Employment Wrongful Termination Complaint Form
Personal Information
Full Name
Address
Phone Number
Email
Employment Information
Employer Name
Job Title/Position
Date Employment Started
Date Employment Ended
Termination Details
Type of Termination
Fired
Laid Off
Forced Resignation
Other
Reason Given for Termination
Describe the circumstances of your termination
Wrongful Termination Details
Why do you believe your termination was wrongful?
List any evidence or witnesses supporting your claim
Additional Comments
Comments