Any related Employers:

Did you work in the United States or a territory or possession of the United States?
Yes     No

Did you ever work more than forty hours per work week? 
Yes    No

How many hours do you believe you worked in a given week?  This may be a complicated question, so please describe fully below:

• e.g. sometimes we only worked forty hours but when a big project was due we were told to clock out and keep working, sometimes three or four hours longer

• e.g. if there were long security lines, I could spend 10-20 minutes a day waiting to get in to work in addition to the 40 hours we had to work on the job

• e.g. after the new supervisor came on March 30, I worked 8am to 7pm everyday Monday to Friday, 55 hours a week

Why do you believe you may have an overtime claim?
I don't know, I just want to be sure I am not being denied overtime!  (This answer is perfectly fine, I will still review your submission.)
My employer says I am salaried, but I don't manage multiple employees.
My employer says I am salaried, but I don't have a job that requires a special advanced degree.  (The test is whether you have to use a degree, not whether or not you have one - tricky!)
I am paid by-the-hour but I am not paid overtime.
My employer says I am an "independent contractor" but I don't own or run my own business; I'm really an employee.
My employer doesn't keep accurate time records.
My employer pays me under the table or in cash.
I receive commissions, bonus, or benefits, but I am only paid overtime for my base pay.
I am not paid for short breaks.
I am paid less than $5.15 per hour.
I am paid less than $455 per week.
I complained about not getting overtime and my employer retaliated against me.

Do you have a job that employers tend to misclassify?
Computer/IT employees
Insurance adjustors
Call center employees
Any job where you have to wear special gear that you spend time putting on or taking off
Any job that uses an automatic time clock system or a computerized time clock system
Independent contractor
Assistant Manager/Shift Supervisor
Field Service Technician or Engineer
Mortgage broker, banking broker, transportation broker, or other broker

Please describe your job duties:

Is there anything else you want us to know in evaluating your claim?

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Mr. Wiley will review your submission as soon as his schedule permits, usually within two business days.  You should then receive a phone call from a staff member requesting any additional information and/or scheduling a time for you to talk with Mr. Wiley.  Employment law is complex and, without a full investigation, we may not be able to give a definitive answer to your questions.  In some instances, based on you submission, we conclude from your submission that representation would not be appropriate. If this form contains confidential information, please print and fax the form to us at 214-528-6511.  Mr. Wiley and the firm do not represent you unless you sign a written representation agreement.  THIS IS NOT A SUBMISSION TO A COURT, THE DEPARTMENT OF LABOR, OR A GOVERNMENT AGENCY.  It is only for the law firm for the purpose of considering representation.

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