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