Employment Enquiry Questionnaire

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 Team will contact you to discuss your potential claims and/or your options.

Further information can be found in our helpful guide .

PLEASE NOTE: Employment legislation requires you to issue claims to an Employment Tribunal within strict time limits. For example you must issue a 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 may result in your claim being barred and you may be prevented from taking any further action.

Your Details
Please enter your name
Please enter your address
Please enter your telephone number
Please enter your mobile number
Please enter your email address
Please enter your date of birth
Please let us know how you heard about us
Please enter how you heard about us
Please select if you would like advice on these
Employer Details
Please enter your name of the employer
Please enter your address of the employer
Employment Details
Please enter your the start date of the employment
Please enter your the termination date of the employment
Please enter your job title
Please enter the best time for us to call you
Please enter your gross salary
Please enter your net salary

- OR -

Please enter your wages per hour
Please enter the number of hours you work per week
Please select any other benefits you receive
Please enter any other benefits you receive
Please enter your details of your enquiry

Additional Information


To help us distinguish between forms submitted by individuals and those automatically generated by spam software, please type the word shown here into the box below.

Please enter the verification code

We’ll only use this information to handle your enquiry and we won’t share it with any third parties. For more details see our Privacy Policy