Elwyn F. Schaefer & Associates, P.C.

Attorneys at Law

1801 Broadway
Suite 550
Denver, CO 80202
----------------------------
Phone: (877) 851-2731
Phone: (303) 586-2978
Fax: (303) 825-5460
Map and Directions

Client Intake Form

*Name:
*Address:
*City:
*State:
*Zip:
*E-mail address:
*Home Phone:
Business Phone:
Cellular or Pager:
Facsimile:
Please provide the name and address of the employer involved:
Are you a current ______ of this employer?
employeeformer employeejob applicantprospective employee
Are you presently employed?
YesNo
If yes, please provide your job title and employer's name and address.
Can you be contacted at work?
YesNo
Describe your situation, including any relevant dates:
Are you a union member?
YesNo
If yes, provide the name, address, and local number:
Have you made a complaint about your situation to any governmental agency?
YesNo
If yes, provide the name of the agency, the date you made your complaint, and the final result, if any, of your complaint:
Are any other people involved?
YesNo
If yes, provide names, addresses (if known), and their relationship to you, if any:
Do you have any documents that could help explain your situation?
YesNo
If yes, list those documents and their dates:
Are there other documents that you do not have access to that could be of assistance?
YesNo
If yes, list those documents and their dates and locations (if known):
Describe how this situation has impacted you:
Describe what you would like to happen to resolve your issue (your preferred outcome):
Have other attorneys worked on this matter?
YesNo
If yes, provide names, addresses, and a brief description of their involvement:
Special concerns:
Where did you hear about this website?
*Name:
*Address:
*City:
*State:
*Zip:
*E-mail address:
*Home Phone:
Business Phone:
Cellular or Pager:
Facsimile:
Please provide the name and address of the employer involved:
Are you a current ______ of this employer?
employeeformer employeejob applicantprospective employee
Are you presently employed?
YesNo
If yes, please provide your job title and employer's name and address.
Can you be contacted at work?
YesNo
Describe your situation, including any relevant dates:
Are you a union member?
YesNo
If yes, provide the name, address, and local number:
Have you made a complaint about your situation to any governmental agency?
YesNo
If yes, provide the name of the agency, the date you made your complaint, and the final result, if any, of your complaint:
Are any other people involved?
YesNo
If yes, provide names, addresses (if known), and their relationship to you, if any:
Do you have any documents that could help explain your situation?
YesNo
If yes, list those documents and their dates:
Are there other documents that you do not have access to that could be of assistance?
YesNo
If yes, list those documents and their dates and locations (if known):
Describe how this situation has impacted you:
Describe what you would like to happen to resolve your issue (your preferred outcome):
Have other attorneys worked on this matter?
YesNo
If yes, provide names, addresses, and a brief description of their involvement:
Special concerns:
Where did you hear about this website?
 

NOTE: The use of the Internet for communications with the firm will not establish an attorney-client relationship and messages containing confidential or time-sensitive information should not be sent.

Elwyn F. Schaefer & Associates, P.C.
Colorado Employment Law and Discrimination Lawyers

1801 Broadway, Suite 550
Denver, CO 80202-3801
Map and Directions

Toll Free: (877) 851-2731 | Phone: (303) 586-2978
Fax: (303) 825-5460

The employment law attorneys of Elwyn F. Schaefer & Associates, P.C. in Denver, Colorado, represent clients throughout Metro Denver, including Boulder, Highlands Ranch, Centennial, Broomfield, Littleton, Aurora, Lakewood, Morrison, Evergreen, Golden, Denver County, Arapahoe County, Jefferson County, Adams County, Douglas County, and Weld County.

Printer Friendly View
Add To Favorites

The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation.

Copyright © 2011 by Elwyn F. Schaefer & Associates, P.C. All rights reserved. You may reproduce materials available at this site for your own personal use and for non-commercial distribution. All copies must include this copyright statement.