EMPLOYEE Inquiry Form EMPLOYER Inquiry Form

EMPLOYER Inquiry Form First Name Last Name Position Company Name Industry / Field No. of Employees Address Line 1 Address Line 2 City State Zip Code Business Phone () - Alternate Phone No. () - Fax () - E-mail Address Preferred Method of Contact Type of Service Requested (i.e., potential litigation or administrative proceeding, employee handbook review, contract review, etc.) Please describe in detail your specific request / concern.