do you want justice but don't know where to start?

Please take just 2 minutes of your time to fill in the questionnaire below. Your answers will help us determine if you have a claim and what we can do to help you get justice.

Full Name		[ help ]
Telephone Number		[ help ]
Email Address		[ help ]
Do you think you have been discriminated against on the grounds of your sex, race, age, a disability, your religion or belief, sexual orientation or membership/non-membership of a trade union?	Yes no	[ help ]
When do you feel you were last discriminated against?		[ help ]
Have you been dismissed?	Yes No	[ help ]
When did your employment end?		[ help ]
At the time of your dismissal, had you been employed by your employer continuously for 12 months or more?	Yes No	[ help ]
Do you think you have been unfairly dismissed?	Yes No	[ help ]
Have you resigned due to conditions imposed by your employer?	Yes No	[ help ]
What date did you officially resign?		[ help ]
Do you feel that you have payments owing to you from your employer or previous employers?	Yes No	[ help ]
When were these payments owed to you?		[ help ]
Have you written to your employer/previous employer regarding any of these grievances?	Yes No	[ help ]
When was this communication sent?		[ help ]
What is the name of the company you have grievance with?		[ help ]
Where is this company based?		[ help ]
Please give a brief overview of your situation for our specialists to assess your case		[ help ]
When is the best time for us to contact you regarding your case?		[ help ]