FLSA Intake

Please complete the following FLSA Intake.

Your use of this website or receipt of information posted on this website does NOT create an attorney-client relationship between you and Stanton Law, LLC. Contacting Stanton Law, LLC or one of its attorneys through this site or any phone number or email listed on this website also does NOT create an attorney-client relationship with Stanton Law, LLC. If you do not receive a response to your inquiry, you should not wait to contact another attorney to review your potential claims.

FLSA Intake

FLSA Intake

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Employee Information

In which language do you prefer to communicate? En qué idoma prefiere comunicarse?

Employer Information

Are you currently employed by Employer?*
Please state what you believe the title of your position to be (ex: manager, supervisor, painter, cashier, administrative assistant, sales manager, etc.). If you had more than one position, list as many as you remember.
Have you signed an employment agreement or work contract?*
This includes a "vendor agreement" or "independent contractor agreement" (If yes, please secure a copy of the signed agreement, if possible)
Was there a written job description?*
If so, please secure a copy, if possible.
Was there an employment manual, offer letter, or policy manual?*
If yes, please secure a copy, if possible.
How were you paid*

How often were you paid?*

This should be an hourly rate if possible, otherwise please indicate what period of time the payment covered. (Ex: $800 per week working six days of 9 hours each with no lunch)
How were you paid?*

Did you clock in and out each day?*
Do you have documents reflecting your hours or how much you were paid?*
If yes, please secure copies of all documents, if possible.
Did you ever receive bonus payments or did the Employer provide lodging?*
If yes, please secure copies of all documents, if possible.
Did you ever receive (or were you eligible for) tips?*
What tax documents do you receive?*
Please note this does not ask if you file taxes or if you are authorized to work in the United States. This question only asks if the Employer provided you with any tax documents.

If so, please put the names of everyone to whom you complained regarding being underpaid:

Other Information:

How did you hear about us?
If so, please list their names. **WE WILL NOT CONTACT THESE INDIVIDUALS DIRECTLY**
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