Confidential: Rest assured that the information you share with me on this page will remain confidential, regardless of whether you formally retain me as your attorney. Conversations and documents you share with an attorney when you are considering retaining one, but have not yet done so, are still covered by the privilege. See Evidence Code Section 951 (“As used in this article, ‘client’ means a person who, directly or through an authorized representative, consults a lawyer for the purpose of retaining the lawyer or securing legal service or advice from him in his professional capacity, …”)
Please answer the following questions, and upload the following documents, to the extent you can. The more information you provide in advance, the more informed I will be when we discuss your case.
Name
Email
Phone
Are you an independent contractor (1099) or employee (W-2)?
1099
W-2
Are you a current employee/contractor?
Yes
No
I Don't Know
When did you start working?
If you are a former employee/contractor, when did your employment end?
Did you sign an arbitration agreement required by your employer?
Yes
No
I Don't Know
Did you sign a written contract with your employer?
Yes
No
Who is your employer?
Are you salaried (flat sum each pay period) or hourly (fluctuates with number of hours worked in each pay period)?
Salary
Hourly
If salaried, what is your annual salary?
If hourly, what is your hourly rate?
Regardless of whether you are salaried or hourly, do you work overtime (typically anything over 8 hours per day or 40 hours per week)?
Yes
No
I Don't Know
If so, how much overtime do you work on average per day (typically anything over 8 hours per day)?
Are you paid on commission?
Yes
No
I Don't Know
Are you a piece-rate employee?
Yes
No
I Don't Know
Are you given an opportunity to take an uninterrupted 30-minute meal break every 5 hours?
Yes
No
I Don't Know
Are you given an opportunity to take an uninterrupted 10-minute rest break every 4 hours?
Yes
No
I Don't Know
Do your paystubs reflect all hours actually worked (including overtime)?
Yes
No
I Don't Know
Are you alleging that your employer terminated you based on one of the following (please select all that apply):
If you believe you were terminated based on a disability, did your employer participate in an interactive process with you to determine whether a reasonable accommodation could be made so that you could perform the essential job requirements?
Yes
No
I Don't Know
Have you filed an action with the DLSE or in Court?
Yes
No
I Don't Know
If so, when?
Is there a pending hearing that you need representation at?
Yes
No
I Don't Know
If so, when?
If you have a copy of your Employment Contract, please upload it here
If you have a copy of a recent Paystub, please upload it here.
If you have a copy of your Collective Bargaining Agreement, please upload it here.
If you have a copy of your Arbitration Agreement, please upload it here.
