Thank you for contacting The Law Office of Nicole Meyers. To help us better understand your potential employment claims, we kindly ask that you complete our Employment Intake Form. This step is essential for us to assess the specifics of your situation and determine how how we might assist you.

Completing the form does not create any obligation to our services but allows us to conduct a comprehensive review of your case. Your privacy is paramount, and all submitted information will be kept confidential.

After reviewing your form, we will contact you to discuss potential next steps. Please note that our ability to offer consultations is limited. Sometimes, an individual case does not align with our firm's area of expertise or the needs of a case may exceed our firm's workload capacity.

If your case aligns with our firm's expertise and can be accommodated within our present caseload, we will contact you with a link to schedule a complementary consultation. If not, we will do our best to suggest alternative avenues or refer you to trusted colleagues who may be better equipped to assist you.

Privacy Policy

All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.

Your personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case.

We appreciate your consideration of our firm and look forward to your submission.

Contact information

Prefix

First name *

Middle name

Last name *

Date of birth

Company

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

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Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

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Phone numbers

Phone number

Type

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Contact information

Gender

Marital Status

Driver's License Number

Have you filed a lawsuit before?

Are you currently employed?

Case Information

Please enter the name of the employer you wish to seek action against.

Are you still working for this employer?

Employment Start Date

Termination Date (if applicable)

Are you represented by a union?

Name of your union (if applicable)

Briefly describe what happened at your place of employment that caused you to seek legal action.

If you contend your treatment was based on one or more Protected Characteristics, please check the applicable category/categories:

Have you filed any grievances or other written complaints with your employer?

Have you filed a complaint with the California Civil Rights Department (CRD) or the Equal Employment Opportunity Commission (EEOC)?

Please upload a copy of your CRD/EEOC complaint here.

Referral Information

Have you contacted any other attorneys or law firms about your potential case?

How were you referred to our law firm?

ACKNOWLEDGEMENT AND ACCEPTANCE

THANK YOU