Complete QuestionnaireAnswer the questions here and we will send you an emailto confirm if you qualify to make a claim– takes 10 minutes. Name * First Name Last Name Phone Number Email * Date of dismissal * Did your dismissal take effect within the last 21 days?* Yes No Did the company you worked for have more or less than 15 employees total? Only applicable for dismissals within 21 days Over 15 Under 15 How long had you been employed for? Only applicable for dismissals within 21 days Under 6 months Between 6 -12 months 12 monthrs or more Thank you!
