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Does your question involve an employment matter?  Yes No

Tell Me About Your Employer.

Who is the employer?

How many people are employed there?

Tell Me About Your Position.

How long have you worked there?

In what position?

Were you terminated?  Yes No

If so, when? / /

If so, did you get written termination? Yes No

Do/Did you have a contract?  Yes No

Are you covered by a union?  Yes No

What Action Have You Already Taken?

Have you filed an internal (union) grievance?  Yes No

If so, what stage is it in? (Resolved? Just filed? Etc.?)

Have you filed a charge with the NEOC?  Yes No

If so, have you received a right-to-sue letter?  Yes No

When did you receive it? / /

Why do you feel you were singled out? (Race, nationality, sex, age, marital status, disability, whistle-blower, retaliation, etc.)

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