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First Name
Last Name
Cell
Email
Street Address, City, State Zip
What is your full physical address?
Employer Name
What is the name of the employee(s) you are complaining about?
How long have you worked for the employer?
How many employees work for the company or agency?
What is the date of the incident you are complaining about?
Have you filed with the EEOC or the Department of Labor?
Choose an option
Yes
No
Have you received a 90 day right to sue letter?
Choose an option
Yes
No
Have you filed a lawsuit about this incident?
Choose an option
Yes
No
Summary of Question/Legal Matter
I understand that confirmation of this appointment booking is subject to Carena Lemons, or their law firm, completing a conflict check.
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