Intake form | Orlando Employment Law Attorneys | Discrimination Lawyer Winter Park, FL

Work Is Our Job

Employment Law, Advice & Litigation, Mediations &
Arbitrations, Workplace Investigations

Employment Law, Advice & Litigation, Mediations &
Arbitrations, Workplace Investigations

Home » Intake form

"*" indicates required fields

Step 1 of 2

50%

Name*

Prefix First Name Middle Name Last Name

Company

Your Email Address*

Phone Number

Your Address

Street Address Address Line 2 City ZIP Code

Address of the Business

Type of Business

Years in Business

Approximate Number of Employees (Company-Wide)

0-5

6-20

21-50

51-100

101-200

201-500

500+

Other/Not Sure

By checking "Yes" and giving us your email and phone number you are subscribing to our email newsletter and text messages follow-up.

Yes

No

Δ

911 Outer Road
Orlando, FL 32814
Telephone: 407.754.2904
Fax: 407.754.2905

5550 W. Executive Drive, Suite 250,
Tampa, FL 33609
Telephone: 813.755.1630
Fax: 813.755.1631