Prospective Client Questionnaire

If yes, attach a copy

If yes, attach a copy

If yes, attach a copy

If yes, attach a copy

If not, did you receive an hour of pay for missing the meal period?

If not, did you receive an hour of pay for missing the rest period?

If yes, provide details (when, to whom, substance of complaint)

If yes, provide details (when, to whom, substance of complaint)

If yes, attach a copy

E.g., mortgage, medical bills, support. List approximate amount for each.

If so, when and with whom?

PLEASE ATTACH COPIES (NOT ORIGINALS) OF ANY DOCUMENTS YOU BELIEVE WE SHOULD REVIEW (e.g., employment agreement, separation agreement, relevant emails, handbook, organizational chart, etc.)