Does your employer have more than 100 employees in California?
No
Yes
Our firm only handles cases where the employer has more than 100 employees in California.
Our firm only handles cases where the employer has more than 100 employees in California.
Do you belong to a union?
Yes
No
Please make a selection.
Are you a current or former employee?
Current
Former
Please make a selection.
If former, when was the last date worked?
Are you paid hourly or salary?
Hourly
Salary
Please make a selection.
If you were paid hourly, did you work any time that you were not paid for?
Yes
No
For example, did you have to put on any special clothing or gear prior to beginning work?
Yes
No
Did your employer search you after you clocked out?
Yes
No
Please make a selection.
If you were searched after clocking out, where did you clock out and where were you searched?
Approximately what was the distance (how many feet) from clocking out and getting searched?
If you were paid on commission, what was the commission based on?
Did your employer pay you with a pay card?
Yes
No
Please make a selection.
If so, did you sign a document authorizing the employer to pay you with a pay card?
Yes
No
Were there any fees incurred when using the card?
Yes
No
If you were paid hourly, were you provided a 30 minute uninterrupted meal period during the first five hours of work
Yes
No
If you were paid hourly, were you provided a ten-minute break every four hours? If so, were you allowed to leave the premises to take your break?
Yes
No
If terminated, what was the reason you were given?
Brief description of complaint:
Please enter a message.
Please upload 3 pay stubs from the last 12 months with the employer you're filing a claim against.
Why we need these:
Verify your employment and dates worked
Identify wage and hour violations (often overlooked money you're owed)
Confirm the employer's legal name for filing purposes
Required: We cannot evaluate your case without pay stubs.
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