Name: Ralston Kinney
Address: 4717 Grand Ave #300, Kansas City, MO, 64112, United States
Telephone: 8162980086

How can we help?
How can we help?
- Employment Law
- Discrimination
- Workers' Compensation
- Personal Injury
- Other

Does this involve a current or former employer?
Does this involve a current or former employer?
- Current
- Former

Does this involve a current or former employer?
Does this involve a current or former employer?
- Current
- Former

Where were/are you employed?
Where were you employed?
- Kansas
- Missouri
- Other

Where were/are you employed?
Where were you employed?
- Kansas
- Missouri
- Other

Which Best Describes the Issue?
Which Best Describes the Issue?
- Discrimination
- Hostile Work Environment
- Workers’ Compensation
- Retaliation
- Wrongful Termination
- Wage & Hour
- Other

Based on: (select all that apply)
Based on: (select all that apply)
- Race/Color
- Sex/Gender
- Disability
- Getting hurt at work
- National Origin
- Age
- Religion
- Military Service
- Other

Please describe the situation:
Please describe the situation:

Who is creating the hostile work environment? (select all that apply)
Who is Creating the Hostile Work Environment? (select all that apply)
- Owner
- Boss/Supervisor
- Co-Workers
- Customers
- Other

Have you reported the hostile work environment? (select all that apply)
Have you reported the Hostile Work Environment? (select all that apply)
- No
- Yes, to Supervisor
- Yes, to Human Resources
- Yes, to Co-Worker
- Other

I am being subjected to a hostile work environment based on: (select all that apply)
I am being subjected to a hostile work environment based on: (select all that apply)
- Race/Color
- Sex/Gender
- Disability
- Getting hurt at work
- National Origin
- Age
- Religion
- Military Service
- Other

Please describe the situation:
Please describe the situation:

Where did the injury happen?
Where did the injury happen?
- Missouri
- Kansas
- Other

Where did the injury happen?
Where did the injury happen?
- Missouri
- Kansas
- Other

When did the injury occur?
When did the injury occur?
- In the last week
- In the last month
- More than one month ago

When did the injury occur?
When did the injury occur?
- In the last week
- In the last month
- More than one month ago

Did you report the injury to your employer?
Did you report the injury to your employer?
- Yes
- No

Did you report the injury to your employer?
Did you report the injury to your employer?
- Yes
- No

Have you received medical treatment?
Have you received medical treatment?
- Yes
- No

Have you received medical treatment?
Have you received medical treatment?
- Yes
- No

Have you been mistreated since your injury?
Have you been mistreated since your injury?
- Yes
- No

Have you been mistreated since your injury?
Have you been mistreated since your injury?
- Yes
- No

Are you still employed?
Are you still employed?
- Yes
- No

Are you still employed?
Are you still employed?
- Yes
- No

Describe the injury and how you’ve been treated since then:
Describe the injury and how you’ve been treated since then:

Describe the injury and how you’ve been treated since then:
Describe the injury and how you’ve been treated since then:

When were you retaliated against?
When were you retaliated against?
- In the last week
- In the last month
- More than one month ago

How were you retaliated against? (select all that apply)
How were you retaliated against? (select all that apply)
- Discipline
- Suspension
- Threats/Hostility
- Demoted/Denied Employment Opportunity
- Termination
- Other

Please Describe why you think you were retaliated against:
Please Describe why you think you were retaliated against:

When were you terminated?
When were you terminated?
- In the last week
- In the last month
- More than one month ago

Please describe why you think your termination was wrongful:
Please Describe why you think your termination was wrongful:

What best describes the issue: (select all that apply)
What best describes the issue: (select all that apply)
- Not getting paid for all the hours I work
- Not getting paid minimum wage
- Not getting paid for overtime
- Getting paid less than others for in same job
- Other

Other (describe:)
Other (Describe:)

Where did the discrimination occur?
Where did the Discrimination Occur?
- At Work
- At School
- At a Business
- Other

Does this involve a current or former employer?
Does this involve a current or former employer?
- Current
- Former

Where are/were you employed?
Where are/were you employed?
- Missouri
- Kansas
- Other

