—Please choose an option—Mr.Mrs.Ms.
Are you an Employer or an Employee?
—Please choose an option—EmployerEmployee
Are you unionized?
Years of service with the Employer:
How did you hear about us?*
—Please choose an option—ReferralGoogle SearchGoogle AdsTwitterLinkedInYelpOther
Who were you referred to?
—Please choose an option—Hena SinghCédric LamarcheStefan RosenbaumFirm
Name of referral source:
Summary of your workplace issue:*
I agree and acknowledge that submitting this form does NOT create a solicitor-client relationship. As such, I have not included any confidential information on this form. *