• CLIENT INFORMATION

  • HOME ADDRESS:

  • EMPLOYER INFORMATION

  • GENERAL EMPLOYMENT INFORMATION

  • CLAIM INFORMATION

  • WHAT ACTIONS BY THE EMPLOYER CAUSED YOU TO BE TERMINATED OR FORCED TO RESIGN?

  • PREVIOUS LEGAL ACTION

  • OTHER POSSIBLE CLAIMS

  • HAVE YOU BEEN PAID OVERTIME FOR ALL THE HOURS YOU WORKED?

  • DAMAGES

  • ADMINISTRATIVE REMEDIES

  • VERIFICATION AND ACKNOWLEDGMENT

  • I UNDERSTAND THAT WILSHIRE LAW FIRM, PLC IS USING THE INFORMATION ABOVE-MENTIONED TO DETERMINE WHETHER OR NOT IT WILL TAKE MY CASE ON A CONTINGENCY BASIS. I ACKNOWLEDGE THAT WILSHIRE LAW FIRM, PLC IS NOT MY ATTORNEY UNLESS AND UNTIL A RETAINER AGREEMENT IS FULLY EXECUTED BY BOTH MYSELF AND WILSHIRE LAW FIRM, PLC. BY TYPING MY NAME IN THE BOX BELOW I AM OFFERING MY DIGITAL SIGNATURE IN LIEU OF MY HANDWRITTEN SIGNATURE. I UNDERSTAND THAT MY DIGITAL SIGNATURE CARRIES THE SAME LEGAL BINDS AS MY HANDWRITTEN SIGNATURE.

Address

3055 Wilshire Boulevard, #1227
Los Angeles, CA 90010

Business Hours

Office Hours: 24 hours a day

Phone

Tel: (213) 805-8549
Toll Free: (888) 979-1278
Fax: (213) 381-9989

Email

[email protected]

LET’S GET STARTED

Employment law is complex and can be confusing to people without legal expertise. We’re here to answer your questions in simple language (no legal jargon here).

Contact us now, and let us provide you with a full understanding of your rights and best legal options, so you know exactly where you stand.

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