MKB Law Employment Enquiry Form
Dear Sir/Madam,

Thank you for your enquiry to our Employment Department. Please complete the following form to provide us information about your issue. When you submit, this form will be sent to our Employment Department to review - someone will then be in contact with you to discuss.

IMPORTANT - Do not send any emails from a work email address or provide a work email address as your primary contact email to avoid your employer having access to any potentially privileged information.

1. Your Full Name
Your answer
2. Contact Telephone Number
Your answer
3. Email Address *
Your answer
4. Date of Birth
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DD
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YYYY
5. Your Home Address
Your answer
6. Name of your Employer
Your answer
7. Your Job Role
Your answer
8. Start Date
MM
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DD
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YYYY
9. End Date
MM
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DD
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YYYY
10. Details of all issues that have arisen during your employment in chronological order, giving dates or approximate dates where applicable *
Please provide as much information as possible in this section - failure to do so may result in us requesting more information from you and therefore delays to your enquiry. We recommend between 500 - 1000 words (please note a minimum of 2000 characters/300 words is required in order to submit this form).
Your answer
11. Have you suffered any health issues which may have had an impact on your employment, if so please provide the nature of this with relevant dates *
Your answer
12. Were any grievances lodged/meetings held with your employers *
Your answer
13. Do you have a policy of insurance that covers expenses of employment advice, if so will you be able to provide a copy of this policy? *
Your answer
14. Any additional information which you feel may be relevant
Your answer
15. How did you hear about MKB Law? *
Your answer
Important Information
There are very strict time limits for proceedings in employment matters. Often proceedings must be issued within 3 months of a dismissal or other act, it is therefore imperative you fill this form in urgently and submit to us. Please note that provision of this form does not constitute an instruction of our Firm, it is simply the provision of information supporting an enquiry. Upon receipt of this form we shall respond to your enquiry as soon as possible to advise you if we can assist you. Please note that in the absence of a consultation and formal instruction on our terms and conditions we shall not be taking any steps to protect limitation or provide you with advice. Your personal data will be treated with confidence and you may request that we remove your data from our database at any time.
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