WAGE & HOUR SURVEY

IT IS FREE AND WITHOUT OBLIGATION

Brictson and Cohn pursues wage and hour cases on both an individual and class action basis.  Please take a few minutes and fill out the wage and hour survey below. 

Nothing transmitted from this web site constitutes the establishment of an attorney-client relationship between you and The Law Offices BRICTSON & COHN  or any other attorney.

Please remember that transmissions on the Internet are not always confidential nor is their any guarantee that we receive this transmission.  You are transmitting this information at your own risk. 

Again, please remember that no attorney-client relationship is established (i.e. we will not be anyone's attorneys) until we have reviewed the case, decided to accept the case and entered into a written representation/retainer agreement with the client. Basically, we will not be representing anyone just because this information has been transmitted to us or even because we may have given you an answer to a question.

Nothing transmitted from this web site constitutes the establishment of an attorney-client relationship between you and The Law Offices BRICTSON & COHN  or any other attorney.

Please remember that transmissions on the Internet are not always confidential.  You are transmitting this information at your own risk.

Again, please remember that no attorney-client relationship is established (i.e. we will not be anyone's attorneys) until we have reviewed the case, decided to accept the case and entered into a written representation/retainer agreement with the client. Basically, we will not be representing anyone just because this information has been transmitted to us or even because we may have given you an answer to a question.

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If applicable, please provide the name and address of specific employer involved:

If applicable, please provide the number of employees of that employer:

How did you hear about our firm:

How much did or do you earn at the job in question and at what rate of pay?

What was your date of hire?

WHAT IS OR WHAT WAS YOUR JOB DUTIES AND TITLE AT THE JOB IN QUESTION: 

DID YOU HAVE ANY OTHER JOB WITH ANOTHER EMPLOYER AT THE SAME TIME?   IF SO, WHERE:

NAME AND TITLE OF IMMEDIATE SUPERVISOR AT THE JOB IN QUESTION: 

IF APPLICABLE, PLEASE LIST THE NAMES, JOB TITLES AND TELEPHONE NUMBERS (IF POSSIBLE) OF WITNESSES, CO-WORKERS, OR OTHERS YOU FEEL COULD PROVIDE ANY EVIDENCE AND EXPLAIN WHAT EACH WITNESS WILL BE ABLE TO TELL US:   

IF YOU HAVE ATTEMPTED TO RESOLVE  THE PROBLEM BY DISCUSSING IT WITH SOMEONE IN MANAGMENT PLEASE GIVE THE NAME AND TITLE OF THE PERSON AND STATE WHAT HAPPENED:

IF YOU BELIEVE AN EMPLOYER OWES YOU ANY UNPAID WAGES OR BENEFITS, PLEASE DESCRIBE:  

IF YOU BELIEVE AN EMPLOYER OWES YOU UNPAID REGULAR WAGES (8 HOURS A DAY OR LESS) PLEASE PROVIDE THE DATES NOT PAID, THE NUMBER OF HOURS NOT PAID, AND YOUR REGULAR PAY RATE:

IF YOU BELIEVE AN EMPLOYER OWES YOU UNPAID OVERTIME  WAGES (OVER 8 HOURS A DAY) PLEASE PROVIDE THE DATES NOT PAID, THE NUMBER OF HOURS NOT PAID, AND YOUR OVERTIME RATE: :

IF YOU BELIEVE AN EMPLOYER OWES YOU UNPAID DOUBLE TIME  WAGES (OVER 12 HOURS A DAY) PLEASE PROVIDE THE DATES NOT PAID, THE NUMBER OF HOURS NOT PAID, AND YOUR REGULAR :

Please describe any documentation you have that shows any wages or hours you worked but were not paid:

Were you provided a 10 minute break every 3.5 hours of work?

Were you paid for the time you took breaks?

Were you ever disciplined or threatened with discipline for trying to take breaks?  Please state WHEN that occurred, WHO you spoke to, and WHAT happened specifically:

Were you provided a 30-minute lunch break every 5 hours of work? If not, please describe :

Were you required to remain on the premises during your lunch breaks? If so please describe:

Were you on call during your lunch break? If so please describe:

Did your employer require you to sign any documents regarding your lunch periods? If so please describe:

Were you ever disciplined or threatened with discipline for trying to take a lunch breaks?  Please state WHEN that occurred, WHO you spoke to, and WHAT happened specifically:

Before you clock in, or after you clock out (before you start getting paid or after you stop getting paid),  do you have to do anything related to your job (for example, put on safety gear, greet customers, park in a specific space, take a company bus, wait in line, sweep, etc.)? If so, please describe:

Where are the time clocks, and how long does it take to get there:

Were any of the costs of any of the following items deducted from your paycheck, or were you forced to pay out of your own pocket? 1. Uniforms (purchase of uniforms or cleaning of uniforms); 2. Training; 3. Tools/Safety Equipment; 4. Broken Equipment; 5.  BREAK TIME; 6. Tips;  7. Workers’ Compensation Ins.; 8. Other insurance, besides taxes and health insurance?  Please explain:

Were you provided a complete itemization or statement of your pay rate, hours worked, an deductions with every paycheck?  If not, please describe:

Were you required to undergo any training (for example watching videos, reading books, going to classes, etc.) before being hired, or after being hired, for which you were not paid?  If so, please describe it and tell us how long it took:

I have read, understand and agree to the above terms and conditions.

Your Address: