Test Case Table of Contents General Qualifying Questions on Active Cases (new) First Name:(Required)Last Name:(Required)Email:(Required) Phone Number:(Required)This field is hidden when viewing the formBrief Summary of Your CaseThis field is hidden when viewing the formPlease select a case:(Required)InTouchCXB & H PhotoPaneraAlightMercyBank of MissouriBourgetteFocus DCKGSWeigel'sSimpliSafeFontaineNew CaseSam's ClubResilience HealthcareWorldstaffConnective RXRolled Alloys Inc.Penhall CompanyAvis Budget Car Rental GroupWind Creek IL LLCThe Providencia GroupNew Sabina IndustriesCentene CorporationAccenture LLPNew FLSAWhat is the name of the employer?Are you still working for the Defendant? Yes No When did you start working for the Defendant?When did you last work for the Defendant?Provide the job position(s) you work(ed) for the Defendant:What city(s) and state(s) were you located in when working for the Defendant?This field is hidden when viewing the formPlease summarize any important facts or evidence you have regarding the claims in the lawsuitPlease summarize any important facts or evidence you have regarding the claims in the lawsuit(Required)
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