North West Employment Law - Specialist Employment Solicitors

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Your details

1. Title
2. Mr Mrs Miss Ms
3. Full Name(required)
4. Address
5. Postcode
6. Phone (Day)
7. Phone (Evening)
8. Phone (Mobile)
9. Email(valid email required)
10. Date Of Birth
11. Are you a member of a trade union or staff association?
12. Yes No

Details of employer you wish to claim against

1. Name
2. Address
3. Postcode

About your employment with that employer

1. Start Date
2. Latest Job Title
3. Weekly Average Hours
4. Weekly Average Pay
5. Has your employment with that employer ended?
6. Yes No
7. If yes what was the date of your last day at work?

About your complaint

1. Nature of complaint Breach of Contract Compromise Agreement Constructive Dismissal Contract Advice Discrimination Equal pay Family rights Redundancy Unfair Dismissal Other
2. If other, please state
3. Brief details of complaint (including dates)
4. Has an appeal or grievance been filed?
5. Yes No
6. If yes please give brief details including any outcome
7. Has a claim been filed with the Employment Tribunal?
8. Yes No
9. If yes please give brief details including dates given for any hearings

New employment

1. Do you have a new job?
2. Yes No
3. If so please give start date and weekly average pay

 

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Please complete the form as fully as possible but do not delay in sending it in even if there are some fields which you cannot answer.

Completion of this form does not constitute acceptance of instructions by NWEL- see Legal Information.

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• Employee Guides

• Disciplinary/Dismissal Hearings
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• Compromise Agreements
• Redundancy