Confidential Legal Intake Form
Please answer the following questions to help Towards Justice analyze your potential legal claims. After completing this questionnaire, Towards Justice will be in touch within two weeks.

Everything you share here is confidential, and our evaluation of your claims is free.

Towards Justice
1410 High Street, Suite 300
Denver, CO 80218

Office: 720-441-2236
Fax: 303-957-2289
www.towardsjustice.org
Full Name *
Your answer
What is your phone number?
By providing your phone number you authorize Towards Justice to contact you by phone, leave a voicemail, or text message.
Your answer
Please describe your concern *
Where did you do the work (e.g address)? Did you sign a contract with your employer, and if so do you have it? Describe any and all other details about your problem with you employer. The more details you provide, the better, and soon that we will be able to evaluate the legal merits to your case.
Your answer
Is there an non-compete agreement in your employment contract, or any other type of agreement (implied, verbal, or explicit) that prevents or has prevented you from going to work for another employer?
What is your preferred language? *
What is your email address?
By providing your email address you authorize Towards Justice to contact you by email.
Your answer
What is your zip code?
Your answer
Who is your employer?
Please note names, addresses, phone numbers, and/or websites/social media.
Your answer
What is your job title, tasks, duties, or position?
Your answer
How much money do you believe your employer owes you?
Your answer
Is it your responsibility to pay workers?
Describe your work schedule and estimate the number of hours you work each week.
Your answer
If you worked in Colorado, are you given 30-minute lunch breaks?
If you worked in Colorado, are you given 10-minute breaks every 4 hours?
Did you work overtime?
If you did work overtime, were you paid at least 1.5x your regular rate?
Between what dates did you work for this employer?
Your answer
Approximately how many workers total work for this employer?
Your answer
Do you have any of the following other employment concerns?
Can we contact you in the future about any advocacy, actions, etc?
What is your gender?
What are your preferred gender pronouns?
How do you identify?
In what specific ways has this workplace injustice affected you? *
Required
If you could change one thing about your workplace or industry, what would it be? *
Required
How did you learn about Towards Justice?
If applicable, please write the name of the Attorney or Organization that referred you to Towards Justice.
Your answer
After Towards Justice analyzes your claim, do we have your permission to share your information in order to connect you with an attorney or advocate in our network? *
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Your answer
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