1.Have you worked overtime without receiving 1.5x pay?

Yes

No

Not sure

2.Have you experienced discrimination or harassment at work based on race, gender, age, disability, or another protected trait?

Yes

No

Not sure

3.Has your employer retaliated against you for reporting unsafe conditions, wage issues, or mistreatment?

Yes

No

Not sure

4.Were you denied paid sick leave, family leave, or disability accommodations?

Yes

No

Not sure

5.Do you feel unsafe at work due to lack of training, equipment, or hazardous conditions?

Yes

No

Not sure

6.Have you been fired, demoted, or treated unfairly after asserting your rights?

Yes

No

Not sure

7.If you answered yes to any of these questions and would like a Free Case Review, please provide the following information:

First name

Last name

Email

Phone number