Submitting this form does not create an attorney-client relationship. That relationship begins only when both you and our firm have signed a written agreement. The information you provide will be used to check for conflicts of interest and to evaluate whether we may be able to assist you. Given the nature of employment laws we cannot guarantee that we will offer a consult to every potential new client. Please do not include highly sensitive or confidential details at this stage. If we are able to take your matter, there will be an opportunity to share that information securely once a relationship is established. The firm does not guarantee encrypted transmission of information. If your matter involves an upcoming deadline, a court date, or any time-sensitive issue, do not rely on this form as the only notice to our firm. Please call us directly at (intake number). By submitting this form, you acknowledge that you have read and understood the above.
First Name
Last Name
*Personal Email Address
*Best Phone # for Us to Contact You
*What City Are You Employed In?
*What State Are You Employed In?
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*What City Do You Reside In?
*What State Do You Reside In?
Please Select
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Washington
Wisconsin
West Virginia
Wyoming
*What Is the Name of Your Current or Former Employer/Company?
Store Location / Store # (If Applicable)
Approximate # of Employees?
*What Is Your Job Title?
*Are You an In-Office, Remote, or Hybrid Employee?
Please Select
In-Office
Remote
Hybrid
What Is Your Approximate Annual Salary?
How Long Have You Been Employed With This Employer?
*Are You Still Currently Employed?
Yes
No
If "No": When Was the Last Day of Your Employment?
How Did Your Employment End?
Resigned
Terminated
Not Known
If Terminated, What Reason Were You Given for Your Termination?
Did You Receive a Separation Agreement / Severance Package?
Please Select
Yes
No
If "Yes": Do You Have a Date / Deadline to Sign?
Have You Already Signed?
Please Select
Yes
No
*What Prompted You to Call a Law Firm? (Please provide a brief description/summary of your matter and why you reached out to us today. If you have specific claims of discrimination, harassment, or retaliation, please provide examples.)
*What Are Your Goals? What Are You Hoping an Employment Attorney Can Help You With?
Do You Have Any Contracts / Agreements or Specific Documents You'd Like Reviewed by an Attorney and Advised On?
Please Select
Yes
No
Do You Have Any Physical Evidence (Supporting Documentation) to Support Your Legal Claims?
Please Select
Yes
No
Do You Have Any Deadlines Related to Your Matter?
If "Yes": Have You Received a "Right to Sue Letter"?
Please Select
Yes
No
Date You Received the "Right to Sue Letter"
Do You Have a Date Assigned for Mediation?
How Did You Learn About The Noble Law?
If you would prefer to complete your intake by phone, you may contact us at 919-917-9421 during our normal business hours; Monday-Friday 9am-5pm and our Intake Team will be happy to assist you!
Please note that an intake submission for review does not guarantee an offer of a consultation. Additionally, an offer to consult with our firm does not guarantee representation. Some of our consultations have fees, so if you are approved for a consultation with one of our attorneys, please check your scheduling email for those details. Our team is standing by for questions. Thank you!
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