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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.

Repeat client:
Nature of matter:
Management position:
Remuneration (Please select and give details if applicable i.e. amounts if known):
Written contract or letter of hire:
Confidentiality or other agreement:
Recruited from previous employer:
Relocated to accept position:
Termination letter:
Job performance:

DETAILS OF EVALUATION:

Warnings:
Discipline:

HOW DID YOU GET ALONG WITH OTHERS:

CONTACT INFORMATION OF SUPERVISOR:

Recent performance issues:
Recent medical issues:
Unionized/collective agreement:
Industry:
Mass group termination (please indicate if other employees were terminated within a 4 week period):

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
National or ethnic origin
Color
Religion
Age
Sex
Sexual orientation
Gender identity or expression
Marital status
Family status
Disability
Genetic characteristics
Conviction for which a pardon has been granted or record suspended
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