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Request Call-Back for Free Telephone Consultation
_______________________________________________________________________________________________________ Have you been fired or harassed at work? We can get you the compensation that you deserve.
Do not delay, otherwise you may lose your legal rights. Complete this confidential inquiry form as soon as possible to book a free telephone consultation.
Your legal issue is very important to us, and your confidentiality is guaranteed. Have questions about this form? Email Help@randyai.com
Name
*
First
Last
Email
*
Telephone Number
*
Age
Name of your current or former employer [confidential]
Length of service
Approximate annual salary
Are you a member of a Union?
No
Yes
Not Sure
Have you been terminated? Or are you still employed?
Terminated - with severance package
Terminated - no severance package
Still employed
Other
Have you experienced harassment or discrimination at work? (Check all that apply)
None
Minor workplace bullying (yelling, threats, insults, intimidation etc)
Major workplace bullying (physical harm, threats to safety etc)
Disability discrimination
Age discrimination
Gender/Pregnancy discrimination
Racial/Religious discrimination
Sexual harassment
Unfair demotion or change in job duties
Other
Do you have friends/colleagues in the workplace with the same/similar issues?
How did you hear about us?
How can we help you?
*
