Wrongful Termination (Unlawful Retaliation) Questionnaire

If you were treated unfairly or suffered retaliation after your work-related injury or after filing a workers’ compensation claim, you may be entitled to a significant award. If you are interested in pursuing such a matter, please complete the questionnaire below. The estimated time to complete the questionnaire is about 10 minutes or less.

If you have any questions while filling out the questionnaire, simply call us at 888-434-2667 and we will be happy to help you.After we receive the completed questionnaire, we will review your answers and contact you about whether you may have a valid Texas retaliation claim against your former employer. If you are unsure about any of the questions below, simply do your best and we will contact you for further clarification if necessary. Thanks again for allowing us the opportunity to help you, if possible.