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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.

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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.
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Sex Discrimination and Sexual Harassment
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5803 Rolling Rd., Suite 201,Springfield, VA  22152
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* 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.

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