Equal pay enquiry form

Fill in this form to contact us

Full name (Required)

Contact telephone number (Required)

Address (Required)

Email address

Are you making this enquiry on behalf of (Required)

When did the discrimination take place (Required)

Does the discrimination relate to employment or other everyday activities such as housing, access, transport or local authority services (Required)

How much are you paid? (Required)

Do you have a solicitor currently representing your case? (Required)

If yes please give the name of the firm (we will not contact them without your permission)

Do you have any legal expenses insurance? (Required)

Please outline the main points of your case, including details of your impairment or disability

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Thank you for completing the form, please press send to contact the discrimination team.

Equal pay enquiry form

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