Build stronger employment law cases with our comprehensive attorney intake form. Systematically document workplace issues, employment history, and evidence for discrimination, harassment, wrongful termination, and wage disputes.

Full name, address, phone, email, and SSN
Government-issued ID and verification of identity
Emergency contact name, relationship, and phone
Current employer name, address, phone, and position
Complete work history for last 10 years
Date originally hired by current employer
Current job title and description of duties
Department, immediate supervisor, and chain of command
Regular work schedule, hours per week, and overtime
Current salary, pay rate, and compensation structure
Performance reviews, evaluations, and disciplinary actions
Specific incidents of discrimination and protected characteristics
Race, color, religion, sex, national origin, age, disability
Dates, times, locations, and details of discrimination
Specific incidents of harassment and hostile work environment
Sexual, racial, religious, or other forms of harassment
Dates, times, locations, and details of harassment
Retaliation for protected activities or complaints
Complaints, whistleblowing, or other protected activities
Adverse actions taken after protected activities
Circumstances surrounding termination or constructive discharge
Date of termination or last day worked
Reason given by employer for termination
Unpaid wages, overtime, minimum wage violations
Unpaid overtime, misclassification as exempt
Missed breaks, meal periods, or rest periods
Work performed before clocking in or after clocking out
Time cards, punch records, and timekeeping system
Family and Medical Leave Act violations
Requests for reasonable accommodations and responses
Medical records, doctor's notes, and disability documentation
Names and contact information for potential witnesses
Written statements from witnesses to incidents
Emails, texts, memos, and other written evidence
Employee handbook, policies, and procedures
Performance reviews, evaluations, and disciplinary notices
Pay stubs, W-2 forms, and other wage documentation
Time cards, punch records, and attendance logs
Emails, texts, voicemails, and other communications
Previous complaints filed and responses received
Complaints filed with HR, management, or company
Complaints filed with government agencies
Responses received from company or agencies
Lost wages, emotional distress, and other damages
Wages lost due to termination or other violations
Emotional impact of workplace violations
Medical expenses related to workplace issues
Verify claims are within applicable time limits
File charges with appropriate government agencies
What client hopes to achieve through legal action
Client's preferences regarding settlement vs. litigation
Review all information for completeness and accuracy
Review by qualified employment law attorney
Plan next steps and establish timeline for action