What was the discrimination based on: (select all that apply)
What was the discrimination based on: (select all that apply)
- Race/Color
- Sex/Gender
- Disability
- Getting hurt at work
- National Origin
- Age
- Religion
- Military Service
- Other

What happened? (select all that apply)
What happened? (select all that apply)
- Hostile Work Environment
- Sexual Harassment
- Inappropriate Comments
- Racial Slurs
- Being denied employment opportunities
- Unfair Pay
- Unfair Discipline
- Wrongful Termination
- Other

Where did this happen?
Where did this happen?
- Missouri
- Kansas
- Other

Are you still a student?
Are you still a student?
- Yes
- No

What type of school?
What type of school?
- Elementary School
- Middle School
- High School
- College/Post-Graduate/Trade School

Are you being mistreated by (select all that apply):
Are you being mistreated by (select all that apply):
- Teachers/Administration
- Students
- Other

Please describe the situation:
Please describe the situation:

Where did this happen?
Where did this happen?
- Missouri – Jackson County
- Missouri – Other
- Kansas
- Other

I believe this happened based on: (select all that apply)
I believe this happened based on: (select all that apply)
- Race/Color
- Sex/Gender
- Disability
- National Origin
- Age
- Religion
- Other

Did you experience any of the following: (select all that apply)
Did you experience any of the following: (select all that apply)
- Denial of Service
- Harassment
- Offensive Comments
- Inappropriate Questions
- Accused of Stealing
- Followed/Monitored without Cause
- Intimidation
- Other

Please describe the situation:
Please describe the situation:

Please describe what happened:
Please describe what happened:

Where did this happen?
Where did this happen?
- Missouri – Jackson County
- Missouri – Other
- Kansas
- Other

When did this happen?
When did this happen?
- In the last week
- In the last month
- In the last year
- More than 1 year ago

Did the incident require medical treatment?
Did the incident require medical treatment?
- Yes
- No

Were the police notified?
Were the police notified?
- Yes
- No

What best describes the incident?
What best describes the incident?
- Auto-Accident
- Motorcycle Accident
- Slip-And-Fall
- Got Hurt while at a Business
- Other

Please describe what happened:
Please describe what happened

Where did this happen?
Where did this happen?
- Missouri – Jackson County
- Missouri – Other
- Kansas
- Other

Please describe what happened:
Please Describe what happened:

How would you like us to contact you?
Name*
Email*
Phone*

Do I have a case?

How can we help?

Does this involve a current or former employer?

Does this involve a current or former employer?

Where were/are you employed?

Where were/are you employed?

Which Best Describes the Issue?

Based on: (select all that apply)

What happened? (select all that apply)

Please describe the situation:

Who is creating the hostile work environment? (select all that apply)

Have you reported the hostile work environment? (select all that apply)

I am being subjected to a hostile work environment based on: (select all that apply)

Please describe the situation:

Where did the injury happen?

Where did the injury happen?

When did the injury occur?

When did the injury occur?

Did you report the injury to your employer?

Did you report the injury to your employer?

Have you received medical treatment?

Have you received medical treatment?

Have you been mistreated since your injury?

Have you been mistreated since your injury?

Are you still employed?

Are you still employed?

Describe the injury and how you’ve been treated since then:

Describe the injury and how you’ve been treated since then:

When were you retaliated against?

How were you retaliated against? (select all that apply)

Before you were Retaliated against, did you (select all that apply)

Please Describe why you think you were retaliated against:

When were you terminated?

Before your termination, did you: (select all that apply)

Please describe why you think your termination was wrongful:

What best describes the issue: (select all that apply)

Other (describe:)

Where did the discrimination occur?

Does this involve a current or former employer?

Where are/were you employed?

What was the discrimination based on: (select all that apply)

What happened? (select all that apply)

Where did this happen?

Are you still a student?

What type of school?

Are you being mistreated by (select all that apply):

Please describe the situation:

Where did this happen?

I believe this happened based on: (select all that apply)

Did you experience any of the following: (select all that apply)

Please describe the situation:

Please describe what happened:

Where did this happen?

When did this happen?

Did the incident require medical treatment?

Were the police notified?

What best describes the incident?

Please describe what happened:

Where did this happen?

Please describe what happened:

How would you like us to contact you?