Contact

Law Office of Cynthia E. Wellbrock, LLC
7887 East Belleview Avenue, Suite 1100
Denver, CO 80111

Telephone: 303-785-7783
Email: info@cynthiawellbrock.com


Please be aware that submission of the contact form does not constitute the formation of an attorney-client relationship. The Law Office of Cynthia E. Wellbrock, LLC does not agree to represent you or take your case because you submit information on this form or contact the firm. Submission of information on this form is done simply to assist the firm to determine if it would be appropriate to set an in-person consultation to learn more about your case and decide whether the firm can represent you. Please click the box below to indicate your agreement to these terms.
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Phone

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Your personal (not work) e.mail address (required)

Your full mailing address

Were you referred to the firm by someone?
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If yes, who referred you? (We like to thank our referral partners)

If no, how did you find the firm?

Please state the name of the employer/company at issue in this matter so we can determine if there is a conflict.

Summary of Your Situation
Please provide a brief summary of your situation and/or concerns regarding your situation including the name of the employer/company at issue (this is important so we can run a conflicts check to be sure we do not have any conflict in taking your case). Also include your job title or position held.

Timeline:
Please provide a listing in chronological order of up to ten of the most important events in your potential case, including the dates for each event. If you do not remember the exact date please give a close approximation of the date.

Current Employment Status
Please state if you are still employed at the company. If you were terminated or resigned from your position please provide the date.

Number of Employees
How many employees does the company have? If you don’t know exactly you can provide an approximate number.

People Involved
Please list the name and title of each coworker, supervisor or other person involved in the situation, and their contact information (phone & e.mail) if you have it. We will not contact anyone without first discussing it with you.)

Compensation
What is/was your annual salary or your hourly rate of pay?

Outside Agency Contact
Please list any outside agencies or organizations with which you have filed complaints about your situation and describe the status of your complaint (f you know the status). Outside agencies can include the EEOC, Colorado Civil Rights Division, OSHA or the Dept. of Labor, etc.

Deadlines
Please list any deadlines you know of concerning your situation.

Goal(s)
What do you wish to accomplish by hiring an attorney? (i.e. need an attorney to represent me at trial or at an unemployment insurance hearing, or need an attorney to review a severance agreement, or need an attorney to help recover wages or compensation owed to me.)