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Concerned counselors.
Compelling litigators.
Completely employee rights.

In order to properly assess your legal rights and options, a thorough consultation with an attorney at our firm is essential. At this consultation, which typically lasts between one and two hours, an attorney will take the necessary time to learn the circumstances which brought you to our office, review all important documents, advise you of your potential legal claims and options, and answer any questions you may have.

The attorney will also determine whether, in his or her opinion, further legal representation by our firm would be in your best interest and, if so, will advise you of the different representation agreements our firm offers. To schedule a comprehensive consultation with an attorney at our firm, call 215-545-7676 or complete our electronic submission form.

 

Name:
Address:
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Phone number (work):
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Referral Source:
Employer:
Address of employer:
Corporate office location:
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Date of hire:  (xx / xx / xxxx)	/ /
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If No, last day worked/scheduled to work: (xx / xx / xxxx)	/ /
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If you believe that discrimination was a factor in the harm caused you in connection with your employment, please identify the same by checking the appropriate boxes below:
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Please indicate whether any of the following pertain to your employment issues:
Whistleblower Contract review/breach of contract issues FMLA violation Pension; severance or other benefits issues Wrongful discharge Short term disability/long term disability dispute Worker's Compensation Severance package or similar document review needed Other (please explain)
Do you have any deadlines to sign any documents, etc. that would require immediate assistance? If you do, kindly call our office at your earliest convenience.
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