence

LGBTQ Discrimination

Wrongful Termination

Pregnancy

Disability/Medical

Retaliation

Religion

Gender Discrimination

Unpaid Wages

Other

What type of leave was this?*

Who is your employer?*

What city are they in?*

What county?*

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Non-CA Emails

Please enter a number from 0 to 1.

How many people work there?*

What is your Zip Code?*

ZIP Code

What state do you live in?*

What is your job title?*

And your pay rate?*

(per hour or year)

Do you still work there?

Yes

Unsure

When were you hired?

Hired Month*

Hired Year*

When did your employment end?
(If still employed, enter current month/year)

End Month*

End Year*

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Tenure

How did your employment end?*

Still Employed

Fired

Laid Off

Quit / Forced to Quit

Have you ever been written up at work?*

Yes

Unsure

What did they SAY was the reason for your firing?*

And what do you think is the REAL reason you were fired?*

Were you asked to sign a "severance agreement" (or a document to receive something from your employer)?

Yes

Is there a deadline for signing it?

Yes

How many days until the deadline?

Please enter a number from 1 to 400.

Did you cover any work expenses yourself, like travel, meals, or equipment?

Yes

Did you use your personal vehicle, phone, or other items for work?

Yes

Were you reimbursed for ALL of your costs?

Yes

Did you do any work or work-related tasks without being paid?

Yes

What expenses or time were not reimbursed or paid?

How did you find us?*

Who referred you to us?

Any other details for our legal team?

If we're unable to help, shall we ask a colleague to contact you for a 2nd opinion?*

Yes

We try to help everyone - so even if we can't take your case, we can try to connect you with a firm who may be able to help.

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How long did you work there?

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Until when?

(month and year)