Consultation Request

What is/was your job title?

Were you/are you an hourly employee or a salaried employee?

Hourly

Salaried

Did the employer ever keep you "on stand-by" or "on call" (this is where an employee is required to be ready to report to work on short notice)?

Yes

What business is that employer in?

The California Labor Counsel, P.C.

While you were employed with this employer, did you ever work more than eight (8) hours in a day, or more than forty (40) hours in a week?

Yes

What is the name of the employer in which you are submitting information?

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If you were not paid overtime, did the employer give you any reason ?

If submitting information about former employer, how long ago did you last work there?

Full Name:

If "Yes" above, were you paid overtime compensation when you worked more than eight (8) hours in a day, or more than forty (40) hours in a week?

Yes

Home or Cell Number:

No matter what your job title was/is, describe the type of work you actually perform(ed):

While you were employed there and you ever worked "off the clock," please explain why.

If the employer ever kept you "on stand-by" or "on call", were you paid for any time your "stand-by" or "on call", status prevented you from doing other things?

Yes

E-mail:

Do you have any reason to believe or suspect that time cards might have been altered, either physically or electronically, so as to inaccurately under-state the number of hours worked?

Where did/do you work for the employer in which you are submitting information?

Mailing Address:

Best Time of Day to Call:

Morning

Afternoon

Evening

Submitting About Current or Former Employer?

Current

Former

NOTICE: All information submitted through this site will be maintained as confidential. Information submitted through this site will be reviewed by a California-licensed attorney, David J. Gallo, Esq., who is the sole shareholder of The California Labor Counsel, P.C. The California Labor Counsel, P.C., will contact you within about one week.

Consultation Request Form

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