Law Offices of Robert R. Ronne

Los Angeles Class Action

Case Review

Name:
Address 1:
Address 2:
City:
State:
Zip Code:
Daytime Telephone:
Evening Telephone:
Employer:
Date on which you began working there:
If you've left, the last date you worked there:
Job Title:
In ten or fewer words, what were the actual duties you performed:
What was your rate of pay (i.e., per hour, salary, etc.):
How much were you paid total per month?:
Do you have any written agreements with your employer?
Please describe your typical work day; i.e, how many hours do you work in a day? How many days per week? How many rest or meal period breaks do you get each day? How long are they?
Typical Work Day
Do you have unused vacation? How many days?

Are you currently a member of a class action relating to your work? If so:

What is the name of the case:
The case number:
When was it filed:
What is the current status:
Who is the attorney:
Please tell me which of the following you have in your possession:
Company Policy Manual and Employee Handbook
Pay Stubs and W-2's
Complaints you made
Performance reviews
All correspondence to and from the company
Disciplinary actions, and commendations
E-mails, calendars, diaries
Personal Notes
Termination paperwork
Have you ever filed for bankruptcy? If so, when?

Serving the Los Angeles Area • Telephone: 1-888-549-2930 • Fax: 310-322-3039

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