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Stephen G. Console
Laura C. Mattiacci
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Kate Oeltjen
Lane Schiff
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Fernando I. Rivera
Emily Derstine Friesen
Daniel Orlow
Tuli Mendelawe
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Melissa Marquette
Toni Murphy
Daniel J. Shanks
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Anna Smith
Janet Griffin
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Name
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Phone
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Home Phone
Email
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Location of Case
Location of Case
Pennsylvania
New Jersey
New York
Massachusetts
Name of Employer
City Where You Work
State Where You Work
Corporate Office Location
Are you still employed with this Employer?
Are you still employed with this Employer?
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Age
Years of Service
Date of Hire
Date of Terminiation
Do/did you have a written employment contract?
Do/did you have a written employment contract?
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Are you a member of a union?
Are you a member of a union?
Yes
No
Discrimination factors
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