Settlement Submissions

Employment Law Form

Employment Law Case Results

Name of attorney member submitting form (name will only be published with attorney’s permission)

Permission to publish attorney name?

Yes

Law firm name (if wish to remain anonymous, please enter “anonymous”)

Email address (will not be published)

Is this for a settlement, verdict, or arbitration?

Settlement

Verdict

Arbitration

Is the result subject to a confidentiality agreement/clause?

Yes

Award or result amount

State where incident took place

County where incident took place

Type of incident/dispute (disability discrimination, whistleblower retaliation, sexual harassment, etc.)

Brief summary of facts (three sentences max)

Employer reason for discipline or termination (if n/a, enter “n/a”)

Good facts

Bad facts

Total lost wages

Was a complaint filed or demand for arbitration made?

Yes

Additional information