Get Wrongful Termination Questionnaire Form

Filling out the Wrongful Termination Questionnaire Form is an important step when seeking to address issues related to discrimination or wrongful termination. This guide will walk you through each section of the form, making the process straightforward and accessible.

Follow the steps to complete the form effectively

1. Click ‘Get Form’ button to access the questionnaire and open it in your preferred editor or browser.
2. Begin by providing the name and location of the employer. Ensure this information is accurate as it is essential for your claim.
3. Next, fill in the name and location of the employee, and state the name of the employee's supervisor.
4. Indicate how long the employee has worked for the employer, as this may be relevant to your claim.
5. Provide the employee's job title along with a brief description of their duties. Attach a formal job description if available.
6. State the employee's rate of pay, as this information helps in evaluating the case.
7. Clearly explain why the employee believes they were terminated, harassed, or discriminated against.
8. Document the reason provided by the employer for the employee's termination or treatment, if applicable.
9. Mention any documentation related to the harassment, discrimination, or wrongful termination and whether it was shared with the employee.
10. Describe the employee’s performance evaluations, including the date of the last evaluation and any significant differences from earlier evaluations.
11. Indicate if anyone criticized the employee's work prior to the current situation.
12. Discuss whether other employees in similar circumstances have been treated similarly.
13. If the employee is part of a union, provide information on whether a grievance was filed and the outcome.
14. Clarify if the employee has a contract with the employer and whether it stipulates at-will employment.
15. State if the employer treated the employee differently based on any protected status such as sex, age, race, or disability.
16. If applicable, confirm whether a doctor has diagnosed the employee with a disability and when the employer learned about it.
17. If the employee is disabled, indicate how the disability affected their job performance and whether accommodation requests were made.
18. Provide the number of employees at the employer's company and whether there are personnel manuals relating to employee expectations.
19. Address any relevant information contained in the employee's personnel file.
20. If the employee was fired or left the job, indicate whether they found new employment and describe the comparison of the new job.
21. Detail what the employee has done to search for work and their anticipated timeframe for finding a new job.
22. Include any retraining the employee has undergone, if applicable.
23. Conclude with what the employee hopes to achieve through legal action or representation.
24. Finally, inform if the employee has filed a complaint with the EEOC or a similar agency, and document any feedback received.
25. Once all sections are completed, review your responses for accuracy. Save your changes, and choose to download, print, or share the form as needed.

Begin your document completion process online for an effective claim.