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Employment Discrimination Intake Form

Please take a moment to fill out this employment discrimination intake form. Once we have a chance to review your submission, if we believe we can assist you, we will reach out to set up a time to talk more. Your submission will be kept100% confidential.

Issue:
I understand that unless I have a signed retainer agreement from Jesse Centrella, the Centrella Law Firm, LLC does not represent me?

Thank you for your submission! We will review your intake, and if we are able to assist, we will be in touch as soon as possible to set up a free consultation.

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