Franklin Law Consultation Request

Disability Accommodation & Constructive Dismissal Focus

Use this intake form to brief Office Administrators before a consultation. Every answer helps the lawyers understand how the accommodation journey intersected with employment termination and benefits handling.

2229 Kingston Road, Unit B · Scarborough, ON · M1N 1T8 T: 416-572-8525 F: 647-438-2247 [email protected]

Contact Information

Prefix First name * Middle name Last name *

Email address * Phone number

We send a copy of your submission to the primary email and the office administrators use these details to schedule the consult.

1. Nature of Your Work

Select the description that best fits your employment status at the time of the incident.

I am unionized I am not unionized I am a contractor None of the above / Not Applicable

2. Questions for Non-Unionized Workers

Mark every experience that reflects what you went through. These flags help Franklin Law map the accommodation timeline.

My employer fired me and I was not offered a severance package. My employer fired me and I was offered a severance package. I was forced to resign after repeated accommodation refusals. I was mistreated for reasons related to my identity (disability, race, etc.). I was punished for exercising my health and safety rights. I am a regulated professional and a complaint has been filed against me. I am not sure and want to know more about my rights as a worker. None of the above / Not Applicable.

Date of incident or concern

3. Questions for Unionized Workers

My Union refused to file a grievance on my behalf. My Union failed to represent me fairly. My Union violated its Constitution. I was mistreated for reasons related to identity. I was punished for exercising health and safety rights. I am a regulated professional and a complaint has been filed. I am not sure and want to know more about my rights as a worker. None of the above / Not Applicable.

Date of incident or concern

4. Questions for Other Matters

I had an issue as a volunteer. I had an issue with an employer while doing a co-op program. I had an issue while in housing. Other Issue. None of the above / Not Applicable.

Date of incident or concern

5. Time Sensitivity & Limitations

Important: Franklin Law wants to know if you are at risk of missing deadlines. Limitations can expire within 30 days and we cannot provide legal advice before the consultation.

Yes, I read and understood the notice. No, I need clarification.

Does your matter have a time sensitive deadline? Yes Does your matter have a time sensitive deadline? No

6. Notes for Your Consultation

Use these descriptions to anchor the lawyers on disability accommodation, constructive dismissal, and Manulife-related concerns.

Personal summary of events Objectives and goals in mind The type of consultation I would like to schedule

7. Miscellaneous Information

How should the team keep you updated?

Phone Email Text Message

How did you find out about Franklin Law?

Online Recommendations from other law firm(s) Word of Mouth Other

8. Workshops, Videos & Toolkits

Are you interested in Franklin Law's workshops, videos, or toolkits? Would you like to subscribe to the mailing list for those resources?

9. Comments, Questions & Concerns

Please elaborate below

How To Launch the Portal

Use the HRTO Case Portal stack if you want to host this page alongside the rest of the tools.

Run cd /mnt/c/rod_hub/personal/case-files/rod_case_master/docker && docker compose up -d and visit http://localhost:8081/tools/franklin-law-intake.html.

This form is static. The office administrators will review the submission and respond within 24 hours.