First Name
  Last Name
  Your Postal Address
Please include your Post Code! Your Email Address
We need either an email address or phone number to contact you! Your Mobile Number
Include Area Code, NO SPACES. Your Home Number
Include Area Code, NO SPACES. Are you a Union Member? Yes
No

  If yes, what Union?
  What sort of Employment Agreement do you have, if any? Individual Employment Agreement (IEA) Collective (Union member) I don't have an agreement at all I have an IEA, but I don't have a copy of it
If you have an employment agreement, the legal name of your employer will be on it. Remember this for the next question! What is the legal name of your employer?
Your employer's name probably won't be "Joe Someone". It will be a legal entity (a company, a Trust, a Partnership). Use the Companies Office to try and find out who your employer actually is, or look at the employment agreement and see if it lists the parties to the agreement on it. How long have you worked here? Less than 6 months 6-12 months 1 to 3 years 4 to 7 years 8 to 15 years 15+ years

Job Title
This information should be in your employment agreement if you have one. Do you have a Job Description? Yes
No

  What is your employer's postal address?

This may be a PO box number. Try the Yellow Pages if you're not sure! What is the physical location of your workplace?

This is the place where you go to work every day. Write "Varies" if it changes regularly, for instance with kiwifruit work. Employer's phone number?
Include Area Code, no spaces. Employer's email address?
  Select the statement that best describes the problem you want help with: Contract Review Performance meeting Disciplinary meeting Unjustified dismissal Redundancy proposal Made redundant Constructive dismissal I've been disadvantaged Sexual harassment Racial/ethnic discrimination Wage/holiday pay claim Mediation help needed
  Please briefly explain the circumstances of your problem below:

WATCH OUT! You have a maximum of 1000 words for this. We need enough information to get an idea of what brought this problem up with you, but we will contact you for more information if we don't understand so don't worry about insignificant details! Do you have any documentation that relates to your employment and/or problem? (employment agreement, payslips, emails, letters, screenshots of text messages) Yes
No

If you have documents, please scan them to pdf (not photographs or images). If you don't know how to do this or can't access a scanner, print a copy for us. We will contact you shortly to get them from you. Have you read and understood our Terms of Service?
Agreeing to our Terms of Service means that you understand that we will review your problem for free, but that you might be charged for any ongoing work that we do on an hourly rate. We will discuss this with you if or when we meet.