Employment Law

About You

What is the Company’s name?


What does the company do?


Is the company located in Ontario

 Yes No


Full Name


How old is the employee?


The employee’s position was/is


How many years has the employee worked for the company?


The employee was a supervisor or manager

 Yes No


The employee was/will be terminated because:



Does the employee have a written employment contract/letter?

 Yes No


Is the employee a member of a trade union?

 Yes No

Contact Information


Full Name




Home Phone Number



Alternate Phone Number





How would you like us to contact you?

 Telephone Email


Please give us some background information regarding your individual situation


Is there any other information that we should be aware of?

Social Widgets powered by AB-WebLog.com.