Enquiry
For Employees
Please note: We strive to respond to all enquiries by the next business day. Should you require immediate assistance please call 236-420-1946
Name
*
First Name
Last Name
What Pronouns do you use?
He/His
She/Hers
They/Theirs
Other
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of birth:
*
e.g. - July 16 1985
City and Province of home address:
*
Are you a member of a union:
*
Yes
No
Name of Employer:
*
Position at Employer:
*
Date of Hire
*
e.g. July 16 1985 (Approximate date is sufficient)
Date of Dismissal (please enter NA if this does not apply)
*
e.g. July 16 1985
Employment Contract or Agreement
*
Yes
No
Business Address
Severance offered? Please enter the amount or if none offered enter no. Enter NA if not applicable
*
Please provide brief description of the events transpired or services required
*
How did you hear about Kent Employment Law?
*
Google Search
Lawyer Referral
Social Media (ie: Facebook, LinkedIn)
YouTube
Other (ie: Friend, Colleague)
Submit
Should be Empty: