(504) 603-1500

Employment Questionnaire

Using the form below, please give us some of the basic information about your situation. Please take your time to answer the following questions as accurately and completely as possible. Please answer all questions that may apply to your situation. If a question is inapplicable, simply write N/A. At the end of the questionnaire there is additional room to supplement your answers or to add any additional information you think is relevant to your potential claim.

Please be advised that submitting this questionnaire does not create or constitute an attorney-client relationship between you and Kerry Murphy Law LLC. By clicking “submit,” you agree that any subsequent communication between us is not intended to convey or constitute legal advice, or to provide a substitute for obtaining legal advice from a qualified attorney, and will not constitute an attorney-client relationship unless we have entered into a written agreement to represent you.

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Your Information

What are the main issues you would like to discuss with us? Select all that apply.*
Are you currently working for this employer?*
Were you a union member when the events at issue occurred?*
Max. file size: 64 MB.
Max. file size: 64 MB.
Max. file size: 64 MB.
Max. file size: 64 MB.
Max. file size: 64 MB.
Max. file size: 64 MB.
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    Have you been involved in any lawsuits or other legal proceedings related to the issues you want to discuss with us?*
    Have you contacted the EEOC (Equal Employment Opportunity Commission) regarding your case?*
    Have you talked to any other attorneys about your potential claims?*
    Please be advised that completing this form and scheduling an initial consultation does not create an attorney-client relationship between you and Kerry Murphy Law LLC ("the Firm"). We do not and will not represent you in any legal matter, including those set forth herein and/or discussed during your initial consultation, unless and until you and the Firm have executed a written engagement letter or fee agreement setting forth the terms of representation and our agreed-upon fees. The Firm reserves the right to decline representation of any person prior to or following a consultation. By checking the box below and submitting this intake form, you acknowledge and agree that (1) there is no attorney-client relationship between you adn the Firm; (2) the Firm has made no representation or guarantee as to the outcome of your consultation, and (3) the Firm will not represent you unless we have both signed a written engagement letter or fee agreement.

    201 St. Charles Avenue, Suite 2500
    NEW ORLEANS, LA 70170

    PHONE: (504) 603-1500
    FAX: (504) 603-1503