Thank you so much for contacting Lowry Law Firm!

Please read the privacy policy below and then fill out this form in its entirety prior to our consultation.

Privacy Policy

All information received from a client is strictly confidential. Lowry Law Firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.

Any personal information will only be used in the event that you hire Lowry Law Firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case.

If you have any questions, please don't hesitate to contact our law office. We look forward to working with you!

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THANK YOU

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

Please click the SUBMIT button below when you have finished answering all questions.

Contact information

What is the general nature of your case?

Discrimination or harassment on what basis?

Name and address of employer where discrimination, harassment, or wrongful termination took place.

What was your date of hire?

What was the date of the first discrimination or harassment?

What was the date of the most recent discrimination or harassment?

If you were terminated, state the reason for your termination as given to you by your employer, if any.

If you were terminated, state the reason you believe you were terminated, if different from the reason given to you by your employer.

If you were terminated, what was the date of your termination?

If you were terminated, did your employer pay you all wages owed at the time of your termination, including bonuses earned and accrued vacation pay?

What evidence do you have that you believe supports your potential case? Some examples include text messages, direct messages, emails, photographs, and letters.

Are you a union member?

Are you currently represented by another lawyer?

Have you filed any of the following?

Did you ever sign an arbitration agreement with your employer?

How were you referred to our law firm?

Please acknowledge that you have read and hereby accept the above privacy policy regarding use of your personal information by typing your full legal name below

Please acknowledge, by typing your full legal name in the box below, that Lowry Law Firm does not represent you and will take no action in your behalf to protect your rights unless, and until, a fee agreement is signed by both you and Kent Lowry.

THANK YOU