Green Form

EMPLOYMENT LAW ADVICE - REQUEST FORM

Submit the details of your co-worker who has given you permission to access some free legal guidance in respect of their employment claim.

Field Agent PIN*

First Name

Last Name

Email*

Phone*

What area of law does your co-worker require specific advice about?*

Unreasonable employer demands

Unfair work practices

Reduced working hours

Reduced or unpaid wages

Unfair dismissal

My co-worker has given me permission to provide their details to you so that you can assist them in their dealings with their employer.

YES*

NO