Employment Query

Thank you for your recent enquiry. To enable us to consider your matter in more detail please could we ask you to complete the questionnaire below and then return it to us by clicking on the SUBMIT button at the end. The more information you can give us the better.

Note: Items marked * are required fields.

Your Details

1. Title *
2. First name *
3. Surname *
4. Date of birth *
5. Address
6. Contact number *
7. Email address *

Your Employment Details

1. Name of your employer or the organisation you are complaining against *
2. Address of employer *
3. When did your employment start? *
4. When did or will it end? *
5. Is your employment continuing? *
6. Please state your job title *
7. How many hours do or did you work each week? *
8. How much are or were you paid? *
9. If you employment has ended, did you work (or were you paid for) a period of notice?

Your complaint

1. Select any options from the following:

   1. Unfair or Constructive Dismissal
   2. Discrimination
   3. Redundancy payments
   4. Other payments owed
   5. Other complaints

Unfair Dismissal or Constructive Dismissal

1. If you think you were unfairly dismissed, please briefly explain why you think your dismissal was unfair
2. If you resigned because of something your employer did or failed to do which made you feel you could no longer continue to work for them (constructive dismissal) please briefly explain what happened

Discrimination

1. Please indicate what discrimination (including victimisation) you are complaining about

   1. Sex (including equal pay)
   2. Disability
   3. Sexual orientation
   4. Race
   5. Religion or belief
   6. Age
   7. Please briefly describe the incidents which you believe amount to discrimination including the dates of these incidents

Redundancy Payments

1. Please explain why you believe you are entitled to this payment and set out the staps you have taken to get it

Other Payments Owed

1. Please indicate what the money is owed to you for Please select Unpaid wages? Holiday pay? Notice pay? Other unpaid amounts?
2. Please briefly explain you you are entitled to this payment

Other Complaints

1. Please briefly explain what you are complaining about and why

Funding

1. Do you have legal expense insurance? (This may be found on your household insurance policy, motor or credit card insurance) Please select Yes No

2. Thank you for completing this questionnaire. Please click on the SUBMIT button below. A member of our team will contact you within 5 working days of receiving your query to discuss any potential claim you may have.