Name of union/labor organization: (required)

Person to contact on behalf of the union/labor organization:

Your Email: (required)

Your Phone

Identify the employer or company with which the union/labor organization has a collective bargaining relationship:

Briefly describe the situation:

All communications between you and Cole|Reichek, PLLC, including this questionnaire, are privileged, which means that they will be kept in the strictest confidence by the firm. Please note, however, that Cole|Reichek, PLLC’s provision and review of legal advice or any agreement to represent you. No attorney-client relationship will be formed unless and until a Legal Services Agreement is executed between you and Cole|Reichek, PLLC. This questionnaire will be destroyed if Cole|Reichek, PLLC does not represent you.
Please check this box to agree to the above terms.