Questionnaire

Review this website and its resource links to determine what type of claim you may have and fill out the intake form for a free claim review.

The clients for whom we can provide effective counsel are:

  • Employees and individuals who have been denied disability and pension benefits.
  • Employees and individuals who have been denied continued health coverage during periods of family caregiving or following termination of employment.
  • Partners, managers, administrators, and others who need to negotiate executive compensation or severance arrangements, or reasonable exit and non-competition agreements.
  • Former employees who are sued over unreasonable non-competition or “non-compete” agreements.
  • Employees and individuals who have been discriminated against.
  • Reasonable people who have serious problems in the workplace.
  • Whistleblowers (Sarbanes-Oxley, health & safety, and others).


Items marked with an asterisk (*) are required.


Note: Please do not use an email provided by your employer
If you have difficulty explaining and you have a letter or other document you think will help us, please send a copy to us
(Specify the date you filed your appeal)
(Specify the date you received a response to your appeal)
(Specify the date your appeal is due)

For Disability Claims

(From which are you are seeking benefits)
(list all medical conditions involved)

Please read the following carefully.

I am submitting this questionnaire and attachments for review by Clark Law Group, PLLC. I understand the following:

  1. That the submission of information is for review only and that there will be no charge for this review.
  2. Clark Law Group, PLLC and I have not entered into an attorney-client relationship and are not acting as my attorney unless and until a formal, written Retainer Agreement has been signed both by me and by a representative of Clark Law Group, PLLC. No decision has yet been made on whether Clark Law Group, PLLC will take my case and there is no guarantee that the firm will accept my case.
  3. Further information may be requested in order for Clark Law Group, PLLC to reach a decision.
  4. It takes time to review the material submitted and to make any reply or decision. Because no attorney-client relationship has yet been established, I will be responsible until I am notified otherwise to meet all necessary deadlines and time frames applicable to my claim; and I acknowledge that I have not received any representations or legal opinions with respect to any time frames or deadlines that may be applicable to my claim.

Contact Our Office

Clark Law Group, PLLC
1100 Connecticut Avenue, NW
Suite 920
Washington, DC 20036
Phone: (202) 293-0015
Fax: (202) 293-0115
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Contact Us


Clark Law Group, PLLC
Washington, DC
1100 Connecticut Ave, NW
Suite 920
Washington, DC 20036
Phone: (202) 293-0015
Fax: (202) 293-0115
Toll Free: 855-202-0011

Clark Law Group, PLLC
Chicago, IL
150 N. Wacker Drive
Suite 1925
Chicago, IL 60606
Phone: (312) 574-3420
Toll Free: 855-769-7500

Clark Weekly

Topic of the Week

Worker Classification: Independent Contractor or Employee

Knowing whether a worker is an employee or an independent contractor is important for both workers and employers. Any worker should understand how they are classified, and what it means. As an independent contractor, you may have more freedom to choose ho

Read more...

Blog of the Week

How Does the Passage of AB 5 in California Affect Me and Others in the Gig Economy?

Today Governor Gavin Newsom signed into law Assembly Bill 5. The untitled new law will have a significant impact on the gig economy in California. It will be increasingly difficult to lawfully classify California workers as independent contractors. With the exception of several significant carveouts, which I discuss below, the definition of “to employ” announced by the California Supreme Court last year in Dynamex v. Superior Court (2018) 4 Cal.5th 903 will define the relationship between the hired and the hirer moving forward. The core of the new law takes effect January 1, 2020.

Thought for the Week

"Workers lose basic protections like the minimum wage, paid sick days and health insurance benefits. Employers shirk responsibility to safety net programs like workers' compensation and unemployment insurance. Taxpayers are left to foot the bill," Reversing the trend of misclassification is a necessary and important step to improve the lives of working people."

–Gavin Newsom; California Gov.

List of the Week

from Workplace Fairness

Top Searches on Leaves this week: 

  • Sick Leave
  • Disability Leave
  • Paid Sick Leave
  • Family Medical Leave
  • Military Leave

 

 

 

 

Top Five News Headlines

  1. Even In A Competitive Labor Market, Little Vacation For Workers
  2. Low-wage workers gather to build power across sectors in the South
  3. Home care workers have a lousy job. A new bill in Congress aims to change that.
  4. BMW Loses Its Only Female Board Member as Head of HR Steps Down
  5. Marquez Brothers to Pay $2 Million to Settle EEOC Race Discrimination Suit