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EMPLOYMENT QUESTIONNAIRE – REDUNDANCY |
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Tell us about your case as best you can by providing answers to the questions below. |
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1 |
Title |
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2 |
First name(s) |
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3 |
Surname |
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4 |
Date of birth |
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5 |
Email address |
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6 |
Telephone number |
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7 |
What is the name of your employer/former employer |
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8 |
Date of commencement of employment |
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9 |
Date of termination of employment (unless continuing) |
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10 |
Salary |
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11 |
Benefits (please list) |
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12 |
On what date were you made redundant? |
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13 |
What was the reason given? |
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14 |
Did you receive any warning that your job was at risk? |
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15 |
Describe any consultations or meetings with your employer in respect of redundancy |
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16 |
Describe any details you have about the selection criteria used by your employer |
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17 |
Set out details of other employees doing the same or similar job to you and identify whether they have been made redundant |
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18 |
Did you appeal? |
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19 |
Have you since got another job? |
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20 |
When did you start the job? |
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21 |
How much do you earn? |
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22 |
Do you consider that you have been discriminated against by reason of your sex, race, age or disability or other reason |
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23 |
What is your characteristic which you consider has given rise to this discrimination? [e.g. sex – female, race – black African, age – in my 60s, disability – multiple sclerosis etc.]? |
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24 |
Describe in full what you consider to have constituted discrimination? |
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25 |
Are you owed any money by your employer? If so answer questions 26 to 27 |
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26 |
What are you owed the money for [e.g. wages, commission, expenses etc.] |
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27 |
How much are you owed? |
£ |
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28 |
Describe here any additional complaints you have against your employer |
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29 |
Have you submitted a grievance to your employer? |
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30 |
Describe the outcome [If necessary, put “No outcome yet” if, for example, you are awaiting a grievance meeting] |
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31 |
Have you commenced any tribunal action in relation to the above? |
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32 |
If so, on what date did you file your claim? |
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33 |
Describe the stage that the proceedings have reached (specify the final hearing date if you have been notified of one) |
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34 |
Do you have legal expenses insurance as part of your insurance policy that you have (e.g. home buildings or contents policies). |
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