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Meet Attorney Montone
Why Choose This Firm
Contact
Blog

Contact Us

For a free case evaluation

407-565-8228
info@montonelawfirm.com
OFFICE LOCATION:
994 Douglas Avenue Suite 100 Altamonte Springs, FL 32714.
MAIL TO:
618 E. South Street Suite 500 Orlando, FL 32801

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Name *

First

Last

Phone *

Email *

Employment Status *

I was terminated
I quit
I am still employed

What is the name of the employer you are having an issue with? *

How many employees does the employer have? *

Less than 15
Between 15 and 50
More than 50

Which county did you physically work? *

When did you start working with the employer? *

When did you stop working with the employer? *

If you still employed, select today's date.

What were your hours? *

I worked less than 40 hours per week
I worked 40 hours per week or more

How were you paid? *

Salary
Hourly
Other

Salary rate of pay *

Less than $50,000
Between $50,000 and $100,000
More than $100,000

Hourly rate of pay *

Less than $15 per hour
Between $15 and $40 per hour
More than $40 per hour

Were you in a union? *

Yes
No

Did you sign a contract to work there? *

Yes
No

Have you signed a severance or settlement agreement? *

Yes
No

Do you believe you were terminated or treated less favorably based on: *

Age
Gender/Sex
Pregnancy or pregnancy related accommodation
Maternity leave
Race/skin color
Disability
Because I used or tried to use medical leave
National Origin
Sexual Orientation
Religion
Harassment
Retaliation
Issue with my pay
Other

What do you believe the harassment was based on *

Age
Gender/Sex
Pregnancy or pregnancy related accommodation
Maternity leave
Race/skin color
Disability
Because I used or tried to use medical leave
National Origin
Sexual Orientation
Religion
Other

What type of medical leave did you use? *

Family and Medical Leave (FMLA)
Disability Accommodation
Paid time off (PTO)
Worker's compensation
I was approved for medical leave but I don't know what it's called

Please clarify the status of your FMLA *

I was applying but not yet approved
I was approved and on FMLA leave
I had already gone back to work after FMLA
My FMLA was denied
Other

Please clarify your accommodation issue *

I applied for an accommodation and am waiting for a response
I was approved for an accommodation
My accommodation request was denied

Did you complain to management or HR *

Yes
No

When did you complain? *

In the last week
Within the last 3 months
It's been more than 3 months

What did you complain about *

Discrimination
Something illegal but not discrimination
Other

with Have with?

Briefly describe what happened and reference any evidence you have *

Have you filed any of the following already *

A lawsuit
An EEOC or FCHR Charge
I have not filed anything

How did you hear about us *

Another law firm
Family/Friend
Social Media
Online Search

By submitting this form, you are not entering into an attorney client relationship. The form will be reviewed by an attorney who will determine whether this firm can assist you. You will receive a response within 24-48 hours. Please confirm you understand the above and click submit to send your form. *

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About

Meet Attorney Montone
Why Choose This Firm
Blog

Contact

Contact Us

OFFICE LOCATION:
994 Douglas Avenue Suite 100 Altamonte Springs, FL 32714
MAIL TO:
618 E. South Street Suite 500 Orlando, FL 32801

The information you obtain at this website is not legal advice including any webpage content or blogs. This website is for general information only and no attorney-client relationship is created by visiting this website or by contacting this Firm. Nothing on this website is to be considered a legal opinion or an offer to represent you. Do not send any confidential information to this Firm. Emails sent to this Firm, using any email addresses or the case evaluation form, would not be confidential and would not create an attorney-client relationship. If you need legal advice, you must seek out an attorney licensed in your state.

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