What harm (fired, laid off, demoted, reassigned or transferred unfairly, not promoted, not accommodated, reasonable request denied, etc.) was inflicted on you?

What reason(s) did the employer give for taking the action(s) that it took?

Do you believe this is the true reason why your employer took the action(s) you are complaining about? If not, what is the true reason(s) why your employer took the action(s) you are complaining about?

Did you ever complain to your employer about the harmful actions against you (either orally or in writing)? If yes, on what date(s) and to whom did you complain?

Explain why you are contacting AM+F for possible representation by providing a summary of the reasons why you believe you were treated wrongfully by your employer

Do you believe you were fired or harmed in some other way for taking a leave of absence?

If there is any other information that you wish to provide for AM+F to assess your situation (including offers of severance or settlement), please provide below: