Employment Tribunal Claim Assessment

Please take the time to complete this questionnaire as accurately as possible. To effectively represent you, we will need as much relevant information as you can provide from the very start. This questionnaire will form the basis of your case. If we do not have full details of your case now, it may not be possible to make a claim for all of your losses at a later stage.

Please provide all monetary values in pounds sterling (£)

If you are aware of any evidence that your employer might have (or might request) which could damage your case or credibility, you must tell us below.

Such evidence may include:

• Compromising emails that you may have sent to or from work (whether or not they have been deleted)
• Criminal records
• Previous problems at work (including other places of employment)
• Documents that may damage your case
• Any claim, which your employer might have against you - eg negligence or any other monetary claim

It is important to fully state your case when we lodge your claim as you may be prevented from doing so later.

We need you to say in your own words 'what happened' that has led you to contacting us seeking assistance. It would be useful if this could be in chronological order setting out all relevant dates and what happened on those dates.

This statement needs to set out the nature of your grievance and claim. We are only interested in the FACTS as they happened - leave the legal issues to us.

Please upload your pre-prepared statement in either Microsoft Word or Adobe Acrobat PDF format.

You now need to click 'Send Information' which will send your information to a specialist employment law solicitor.

Thank you for taking the time to complete this questionnaire. It will help us deal with your enquiry more speedily.