FREE SACRAMENTO EMPLOYMENT CASE EVALUATION

Please fill out the following Case Evaluation form and provide as much information as possible. All information is kept strictly confidential and is used only by The Law Offices of Clancey, Doyle & O'Donnell for the evaluation of your case. By accepting and reviewing this completed form, we are not agreeing to represent you. Rather, we will evaluate your information to determine whether or not we can accept your case.

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Contact Information
* Your Name:
* Home Address:
* City:
* State:
* Zip Code:
* Home Telephone:
* Email Address:
Employment Information
Name of Employer:
Describe the employer's business:
How long did you work for the company?
Termination/Resignation Date:
What Happened to cause the termination?
Have you filed with the Equal Opportunity Commission (EEOC)
If yes, when did you file?
Have you filed with the Department of Fair Employment & Housing (DFEH)
If yes, when did you file?
Have you received a right to sue letter from the EEOC or DFEH?
If yes, which agency, and when is the letter dated?

IF YOU OR A LOVED ONE HAS BEEN INJURED IN AN ACCIDENT
IT IS IMPORTANT TO PROTECT YOUR LEGAL RIGHTS.

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1-800-632-5529

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