Carthew & Volkman PLLC
900 IDS Center
80 S. Eighth Street
Minneapolis, MN 55402
firm@carthew-volkman.com
carthew-volkman.com
Thank you for contacting Carthew & Volkman! All information submitted is confidential and privileged, and this form uses industry standard encryption to keep your data safe. Submission of this form does not create an attorney-client relationship, and will only be used to evaluate whether our firm can assist you regarding your inquiry.
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What employer are you contacting us about?
What is or was your job title?
What is/was your job title?
What was your hire and/or start date?
Are you still working there?
Yes
Are you currently on any form of leave?
No
When did your employment end?
Were you terminated or did you quit?
What is/was your hourly wage or annual salary?
Are you a remote worker living somewhere else other than Minnesota?
Yes
Where do you live?
No, I live and work in Minnesota
What is your goal in contacting a lawyer?
To get advice about your legal rights regarding an ongoing employment situation
To pursue legal action against a current or former employer
To negotiate a severance package or exit
To have an attorney review an employment agreement or severance offer
To secure legal representation in an ongoing legal matter, such as an agency charge or lawsuit
What is the matter? Where and when was it filed? Do you have any deadlines coming up soon?
Other
Please provide details on what is your goal in contacting an attorney
Were you retaliated against for taking any of the following actions?
Raising safety concerns
Using/requesting medical leave or sick time
Making a report to any agency, such as OSHA, the Department of Labor, of the Minnesota Department of Human Rights
Reporting illegal conduct at work or refusing to do something you thought was illegal
Making an HR complaint of harassment, discrimination, or assault
Requesting disability accommodations or disclosing a disability
Please provide details, including the date of the request/disclosure
Other
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Do you believe you experienced discrimination or retaliation based on your:
Race, color, and/or national origin
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Sex, including your status as pregnant
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Sexual orientation, gender identity and/or gender expression
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Age
How old are you?
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Religion or sincerely held spiritual beliefs
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Marital status
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Familial status, including your status as a parent or guardian to minor children or a caregiver to a vulnerable adult
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Utilization of public assistance
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Disability Status
Did you disclose a disability?
Did you request a disability accommodation? If yes, when and what did you request?
Requiring Medical Leave
If you took a medical leave, please provide the dates of your leave
When did you inform your employer of your need for medical leave?
Pursuing Worker's Compensation Benefits
When was the date of your injury?
Have you filed a claim for benefits?
Do you have a worker's compensation attorney?
Have you filed a charge, complaint, or report with any government agency?
Yes
Which agency or agencies?
If you would like to upload relevant documents, such as a filed charge of discrimination, please do so here.
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