Wrongful Termination Legal Referral Questionnaire

Please provide information about your employment, how it ended or changed, and what you would like help with from a lawyer or paralegal on our Preferred Legal Provider Network. LegalPro Connect uses your answers to prepare a factual referral summary. You do not need to know whether your employer’s actions were unlawful to complete this questionnaire.
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Phone Number
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Email
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Part 1: Your employment situation
Which best describes your current employment situation?
Briefly describe how your employment ended or changed, including any relevant dates. Approximate dates are fine if you are not sure.
Did your employer provide a written reason for your termination?
How did your employer describe the termination?
What reasons did your employer give for ending your employment, if any? You may quote or summarize what you were told.
Before your employment ended or changed, did you receive any written warnings or disciplinary notices?
Part 2: Your employment history and any termination offer

Assess whether the severance or termination package appears to meet a reasonable notice standard and gather the details needed to evaluate notice and entitlements.
When did you start working for this employer, and how long did you work there? Approximate dates or length of service are fine.
What was your job title, and what were your main work duties?
What was your age when your employment ended or changed?
What notice, payments, benefits, or other terms did your employer offer or provide when your employment ended, if applicable? Please distinguish what was offered from what you received.
Did you sign a release or severance agreement?
If Yes, when did you sign the release or severance agreement? An approximate date is fine.
Part 3: Changes to your job or working conditions
Did your employer change your pay, hours, duties, work location, or other working conditions without your agreement?
If Yes, briefly describe what changed, when it changed, and how it affected you. Approximate dates are fine.
Did you raise concerns with your employer about these changes or your working conditions?
If you resigned, did changes to your job or concerns about your working conditions contribute to your decision?
Briefly describe any concerns about your working conditions, how you raised them with your employer, and any response you received, if applicable.
Part 4: Other circumstances and documents
Did your employment end or change after you raised a workplace concern, requested leave or accommodation, or sought workplace benefits?
If Yes, briefly describe the concern or request, when you raised it, and what happened afterward. Approximate dates are fine.
Do you have a written employment contract?
Upload your termination letter, employment contract, severance offer or agreement, and any relevant correspondence you would like a lawyer or paralegal on our Preferred Legal Provider Network to review (if available).

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Name of the employer involved in this matter.
In which province or territory did you work for this employer? If more than one, please list them.
Were you represented by a union in this employment?
If Yes, please name the union and briefly describe any contact with it about this matter, including any grievance and its current status, if known.
Do you know whether your employer is federally regulated?
Have you filed a complaint, application, or court case about this employment matter, apart from any union grievance already described?
If Yes, please identify where you filed, when you filed, any file number, and the current status or outcome, if known.
Does any letter, offer, agreement, notice, or other document give you a deadline? If so, enter the date and what it asks you to do.
What would you like help with from a lawyer or paralegal on our Preferred Legal Provider Network?
Are you currently represented by a lawyer or paralegal in this employment matter?
Are there any accessibility, communication, language, or other support needs you would like a lawyer or paralegal on our Preferred Legal Provider Network to know about?
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Legal Disclaimer

LegalPro Connect provides referral and information services, not legal advice or representation. We do not determine whether your employer acted unlawfully or assess the legal merits of your matter. Submitting this questionnaire does not guarantee a referral or acceptance by a lawyer or paralegal on our Preferred Legal Provider Network, create a lawyer-client or paralegal-client relationship, or meet, preserve, or extend any deadline. Any prospective representative will confirm whether they can assist, the scope of services, and applicable fees.
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Consent to referral and information sharing
Should be Empty:

Part 1: Your employment situation

Part 2: Your employment history and any termination offer

Part 3: Changes to your job or working conditions

Part 4: Other circumstances and documents

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