Business Litigatoin & Employment Lawyer
Business Litigation & Employment Lawyer Contact our Firm
Firm Experience Employment Law Litigation False Claims

Employment Matter Review

If you are inquiring about an individual employment law matter for yourself, please complete this form as completely as you can. If this is a matter the firm may be able to handle for you, please expect a telephone call or email within 24 business hours.

If you are an employer or are inquiring on behalf of a company, please use the Quick Contact Form.

Your Information:

Zip Code:
Personal Email:
Date of Birth:

Employer's Information:

Employer's Name:
Which category best describes the employer?:
What is the employer's approximate size?:
What is/was your employment status?:
Are you a member of a union?:

Job Information:

Job Address:
Job City:
Job State:
Job Zip Code:
Job Position at Issue:
Annual Salary:
Do you have an employment contract?:
Date Hired:
Date of termination or date of last unlawful event:
Did you ever work more than 40 hours in a work week without receiving overtime pay?:
Identify any deadlines that are approaching for your legal matter:
Describe your legal concern:
What relief and/or monetary amounts are you seeking?:
Identify any other lawyers you have contacted about this matter:
How did you hear about Searcy Law Firm?:
If you were discriminated against because of a disability please (a) identify your disability, (b) identify any requests by you to your employer for changes or assistance to do your job because of your disability; (c) identify the date(s) on which you made such request(s); and (d) identify your employer’s response to each such request:
If you experienced retaliation for reporting discrimination, workplace safety issues, or for engaging in any other legally protected activity, please briefly describe (a) what you reported; (b) the date(s) on which you reported it; (c) the person(s) to whom you reported it; (d) what retaliation followed; (e) the date(s) of the retaliation; and (f) the person(s) responsible for the retaliation:
If you complained to your employer about your legal concern, identify the date on which you complained and briefly describe the employer’s response to your complaint.:
What, if any, reasons did your employer give for any acts you believe are wrongful?:
If you filed a complaint with the EEOC or other administrative agency, identify the date on which each such complaint was filed and state the status of each such complaint:
Disclaimer: While the firm will keep information that you provide confidential, submission of this form does not form an attorney-client relationship. Such a relationship would exist only upon signing of an engagement letter with the firm, which would occur only after the firm receives additional information about your legal matter and agrees to provide a consultation.
I accept the above terms
Business Lawsuits
Employment Lawsuits
EEOC Complaints and Proceedings
Age Discrimination
Civil Rights Acts
Disability Discrimination
Employment Discrimination & Harassment
Employment, Severance & Non-Compete Agreements
Family and Medical Leave Act (FMLA)
District of Columbia Family and Medical Leave Act (DCFMLA)
Federal Employee Rights
Military Leave & Reemployment Rights
National Origin Discrimination
Overtime & Minimum Wages
Race Discrimination
Religious Discrimination
Retaliation for EEO Activity
Sex Discrimination and Sexual Harassment
Pregnancy Discrimination
Title VII
Whistleblower Retaliation Claims
Workplace Harassment & Hostile Work Environment
Wrongful Termination
Request a Free Employment Law Guide
For business lawsuits in D.C. or Virigina
Pay your bill online
5803 Rolling Rd., Suite 201,Springfield, VA  22152
Business Litigation Employment Law Whistleblower Cases

* Searcy Business Litigation & Employment Law represents clients in the District of Columbia and Northern Virginia, including Arlington County, Fairfax County, Loudoun County, and Prince William County, the cities of Alexandria, Falls Church, and Fairfax. The firm also serves clients in the Virginia counties of Clarke, Culpeper, Fauquier, Frederick, Madison, Page, Rappahannock, Shenandoah, Spotsylvania, Stafford, and Warren, as well as the cities of Fredericksburg and Winchester, Virginia and more.

All legal information provided on this website is general and should not be used or relied on as legal advice as legal advice cannot be given without full
consideration of all relevant information relating to a specific situation.

Designed by Scorpion Design