Thank you for reaching out to the Law Office of Nicolas C. Wilde regarding your employment-related legal matter. This form is designed to help us understand your situation and assess how we can best assist you.

Complete all required fields marked with an asterisk (*).
Provide as much detail as possible—the more information you share, the better we can evaluate your case.
If you are unsure about any question, please provide your best estimate or leave it blank.
All information submitted is confidential and will only be used for case evaluation purposes.

Submitting this form does not create an attorney-client relationship. Our firm will review your responses and determine whether we can offer legal representation.
We cannot guarantee representation in every case. If we determine we are unable to assist you, we will inform you as soon as possible.
Legal fees and costs may apply. If we agree to represent you, we will discuss the fee structure before any work is performed.
Employment law claims are time-sensitive.

After you submit this form, our team will review your responses and endeavor to contact you to discuss the next steps.

Contact information

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First name *

Middle name

Last name *

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

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Addresses

Street address

Country

City

State/Region

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Address type

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Phone numbers

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Type

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Contact information

Current or Former Employer Name

Number of Employees Employed by Current or Former Employer

Job Title

Employment Status (Currently Employed, Recently Terminated, Resigned, Other)

Start Date & End Date of Employment

Work Location (City & State)

Did you sign an employment contract?

Do you have copies of any agreements or policies relevant to your claim?

What type of claim are you pursuing? (Check all that apply)

What damages have you suffered? (Lost Wages, Emotional Distress, Legal Fees, Other)

What outcome are you seeking? (Reinstatement, Settlement, Compensation, Other)

Have you consulted with another attorney about this matter

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Any additional information you'd like us to know?