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Employment Termination

General

  • Case name, number and attorney position (P/D).
  • Attorney name.
  • Please provide a copy of the complaint.
  • Anticipated trial date.
  • Is there an allegation of plaintiff physical injury caused by the defendant?

Plaintiff Background

  • Date of birth.
  • Gender and race (white, african-american, other).
  • Level of education attained (grade school, high school, college, graduate degree).
  • Family status (S/M). Provide birth dates of children at home, if any.

Employment Background

  • Name of prior employer.
  • Position held.
  • Date of original employment.
  • Date of employment termination.
  • Period and amount by calendar year of unemployment benefits received.
  • Date of each subsequent employment.
  • Name of each subsequent employer.
  • List calendar year income for 3 years prior to employment termination. Submit tax returns with W-2 forms, if available.
  • List calendar year income for all years subsequent to employment termination. Submit tax returns with W-2 forms, if available.
  • What is rate of pay in current position?
  • Did previous employer provide employee benefits, such as vacation, insurance pension plan, etc? Please describe. What were the required employee contributions, if any, for these benefits.
  • Does the current employer provide employee benefits, such as vacation, insurance pension plan, etc? Please describe. What are the required employee contributions, if any, for these benefits.
  • Please provide any documentation of benefits available from previous and current position including employee booklets, benefit statements, summary plan description, etc.