Client Consultation Form

Completion of this document does not establish a solicitor/client relationship, however, its contents will remain strictly confidential.

Name *

First

Last

Email Address *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Employment Details

Employer *

Employer Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Your current age *

Hire Date *

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Termination Date (if applicable)

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Years employed *

Were you induced to leave a former employer to take your current job? If so, how long had you been at the former employer?

Position

Job Title *

Are you a member of management? *

• Yes
• No

Do you have direct reports? *

• Yes
• No

Is your position specialized? *

• Yes
• No

Do you have access to confidential company information? *

• Yes
• No

Do you have the ability to discipline other employees? *

• Yes
• No

Do you regularly schedule other employees, including overtime? *

• Yes
• No

Your hours of work are *

• Regular
• Irregular

Are you a member of a Union? *

• Yes
• No
• I don't know

Please provide a copy of your employment contract.

Click or drag files to this area to upload. You can upload up to 3 files.

Compensation

Please provide a brief explanation of each, where applicable.

Base salary *

Do you receive overtime pay? *

• Yes
• No

Are you entitled to Commissions? If yes, please describe and attach relevant commission plans.

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Are you entitled to bonus(es)? If yes, please describe and attach relevant bonus plans.

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Please provide your annual bonus amounts over the last three years.

Benefits plan member?

• Yes
• No

Pension plan member?

• Yes
• No

If yes, please provide pension statement from last year.

Click or drag files to this area to upload. You can upload up to 3 files.

Does employer make contributions for your RRSP?

• Yes
• No

If yes, describe percentage paid by employer.

Other forms of compensation (car allowance, housing costs, wellness allowance, educational allowance)

Do you have Equity (stocks/shares) in your employer?

• Yes
• No

If yes, please provide equity plans.

Click or drag files to this area to upload. You can upload up to 3 files.

New Employment

Do you have a new job? *

• Yes
• No

If yes, when did you start the job?

What is your current compensation?

Leaves of Absence

Have you taken (or are planning) a Leave of Absence? *

• Yes
• No

If yes, describe type of leave and dates (for example, pregnancy, sick leave, caregiver leave)

Do you have health issues that have impacted your work? *

• Yes
• No

If yes, please describe.

Discipline & Termination

Have you been recently disciplined? *

• Yes
• No

Have you been subjected to harassing or discriminatory treatment by your employer?

• Yes
• No

If yes, please describe in detail.

Reason for Termination

• With Cause
• Without Cause

If terminated "with cause", what was the reason provided?

Please provide a short description of your issue, including a chronology of events or a summary of the situation, if you have prepared one. *

File Upload

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Please provide a list of any specific questions you have for the lawyer.

File Upload

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Who referred you to Turnpenney Milne LLP? *

Which lawyer were you referred to? *

Submit