Employee Law Enquiry

Please complete the questionnaire as fully as possible and provide full details of your query

When we receive your form a member of the Employment Law Team will contact you to discuss your potential claims and/or your options.

Further information can be found in our helpful Employment Law guide (Download in the right column).

PLEASE NOTE: Employment legislation requires you to issue a notice of intention to claim to ACAS Early Conciliation within strict time limits. For example, you must issue a notice of intention to claim within three months less one day of the date of dismissal/resignation/discriminatory act. It is your responsibility to ensure that your claim is issued within the applicable limitation period. Failure to do so is likely to result in your claim being barred and you may be prevented from taking any further action.

Your Name

Your Address

Your Phone

Your Mobile

Your Email

Date of Birth

How did you hear about us?

Employer Details

Employer Name

Start Date

Termination Date

Job Title

Do you have a contract of employment?
YesNo

Salary:

gross

net

-OR-

Wages:

net

hours worked per week

Do you receive any benefits in addition to your pay?
Life InsuranceCompany CarOther (please specify)

Other

Brief details of your employment query

Additional Information

Funding Option Selection
Hourly Rate LegalLegal Expenses Indemnity Insurance