Intake Form: Employment Law - Employee

Please complete the intake form below, or contact us via email at info@acdlawyers.com or via phone at 415.230.5311.

Name:

Address:

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Please provide the name and address of the employer involved:

Are you a:


Are you presently employed:

If yes, please provide your job title and employer's name and address:

Can you be contacted at work:

Describe your situation, including any relevant dates:

Are you a union member?

If so, please provide the name, address, and local number

Have you made a complaint to any governmental agency

If yes, please provide the name of the agency, the date you made your complaint, and the final result, if any, of your complaint:

Are any other people involved?

If yes, provide names, addresses (if known), and their relationship to you, if any:

Do you have any documents that could help explain your situation?

If yes, list those documents and their dates:

Are there other documents that you do not have access to that could be of assistance?

If yes, list those documents and their dates and locations (if known):

Describe how this situation has impacted you:

Describe what you would like to happen to resolve your issue (your preferred outcome):

Have other attorneys worked on this matter?

If yes, provide names, addresses, and a brief description of their involvement:

Special concerns:

Where did you hear about this website?

 

 

*Please note: The submission of information using this form does not create an attorney-client relationship between you and Clark & Divakaran LLP. No Attorney-Client relationship exists until we have a written representation agreement. Any offer to provide free consultation is not intended to create an attorney-client relationship between Clark & Divakaran LLP and you. Also, any transmission of information from this website or communication via e-mail does not constitute or create an attorney-client relationship between us and any recipients.


Clark & Divakaran

201 Spear Street, Suite 1100
San Francisco, California 94105

Phone: 415.230.5311
Fax: 415.408.3697

info@acdlawyers.com

 

CALL FOR CONSULTATION:

(415) 230-5311

*Please note: The submission of information using this form does not create an attorney-client relationship between you and Clark & Divakaran LLP. No Attorney-Client relationship exists until we have a written representation agreement. Any offer to provide free consultation is not intended to create an attorney-client relationship between Clark & Divakaran LLP and you. Also, any transmission of information from this website or communication via e-mail does not constitute or create an attorney-client relationship between us and any recipients.

 

 


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