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Cunningham Law Professional Corporation

Barristers, Solicitors, Notaries

Cunningham Law Professional Corporation

Barristers, Solicitors, Notaries

CALL: 905-270-8075

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Client Satisfaction Survey: Cunningham Law
Wills & Estates: Client Intake Form
GENERAL QUESTIONNAIRE
Family Law | Client Intake Form
Employment Law | Client Intake Form
Corporate and Commercial Law | Client Intake Form
Adoption (Relative) Questionnaire: Client Intake Form

Employment Law: Client Intake Form

If you are seeking legal representation for matters concerning employment law, please fill out the below questionnaire. The information provided by you here will help us prepare your case and allow us to better represent you. Please note that your answers are protected by lawyer-client privilege.

Today’s date:

Repeat client:

Yes

No

Referred by:

Full name:

Address:

City:

Postal code:

Telephone home:

Business:

Cell:

Fax:

Email:

Nature of matter:

Termination

Other (Specify)

Employer’s name and address:

Telephone:

Fax:

E-mail:

Position held:

Management position:

Yes

No

Fax No.:

Professional designation (specify if any i.e. engineering degree):

Description of work:

Date hired:

Last day worked:

Total years worked:

Date of birth:

Age:

Remuneration (Please select and give details if applicable i.e. amounts if known):

Salary (Gross annual amount)

Bonus

Commission

Overtime paid/lieu time

Medical benefits (health/dental/drug)

Life insurance

Vacation entitlements (weeks)

Short/long term disability

Pension contribution

Stock options

Car allowance

Accidental death or dismemberment

Other (i.e. RRSP)

Written contract or letter of hire:

Yes

No

Confidentiality or other agreement:

Yes

No

Recruited from previous employer:

Yes

No

Relocated to accept position:

Yes

No

Termination letter:

Yes

No

Job performance:

Yes

No

Details of evaluation:

Warnings:

Yes

No

Discipline:

Yes

No

How did you get along with others:

Supervisor:

Colleagues:

Name of supervisor:

Contact information of supervisor:

Telephone:

Email:

Fax:

Recent performance issues:

Yes

No

Recent medical issues:

Yes

No

Unionized/collective agreement:

Yes

No

Industry:

Federal

Provincial

Mass group termination (please indicate if other employees were terminated within a 4 week period):

Do not know

50 employees or less

50 to 199 employees

200 to 500 employees

500 employees or more

Related Claims The Human Rights Code prohibits discrimination on a number of grounds. Please indicate if you believe you have been discriminated against on any of the following grounds:

Race

Yes

No

National or ethnic origin

Yes

No

Color

Yes

No

Religion

Yes

No

Age

Yes

No

Sex

Yes

No

Sexual orientation

Yes

No

Gender identity or expression

Yes

No

Marital status

Yes

No

Family status

Yes

No

Disability

Yes

No

Genetic characteristics

Yes

No

Conviction for which a pardon has been granted or record suspended

Yes

No

Date of last incident:

Details of incident(s):

Information

Cunningham Law Professional Corporation

Suite 300, 4316 Village Centre Court

Mississauga, ON

L4Z 1S2

 905-270-8075

 905-270-3944

 905-270-4764

 lawyers@cunninghamlawpc.com

Hours

Monday - Friday: 09:00 AM – 05:00 PM

Evening and Saturday appointments available

SERVICE AREA

Mississauga
Brampton
Etobicoke
Oakville
Burlington
Scarborough
City of Toronto
Milton
Hamilton
And surrounding areas

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