Terminated or Fired

Before filling out this form, it is strongly recommended to read through the three articles and various FAQs. While this questionnaire is lengthy, it is important to provide as much information as possible.

Your Full Name*

First Last

Your Email*

Please only provide a personal (not work/business) email.

Your Phone*

Your Address

Street Address City State ZIP Code

Date of Birth

Do you currently have an attorney?*

Yes

Have you ever been in a legal dispute with a prior employer before?

Yes

Name of your employer (or former employer)*

Approximate number of employees that work for the employer

Less than 15 employees

15 to 50 employees

51 to 100 employees

101 to 200 employees

201 to 500 employees

501 or more employees

I am not sure

Name(s) of your most recent boss/supervisor

Start Date of your employment

End Date of your employment

Your most recent title/position with this employer

Approximately how long were you in this role?

What was your most recent salary or wage rate?

How were you compensated?

Hourly

Salary

Bonus

Commission

Health insurance (medical, dental, or vision)

Shares/stock (including those that vest over time)

Stock options

Other

Check all that apply.

How were you compensated (other)?

Within the last year of your employment, had you received a written warning relating to your job or performance, a Performance Improvement Plan (or similar documentation), or a poor performance evaluation?

Yes

I don’t know / I don’t remember

Please answer accurately even if you disagree with the reason.

Written Warning, Performance Improvement Plan, or Poor Performance Evaluation Details

If you answered “yes” to the prior question, please provide any details you would like.

Did you have an employment contract?

Yes

I don’t know / I don’t remember

Did you sign an arbitration agreement or alternative dispute resolution agreement?

Yes

I don’t know / I don’t remember

When were you informed that your employment with the employer would be ending?

How were you informed your employment would be ending?

Who informed you that your employment would be ending?

What was the reason provided by the employer for your termination?

Do you agree or disagree with the reason for termination?

I agree

I disagree

I don't know

Why do you believe you were actually terminated?

Have you filed for unemployment benefits?

Yes

No, and I don’t intend to

No, but I may do so

If you have filed for unemployment benefits, did your former employer contest (or is it contesting) your claim?

Yes, but the unemployment benefits were still approved

Yes, and the unemployment benefits were not approved

I don’t know

Other

Have you obtained a new job yet?

Yes

Who is your new employer?

When did you start working at your new job?

What is the compensation of your new job?

Have you filed a charge of discrimination or retaliation with the EEOC or TWC?

Yes

When did you file with the EEOC or TWC?

For what did you file the charge with the EEOC or TWC?

Have you received a right-to-sue letter from either the EEOC or TWC?

Yes

I don't know

Have you filed any complaint with any other government agency?

Yes

Have you filed a lawsuit?

Yes

What are your goals or what are you hoping to get out of hiring an attorney?

Anything else you would like to add?

Documents

Drop files here or

Max. file size: 64 MB.

Please upload or attach the following documents, if you have them:

Termination letter/notice
Any internal complaint/notice relating to your termination or potential termination
Any communications relating to your termination
Your EEOC charge
The right-to-sue notice from the EEOC or TWC
Any written warnings, Performance Improvement Plans, or other written communications relating to your performance over the past year
Any other documents or recordings you would like to submit

Submitting this form does not create an attorney-client relationship and does not create an obligation for Nitin Sud to represent you. It will be used only for informational purposes for review by Sud Law P.C. to determine if Mr. Sud may be able to help you.

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Certified in Labor and Employment Law by the Texas Board of Legal Specialization.

If you have been terminated/fired and would like Mr. Sud to review information to determine if you may have a potential claim,, please fill out this form.