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employment questionnaire

Please complete and submit the questionnaire below for a free initial consultation on your employment law issue. Upon receipt, Philip Landau will assess your case and either email or call you to discuss this.
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Name  
  5  
Address  
   
Email address  

(where we can communicate freely with you)
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Telephone  
   
Mobile  
   
Date of birth  
   
Age  
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Job title  
     
Employment commencement date
 
   
Notice period  
   
Date of dismissal or resignation
 
   
Last working day  
   
Please specify amount of any redundancy pay already received and date if applicable  
   
Reason for dismassal  
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Employer’s address  
   
Nature of business  
   
Contact name  
   
Position  
   
Contact’s email address  
   
Employer’s address  
   
Workplace address
If different to above		  
   
Employer’s telephone  
   
Employer’s fax  
   
Basic wage/salary per annum
(before tax) 		 
   
Please state basic take home per month (after tax)
  
     
Please specify any other benefits such as car allowance, medical cover etc.  
     
Please give the number of normal basic hours worked each week  
     
Bonuses  
     
If ‘yes’ please specify  
     
Holday outstanding  
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How did you hear about us?  
     
If internet, which site?  
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Brief history of events  
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Landau Zeffertt Weir Solicitors
10 Bickels Yard, 151-153 Bermondsey Street, London Bridge, London SE1 3HA
T: 020 7357 9494 F: 020 7357 9696 E: info@lzwlaw.co.uk