California Overtime Wage Claim - Free Evaluation

California Overtime Wage Claim. Free Case Review

FREE CASE EVALUATION

Please complete the entire form below so we may carefully analyze your claim. Red fields are required.

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United Employees Law Group is a California labor
law firm experienced in pursuing overtime and other
wage claims on behalf of California employees. If
you are involved in a wage or overtime pay dispute,
contact us today to discuss your potential claim.

Were you paid overtime for working for more than 40 hours per week?

			Yes
			No

Are you still employed with the company?

			Yes
			No

If No, when did you stop working for the company (Month/Year)?

Approximately, how many total hours per week did you usually work?

What was your rate of pay?
(ie: $15 / hour)

What was the title of your job?

How many employees work for the company now?

			Under 10
			10-25
			25-50
			50-100
			100+

How many employees do you think are not receiving overtime pay?

			Under 10
			10-25
			25-50
			50-100
			100+

Are there any other comments you have that we should consider that relate to your overtime or wage claim?

Full Name:

Email Address:

Address:

City:

State:

Zip:

Phone #

Alternate Phone #

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Assisting California Employees by Providing a Free Wage Claim Review

United Employees Law Group, PC
111 North Street - Suite #300
San Jose, California 95113
Toll Free: (877) 696-8378 / Local: (408) 648-4248
Fax: (866) 435-7471
client@paymeovertime.com

NOTICE OF ADVERTISING, DISCLAIMER, TERMS OF USE & PRIVACY

United Employees Law Group practices statewide in California. Most legal
services are performed in Long Beach, California although meetings are
available at our satellite offices by appointment when necessary.

Copyright © 2012 United Employees Law Group, P.C. All rights reserved.