I’d like a call back

#1 Basic Details
First Name*
Last Name*
Email*
Phone 1*
Phone 2
Address
ZIP / Postal Code

Q7V6-JY03-5M5N-PLWZ

TomStreet374390

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2

Select an address:

Name/Number and Street Address Line 2 Town/City
Country*
This is required. It determines the dialling code of the mobile/telephone number that we take. It is defaulted to United Kingdom
#3 Type of Enquiry/Claim
What type of case do you have?*
#4 Quick Fire Questions
What is/was your working status?*
Are you still employed?
Are you going through a redundancy process?*
Were you dismissed, made redundant or did you resign?*
Were more than 20 people affected by the redundancy?
What was your length or service with the company (Dismissed)?*
What was your length of service with the company? (Redundant)*
What was your length of service with the company? (Resigned)*
What is your length of service with the company? Still Employed*
Did the company carry out a disciplinary process?*
Did you raise a grievance prior to resignation?*
Did the company carry out a redundancy consultation?
Have you been offered a settlement agreement?*
***TOOLTIP*** A “settlement agreement” is a formal agreement between an employer and employee which sets out the terms by which the employment relationship will come to an end. In order to become legally binding, the employee must take legal advice upon it. IT SHOULD NOT TO BE CONFUSED with an offer of settlement via ACAS.
Have you suffered discrimination based on a protected characteristic?*
***TOOLTIP*** There are nine protected characteristics. Gender, Race, Religion, Disability are the main ones.
There are is also Age, Sexual Orientation, Pregnancy/Maternity, Marriage & Civil Partnership, Gender Reassigment.
Which of the nine permitted protected characteristics do you rely upon for your discrimination claim?*
If more than one, please include details at the end of the call. Select the main type of discrimination they have suffered.
Have you suffered harassment based on your protected characteristic?*
***TOOLTIP*** Harassment only applies if it is based on your protected characteristic.
For example comments of a sexual nature or derogatory comments based on you race or religion?
What is your disability?*

For example: Long term depression, MS, Cancer, Blindness, Bipolar etc.
What do you get paid per year before tax (approx)? (£)*
Are you owed wages, holiday pay, bonus, commission etc?*
How much are you owed?*
Have you submitted to ACAS yet?*
Have you received your ACAS Certificate yet?*
What is the date on the certificate?
DD slash MM slash YYYY
Have you submitted an ET1 to the Tribunal yet?*
Are you willing to contribute to legal costs?*
***TOOLTIP*** We will make every attempt to place your case with a no-win-no-fee solicitor, however if your case is unsuitable for no-win-no-fee, are you able to contribute legal costs?
Do you have legal expense insurance?*
Name of Employer
Called declined to give employer details at this stage
- Caller declined to give employer details at this stage
Are there any other aspects to your claim?
- Whistleblowing
- Health & safety issues
- TUPE related
- More than one claimant
- Just want some general advice
***TOOLTIP***Use your discretion here. When the caller gives the details of the claim, if there is anything in this list that they mention, please tick the box.
#5 Brief Details of Claim
Brief Details of Claim*
#6 Key Date
***TOOLTIP*** Depending on the stage of the case there may not always be a key date.
A key date would be:

Dismissal date
Resignation date
Redundancy date
or
Last act of discrimination date
If no key date hit the radio button below
Key Date?*
What is your key date?
DD slash MM slash YYYY
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Which site do you find us by?*
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Client via:*
Your GDPR Consent*
- During this call you have provided us with certain personal data. We will use this to assess your case and to attempt to place your case with one of our panel lawyers in accordance to our privacy policy. We may also use your data for internal Tom Street & Co Solicitors marketing purposes. Do you consent?
Do you wish to receive marketing from Solicitor Network and their partners?*
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I’d like a call back

#1 Basic Details

#3 Type of Enquiry/Claim

#4 Quick Fire Questions

#5 Brief Details of Claim

#6 Key Date