Employment Law Intake - Koskie | Law

Employment Law Intake Form

Please share details about your employment matter. Keep it brief; we’ll follow up if anything more is needed.

Employment Intake

Page 1 - Role
Page 2 - Employment
Page 3 - Termination
Page 4 - Perspective
Page 5 - Timing
Page 6 - Consent

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Name

Name

First Name

First Name

Last Name

Last Name

Email

Phone

Organization / Employer (if applicable)

Role Role

Mailing Address / Preferred Contact Address

Mailing Address / Preferred Contact Address

Mailing Address / Preferred Contact Address

Mailing Address / Preferred Contact Address

City

City

Province

Province

Postal Code

Postal Code

Mailing Address / Preferred Contact Address

Preferred Contact Method

Email

Phone

If you are human, leave this field blank.