Unpaid Overtime Lawyers - Unpaid Wage Analysis

Pay Analysis Questionnaire

Information Submitted in Questionnaire is Completely Confidential

Step 1 of 2

Your Contact Information
Name
First Last
Phone
Email*
Position:
Employer:
Start Date
End Date
Still Employed
- Yes
- No
Work 40 or more hours in a week?
- Yes
- No
Are you paid overtime (1.5 Times Regular Pay) for all hours worked over 40 in a work week?
- Yes
- No
- N/A
Is your overtime pay based on a single work week?
- Yes
- No
- I don't know
- N/A
Payment*
- Hourly
- Salary
- Other
Hourly Employees Should Answer the Following Questions:
For the questions below, you only need to answer those that apply to your job! Otherwise, you can just leave the answer blank. We will review your submission and follow-up with you soon.
Meal Breaks:
Were you required to take Meal Breaks?
- Yes
- No
- I don't know
Were your meal breaks unpaid?
- Yes
- No
- I don't know
Were your meal breaks 30 minutes or longer?
- Yes
- No
- I don't know
Were you required to perform work during your meal break or was your meal break interrupted?
- Yes
- No
- I don't know
Were your meal breaks automatically deducted from your pay regardless of whether you actually took a full break?
- Yes
- No
- I don't know
Travel Time, On-Call Time, Training, Meetings, Waiting Time:
Are you paid for travel time other than travel between your house and work?
- Yes
- No
- I don't know
Are you paid for training sessions?
- Yes
- No
- I don't know
Are you allowed to leave your place of employment while on-call?
- Yes
- No
- I don't know
Are you paid for work actually performed while on-call?
- Yes
- No
- I don't know
Are you paid for time spent waiting on the job?
- Yes
- No
- I don't know
Before and After your Scheduled Shift:
Are you paid for pre-shift or post-shift meetings?
- Yes
- No
- I don't know
Are you paid for pre-shift or post-shift activities that are for the benefit of you employer?
- Yes
- No
- I don't know
Do you ever work off the clock at anytime?
- Yes
- No
- I don't know
Deductions:
Do deductions from your pay ever result in you making less than minimum wage for all hours worked?
- Yes
- No
- I don't know
Tipped Employees:
Are you paid a "cash" wage (not including tips) of less than $7.25?
- Yes
- No
- I don't know
Did your employer inform you of the amount of the cash wage you were paid?
- Yes
- No
- I don't know
Did your employer inform you the additional amount claimed by the employer as a "tip credit"?
- Yes
- No
- I don't know
Did your employer inform you that all tips received by you are yours to keep unless you are part of a Tip Pooling arrangement?
- Yes
- No
- I don't know
If you are part of a Tip Pooling arrangement, do managers receive any part of the tip pool?
- Yes
- No
- I don't know
Are you an:*
- Employee
- Indepedendent Contractor
Salary Employees Should Answer the Following Questions:
Are you paid at least $455.00 per week?
- Yes
- No
If you miss less than a half day of work for any reason is your pay reduced by the amount of time you missed work?
- Yes
- No
- I don't know
Do you perform office work or non-manual work?
- Yes
- No
- I don't know
Do your primary job duties involve using discretion and independent judgment on significant matters?
- Yes
- No
- I don't know
Do you supervise 2 or more full time employees or the equivalent (1 full time, 2 part time)?
- Yes
- No
- I don't know
Do you have an advanced degree (masters, Ph.D., law, RN, doctor)?
- Yes
- No
- I don't know
Does your job use your advanced knowledge?
- Yes
- No
- I don't know
Are you an:*
- Employee
- Indepedendent Contractor
Independent Contractors Should Answer the Following Questions:
Do you have set hours or set schedule?
- Yes
- No
- I don't know
Are you paid by the hour, week, or month?
- Yes
- No
- I don't know
Does the company provide tools, materials, or other equipment?
- Yes
- No
- I don't know
Does the company provide you training?
- Yes
- No
- I don't know
Are you allowed to perform work for other companies?
- Yes
- No
- I don't know
Does your contract end after one job or project?
- Yes
- No
- I don't know

New York
90 Park Ave,
New York, NY 10016

1-855-202-0047

Ohio
1457 S High St.
Columbus OH, 43207

Disclaimer: The national overtime lawyers and wage and hour attorneys at Mansell Law LLC hold offices and are licensed to practice in New York and Ohio. The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for advice regarding your individual situation. Contacting us does not create an attorney-client relationship. Please do not send any confidential information to us until such time as an attorney-client relationship has been established. ATTORNEY ADVERTISING. Prior results do not guarantee a similar outcome.

Take Back Your Wages!

Take Back Your Wages!

Pay Analysis Questionnaire

Step 1 of 2

Your Contact Information

Hourly Employees Should Answer the Following Questions:

Salary Employees Should Answer the Following Questions:

Independent Contractors Should Answer the Following Questions:

Thank you for taking the time to answer those questions that apply to your job! You can click the previous button to go back, or you can click the submit button below to complete the form submission process.

New York
90 Park Ave,
New York, NY 10016

1-855-202-0047

Ohio
1457 S High St.
Columbus OH, 43207

Take Back Your Wages!

Take Back Your Wages!

Pay Analysis Questionnaire

Step 1 of 2

Your Contact Information

Hourly Employees Should Answer the Following Questions:

Salary Employees Should Answer the Following Questions:

Independent Contractors Should Answer the Following Questions:

Thank you for taking the time to answer those questions that apply to your job! You can click the previous button to go back, or you can click the submit button below to complete the form submission process.

New York 90 Park Ave, New York, NY 10016

1-855-202-0047

Ohio 1457 S High St. Columbus OH, 43207

New York
90 Park Ave,
New York, NY 10016

Ohio
1457 S High St.
Columbus OH, 43207