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| When is best time to reach you? |
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| Employer Name: |
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| Estimated Number of Employees With Your Job Title: |
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| Description of Primary Job Duties: |
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| Estimated Number of Employees With Your Job Duties: |
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| Describe any supervisory responsibilities |
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| Your regular rate of pay |
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per hour
week
month |
| Approximately how much overtime did you work per week ? |
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| If you were not paid for any overtime work, what reasons were you given? |
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| Check all that apply to you: |
You are paid salary
You are exempt
You are a manager, assistant manager or supervisor
You are an independent contractor
Other reasons: Explain |
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DISCLAIMER: By submitting this form you are agreeing to the following:
The information provided on this web site is for general informational purposes. By submitting this form, you understand that this information is being submitted only so that it may be reviewed and considered by Offices of Jose Garay. Submitting a case evaluation or any type of response or other information through this web site will not create an attorney-client relationship and nothing contained in this web site is to be considered an offer to represent you. We may or may not be able to undertake representation on your behalf, but we will gladly review the information you provide and respond to you.
You should not act, or refrain from acting, based upon any information on this web site. This information does not, and is not intended to, constitute legal advice. You confirm that the information you have provided is true and accurate.
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If you choose to contact us via e-mail by completing one of the contact forms on our website, your message is automatically forwarded to a attorney and/or legal assistant. We also retain the information you provide us in a database, including your first and last name, home address, e-mail address and telephone number. Again, none of this information is sold or shared with any outside third party. |
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