Questionnaire

Time Editing or Rounding Affecting Your Pay? Fill Out Our Form Below.

Are you an hourly employee?*

Yes

Have you ever started working immediately after clocking in, but before your shift technically starts?*

*Work includes talking to coworkers or supervisors about work to be done, attending ‘pre-shift’ meetings, gathering tools or equipment, or putting on uniforms/PPE, among other things.

Yes

Have you ever continued to work after your shift without being paid for it?*

Yes

If you believe you are underpaid, please explain below*

How often have you worked after clocking in, but before your shift technically starts?*

Daily

Weekly

Monthly

How often have you worked after your shift is complete?*

Daily

Weekly

Monthly

Based on the information you provided, we believe you may have a case and you may be entitled to receive compensation and the justice you deserve.

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Any Other Comments:

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Time editing or rounding affecting your pay?

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Scott & winters law firm

11925 Pearl Rd., Suite 308
Strongsville, OH 44136

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Tel: (216) 912-2221

Klafter | Lesser

Two International Drive, Suite 350
Rye Brook, NY 10573

Tel: (914) 934-9200

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