Create Case
Basic Case Information
Case Origin
--None--
Email
Phone
Web
In Person
Interviewing Organization
--None--
Chicago Workers Collaborative
Testers R Us
--Other--
Interviewer
Interviewer's E-mail Address
Lead Plaintiff's Last Name
Primary Defendent's Last name
Is client represented by an attorney now
--None--
no
yes
Current Client Attorney
Union Involved?
--None--
yes
no
don't know
Which Union
Please read the following questions to the client(s)
Do you understand that I am not a licensed attorney and am not able to give legal advice. I am only able to take down the information about your case and it will be reviewed by a licensed attorney?
Understand I am not an attorney?
--None--
No
Yes
N/A
Do you authorize this organization to include your name in their database so you can be kept informed about the organization's activities?
Authorized to include name in database?
--None--
No
Yes
N/A
Type of Case
--Select--
Construction
Discrimination/Harassment
General
Union Related
Wage and Hour or DLSA
Workers Compensation
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