Questionnaire

PERSONAL INFORMATION

Full Name
Home Phone Number
Mobile Phone Number
Email
Name of employer
How long have you been employed for?
How much are/were you earning? (if dismissal before & after dismissal)

DISMISSAL

Have you been dismissed?

When were you dismissed?
Please set out here your complaint:

ACTS OTHER THAN DISMISSAL

Do you want to complain about acts other than dismissal?

When did they take place?
Please set out here your complaint:

EMPLOYMENT TRIBUNAL PROCEEDINGS

Have you issued Employment Tribunal ("ET") proceedings ?

Send us your claim, the defence and any Orders of the ET
Has a hearing date been set - if so what is the date?

FEES

Have you funds or legal expenses insurance to pay legal fees?
For more information on legal expenses insurance read a guide to fees by one of our lawyers.
Any other relevant information please set out here.

ATTACHMENTS

This will be relevant documents such as:
- Dismissal letter.
- Appeal from dismissal and response to any appeal.
- Grievance letter and response to any grievance.
- Insurance documents for legal expenses insurance.
- Claim, defence and Orders of the Employment Tribunal if you have issued proceedings.