Low Pay Unit

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Employment rights

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EMPLOYMENT RIGHTS ADVICE SERVICE

Advice request form

Please answer the following questions before submitting your request for advice.

These questions are included to enable us to provide you with accurate advice or to get that advice to you. All information that you provide will be treated as confidential. Click here to view our policy on confidentiality. The more information you can provide, the more comprehensively we can advise you.

Name

Email (required)

Please enter details of your enquiry here - the more detail you provide, the more we can assist you with accurate advice

It would help us to advise you if you could answer the following questions

How long have you worked for your current employer?
years and months
less than one month

What is your rate of pay?
per hour week year

How many hours per week do you normally work?

Do you work the same number of hours each week?
Yes No
If No, please give details of variations

Do you have a written statement of the main terms and conditions of your employment?
Yes No

Sex M F

Age (please fill in)

How would you describe your ethnic origin?

White	Indian
Irish	Pakistani
Black Caribbean	Bangladeshi
Black African	Asian British
Black British	Chinese / Other Asian
Black Other	Mixed Race
	Other

Contact Details
How would you prefer us to contact you? Our preference would be to contact you by telephone as we can discuss the matter in more depth and provide more accurate advice. However, we appreciate that this may not be possible or convenient for you. Please make sure that you fill in the relevant contact details before submitting your form.

I wish to be contacted by

Telephone (daytime)
Telephone number:

Telephone (evening)
Telephone number:

E-mail
E-mail address:

Letter
Address:

Postcode: