We here at The Coles Firm understand you may have a dispute with a current or former employee or employer. We also know you may wish to seek advice and consultation regarding these disputes. To that end, we have provided the following questionnaire for your convenience. Please complete all the information below and someone from our office will contact you shortly.

Name
Address
Address 2
City
State / Zip Code	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Phone Number
E-mail Address
Best way to contact
Best time to contact
Name of employee or employer with whom you have a dispute
Nature of dispute (please describe)

The use of the Internet or this form for communication with The Coles Firm P.C. or any individual member of The Coles Firm P.C. does not establish an attorney-client relationship. If you have an emergency situation or anything of a time-sensitive nature, please contact us by telephone at (214) 443-7860.