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  The Law Office of Rob Wiley, P.C.
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Discrimination
Age | Disability | Gender | National Origin | Pregnancy | Race | Religion | Sexual Harassment | Sexual Orientation | Retaliation

Fairpay
Overtime | Benefits | Minimum Wage | Unpaid Wages | Unpaid Commissions | Retaliation

Leave
Medical Leave - Self | Medical Leave - Family | Pregnancy Leave | Military Leave | Retaliation


Disclaimer
If you submit your case online, we will review your submission to evaluate whether representation could be appropriate for the firm.  If we believe representation may be appropriate, we will contact you to obtain additional information.  Submitting your information online does not create an attorney-client relationship.  If we decide to accept your case, both of us will sign a written representation agreement setting forth the terms and conditions of the representation.  Please do not submit confidential information online.

 


ABOUT YOUR SUBMISSION

Please submit your potential claim for consideration using the form below.  You can easily click "submit" to send it to my office electronically.  If you do not consider the internet to be secure or if you prefer filling the form out on paper, you may print the form and mail or fax it to 3131 Turtle Creek Blvd., Ste. 310, Dallas, TX 75219, fax: (214) 528-6511. 

Submitting this form does not make you our client.  You will only become our client after both you and Mr. Wiley sign a representation agreement. 

What happens when you submit the form?  It will be reviewed by Mr. Wiley.  Mr. Wiley will evaluate your claim based on your submission, so please use your best efforts to fully respond to the information requested.  Once Mr. Wiley has read your submission you may be contacted by Mr. Wiley or the law firm for more information or to arrange for representation.  It is very important that you correctly list your email address and a phone number where you can be reached.

In any claim where we represent multiple victims, we will endeavor to keep your information confidential.  However, we may share your information with other clients or potential clients if the information would be beneficial to their case.

If you understand and agree to the terms and conditions describe in this "About Your Submission" section, please complete the form below and return it to us by clicking "submit," by fax, or by mail.

CLAIM EVALUATION FORM

First Name: 
Last Name: 

E-Mail Address: 

Street Address: 
Apartment: 
City: 
State: 
Zip: 

Home Phone: 
Mobile Phone: 

Name of Employer: 
Any Related Employers:

What claims do you think you might have?
  FMLA leave for my own medical condition
  FMLA leave for a family member's medical condition
  FMLA leave for the birth or adoption of a child
  Military leave
  Unpaid vacation or sick time
  Retaliation

Please describe the problem you are having with your employer:

Is there anything else you want us to know in evaluating your claim?

DO NOT FORGET TO CLICK THE SUBMIT BUTTON
WHEN YOU ARE FINISHED

 

 
(c) 2006  Law Office of Rob Wiley, P.C.  All Rights Reserved.
Robert J. Wiley is the attorney responsible for this website.
Robert J. Wiley is licensed to practice law in California, Texas, and Washington, D.C. is a TBLS Board Certified Specialist in Labor and Employment Law.
The firm is headquartered in Dallas, Texas.

The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for advice regarding your individual situation. We invite you to contact us and welcome your calls, letters and electronic mail.