EI Class Action Questionnaire

Please fill in this form providing as much detail as possible and we will return your enquiry as soon as possible.

How were you referred to Attwood Marshall?

If other, please specify:

Are you currently represented/retained by another law firm?

If yes, please state law firm:

Business Name

ABN (if applicable)

Registered for GST?

ACN Details (if applicable)

What is your business entity

Directors/Shareholder Names

If Trust Name - Trust Name

Type of Business

First Name

Surname

Phone Number

Mobile phone

Email Address

Address Details

Details of your Claim

Tell us the measure of your loss what would have happened if the EI outbreak had not occurred

Approx. amount of claim: $