Employment Law Lawyers at Boxer & Gerson, Based in Oakland

employment contact form

Please feel free to contact us by using the form below. You also may contact us via phone, fax or at the address listed below.

Disclaimer:Submitting information to Boxer & Gerson, LLP via this contact page does not mean that Boxer & Gerson, LLP agrees to accept your case or that you have entered into an attorney-client relationship with Boxer & Gerson, LLP.

Law has many important deadlines. These deadlines could bar you from pursuing your case or affect your rights in other ways. If you are concerned about time deadlines, we urge you to contact us by phone at (510) 835-8870. We are not responsible for time deadlines in your case unless and until we have a specific written agreement to represent you.

If you are an existing client of the firm, please call the office to reach the attorney assigned to your case.

First Name	Last Name

Your Address

City	State

Zip
E-mail Address	Telephone

What is the name of your employer?

Number of employees?
Less than 5 5-50 Greater then 50

How long have you/did you work for this employer?

Have you ever been terminated? Yes No
If so, When?

What is/was your job title?

What is the general nature of your dispute with your employer?

Have you filed a complaint or grievance with the DFEH (Dept. of Fair Employment and Housing), EEOC (Equal Employment Opportunity Commission), your union or any other agency? Yes No

Please state when the complaint or grievance was filed, and identify agency or union:

Outcome of complaint or grievance:

Please briefly describe the discrimination, harassment, retaliation, or other actions at your job that caused you to contact a lawyer.

What is the reason you were given by your employer for the termination or other treatment?

If you were harassed, what are the names and job titles of the people harassing you?

Please provide any additional information that you think the attorney reviewing your information should know.

How did you find us?

Do you belong to a union? Yes No

If so, which union and local?

Would you like to be added to our mailing list? Yes No

By submitting this form, you agree that this matter may be sent to an attorney(s) who may contact you. You also agree that you have read and understand the disclaimer at the top of this form and that by submitting this form you are not creating a formal attorney-client relationship.