Enquiry
For Employees
Please complete page one of the form and click submit. Upon receipt of a clear conflict check we will notify you to complete page two.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Home Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Date of birth:
*
e.g. - July 16 1985
Are you a member of a union:
*
Yes
No
Nature of Problem (please select all that apply)
*
Wrongful Dismissal
Severance Review
Human Rights
Bullying & Harassment
Employment Standards
Policies
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: