Add a Complaint

Case Name *

Court Name *

Other

Select the court in which the Complaint is filed. If "Other" is selected, please specify in the Court Comment box the court name.

Court Docket Number *

Plaintiff *		Order
	Plaintiff *	Weight for row 1

Enter Plaintiff or a Company name. You can add additional Plaintiffs by clicking the "Add another Plaintiff" button.

Plaintiff Attorney		Order
	Plaintiff Attorney	Weight for row 1

Enter Plaintiff Attorney or a Company name. You can add additional Plaintiff Attorneys by clicking the "Add another Plaintiff Attorney" button.

Defendant *		Order
	Defendant *	Weight for row 1

Enter a Defendant or a Company name. You can add additional Defendants by clicking the "Add another Defendant" button.

Type of Claim *

Unlawful Discharge

Failure to Warn

B&P Code 17200

Other

Check one or all that applies. At least one must be checked. If "Other" is selected, then an explanation must be entered in the comment field below.

Relief Sought *

Warning

Discharge Ban

Civil Penalty

Other

Check one or all that applies. If "Other" is checked, then an explanation must be entered in the comment field below.

Contact Name *

Contact Organization *

Address *

City *

Zip *

Email Address *

Phone Number *

Fax Number

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