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Case Evaluation Form

The fields marked with a red asterisk * are required to submit this form; however the more information you provide, the better able we will be to evaluate your situation and promptly respond. So, please answer as many questions as you can.
 
May we contact you by text message?: Yes No
Approximate number of employees with your job title or similar duties:
Employment Start Date. (If actual date is unknown, please select the first day of the month and the year you were hired):      (mm/dd/yyyy)
Employment End Date. (Leave blank if you are still employed with the same company. If actual date is unknown, please select the first day of the correct month and year):      (mm/dd/yyyy)
On average, how many hours per week do you work? (example: 45, 50, 61; not 50-60):
How are you paid?:
How much are you paid?  dollars per (If paid a salary, give gross weekly, monthly, or yearly amount)
Are you paid time and a half if you work more than 40 hours a week? : Yes No
How are you paid for hours over 40 per week?:
If you were paid for your overtime, are your bonuses, shift differential and/or other incentive pay included when your employer calculates your overtime pay rate?: Yes No Don’t Know
Please briefly describe your primary job duties and responsibilities.:
Do you supervise two or more full-time employees? : Yes No
Can you hire or fire employees? : Yes No
Do you make suggestions and recommendations as to the hiring, firing, or promotion of other employees that are/were given particular weight? : Yes No
Do you discipline employees? : Yes No
Are you given Comp Time instead of Overtime pay? : Yes No
During the last 3 years, were you paid time and a half for overtime at your prior job(s)? : Yes No
Additional Information and/or your comments.:
Submitting this form does not establish an attorney client relationship and does not obligate this firm to represent you. We may or may not be able to undertake representation on your behalf, but we will gladly review the information you provide and respond to you. The information contained on this site is not and is not intended to be legal advice. You should always consult an attorney for individualized advice about your particular situation. I have read and understand the above. : Yes No
Periodically, our firm will send out information regarding important legal news or issues that we believe may be of interest to you and your family. Would you like to be added to our mailing list? : Yes No
If you searched for this site through the Web what terms/keywords did you use to find us?:
 
 

Quick Case Evaluation

Free and Confidential


  1. May we contact you by text message?
    Yes  No

  2. Do you work more than 40 hours a week?
    Yes  No

    Are you paid time and a half if you work more than 40 Hours a week?
    Yes  No
  3. How are you paid?
    Hourly  Salary
    Commission  Other



  4. *Field Required
Quick Case Evaluation

Free and Confidential


  1. May we contact you by text message?
    Yes  No

  2. Do you work more than 40 hours a week?
    Yes  No

    Are you paid time and a half if you work more than 40 Hours a week?
    Yes  No
  3. How are you paid?


  4. *Field Required