Talk to The Bloom Firm

Full Name:

Email Address:

Phone Number:

In what state do you live?

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In what city do you live?

What is the name of your employer?

What is the full legal name of the individual(s) you are complaining about?

What is your position at the company?

What is your salary?

Between 10,000 and 35,000 Between 35,000 and 50,000 Between 50,000 and 100,000 Over 100,000

What is the name of your supervisor or manager?

How long were you employed with this company?

From:

To:

Summarize your issue

Did you make an internal complaint about the issue? Yes, I complained in writing Yes, I complain orally Yes, I complained in writing and orally

What was the employer's response?

Are you still employed by this employer?

Yes No, I left voluntarily No, I was terminated

What reason did the employer give you?

Do you have any witnesses?

Yes N0

What are the names of your witnesses?

What do you think your witness(es) would say?

Do you know of other employees who may also have claims against the employer?

Yes N0

What are the names of the other employees?

Do you have any corroborating evidence, such as texts, photos, emails, or recordings?

Yes No

In your opinion what is the best evidence that you have?

In your opinion, what is the worst thing that your former employer would say about you?

Did you sign an arbitration agreement?

Yes No I'm not sure

Is your case already in litigation?

Yes No

In which court did you file?

What is your trial court date?

Are you seeking to change attorneys?

Yes No