Questionnaire | Employment Law Specialist London

Dismissal

37. Do you believe that your employer was wrong to dismiss you?

Yes - Please set out details in point 46 below.
No

38. Do you believe that you had no alternative but to resign?

Yes
No

Discrimination

39. Do you believe that you have been dismissed because of your age, race, sex, religion/belief, disability or sexual orientation?

Yes
No

40. Do you believe that you have been paid less than your colleague because of your age, race, sex, religion/belief, disability or sexual orientation?

Yes - Please set out details in point 46 below.
No

41. Do you believe that you have been treated unfairly or less favourably than a colleague because of your age, race, sex, religion/belief, disability or sexual orientation?

Yes
No

42. Do you believe that there has been a failure to make or consider reasonable adjustments to accommodate your disability?

Yes
No

43. Do you believe that you have been victimised by your employer?

Yes
No

44. Does your claim relate to ‘whistleblowing’ (protected disclosure)?

Yes
No

Your Claim

45. Are you claiming (redundancy pay, notice pay, holiday pay, arrears of pay, other payments)? (if all then please state this)*

46. Please provide us with details of your claim and of event/s you are complaining about (include dates and times where known) below*

47. What compensation or remedy you are seeking? (for example financial or re-instatement) (optional)*

48. Do you have insurance to cover the costs of your claim?*

(Please check your home insurance policy for legal expenses insurance for Employment matters)

Yes
No

49. Do you suffer from any disability?

Yes
No

If Yes, what can we do to assist you in this process e.g. send documents with plenty of time to read/respond, use larger fonts, correspond in writing rather than by telephone

50. Are you receiving any state benefits?

Yes
No

If Yes, then please provide details and the amount which you are receiving (weekly/monthly/yearly)

Please can you also ensure that you have copies of the following documents which we may need:

1. Employee Handbook/Contract of Employment

2. Any letter of Grievance/copies of documents used in any grievance procedure

3. Letter of severance

Email address you would like us to respond to*

Step 1 of 4

Personal Details

Details of organisation you are claiming against

Dismissal

Any other acts

22. Have you already issued an Employment Tribunal application (ET1)? If so

Employment Appeal Tribunal

Employment details

Dismissal

Discrimination

Your Claim

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