Employment Intake | SLC Legal, Inc.

Take it Back. Start with the issue.

Plaintiff-side employment cases turn on what happened, when it happened, who was involved, and what records exist. This intake is designed to get those facts in one place quickly.

You do not need perfect dates, complete records, or every detail before you submit. Move through the selections, answer what you can, and keep going.

What matters from the start

Clear facts about what happened
Clear timing about what changed and when
Clear wage, record, and witness information where available

What clients do not need

Exact legal terminology
Perfect dates or amounts
Every document before submitting the intake

Contact information

This is the only section that must be completed in full so we can follow up.

Use the phone number and email address you check most often. Start by selecting whether the matter is in California or Hawai'i so the intake can be sorted correctly from the outset.

State

Required

California Hawai'i

Select the state that applies to the employment matter.

Full nameRequired

PhoneRequired

EmailRequired

City / county

Preferred contact method

Phone Email Text

Best time to reach you

Preferred language

Employment information

Tell us where you worked and the basics of your role. Best estimates are okay.

We request this information to evaluate your claims. We will not contact your employer unless and until you retain our firm.

Employer nameRequired

Job title

Work location

Main supervisor or manager

Are you still employed there?

Required

Yes No

How were you paid?

Required

Hourly Salary Day rate Commission Mixed Not sure

Approximate start date

Best estimate is okay.

Approximate end date

Leave blank if still employed.

Exempt or non-exempt

Exempt Non-exempt Not sure

What happened?

Select the issue categories that fit best.

Choose the closest option if you are not sure. We can sort out the legal framing later.

Issue categories

✓I was not paid correctly ✓I was fired or forced out ✓I was punished after speaking up ✓I was treated differently because of who I am ✓I was harassed at work ✓My leave or accommodation request was denied or mishandled ✓I reported illegal conduct ✓Something else happened

If something else happened, tell us briefly what it was.

Details

Use this section to surface the wage issues, reports, protected bases, and response details that matter most for evaluation.

Keep moving even if you do not know every answer. Best estimates are okay.

Pay, schedule, and wage details

These questions help identify unpaid wages, penalties, and related claims.

What wage and hour problems apply?

✓Unpaid time worked ✓Unpaid overtime ✓Missed, late, or interrupted meal breaks ✓Missed or interrupted rest breaks ✓Inaccurate paystubs or wage statements ✓Late or incomplete final paycheck ✓Unreimbursed work expenses ✓Coworkers had the same issue

Approximate pay rate or salary

Typical schedule

How often did the issue happen?

How long did it go on?

Best estimate of unpaid or off-the-clock time

How many coworkers were affected?

Complaints, reports, and what changed after

Did you complain, report something, or speak up before things changed?

Yes No Not sure

Who did you report it to?

What changed after that?

What illegal or unsafe conduct did you report?

Treatment and protected basis

What do you think the treatment was based on?

✓Race or ethnicity ✓National origin or ancestry ✓Sex or gender ✓Pregnancy ✓Sexual orientation ✓Gender identity or expression ✓Disability or medical condition ✓Religion ✓Age ✓Marital status ✓Military or veteran status ✓Another protected reason ✓Not sure

If there is another protected basis, identify it here.

Who was involved?

Was it one incident or repeated?

One incident Repeated Not sure

Leave or accommodation

What type of leave or accommodation did you request?

What was the response?

Timing

Chronology matters. Best estimates are okay.

Even approximate dates help evaluate sequence, response, and timing.

When did the problem start?

When did you complain or request help?

When were you most affected?

Records

Let us know what you have now. You can still submit even if you do not have documents yet.

Choose anything you already have or believe you can gather.

What do you have?

✓Paystubs ✓Time records ✓Schedules ✓Emails ✓Text messages ✓Write-ups ✓Termination paperwork ✓Doctor's notes ✓Complaint to HR or management ✓Photos or screenshots ✓Witness names ✓None yet

Can you upload documents now?

Yes Later Not yet

Review and submit

Provide a concise summary. The submission email will be organized by section so the intake can be reviewed quickly.

Submitting this intake does not create an attorney-client relationship.

In a few sentences, what happened?

Anything urgent we should know?

I understand that submitting this intake does not create an attorney-client relationship and does not mean the firm has agreed to represent me.

Intake sent successfully.

There was a problem sending the intake. Please try again.

Contact information is required. Most other questions can be answered later or with a best estimate.

Serious Facts. Serious Representation.

Take it Back. Start with the issue.

What matters from the start

What clients do not need

Contact information

Employment information

What happened?

Details

Pay, schedule, and wage details

Complaints, reports, and what changed after

Treatment and protected basis

Leave or accommodation

Timing

Records

Review and submit