Firedpeople Participate

Participant Application

First Name

Last Name

NIF Number

Company

Job position

Relocated from another country for this job ?

Yes

Phone/Mobile

Started Date

Ended Date

Total Days

Total Months

Total amount received after dismissal in Euro €

Another compensation that you might request in Euro €

Address

Address Line 1

City

Zip Code

Country

Your request to the company line by line or any note to add

Do you want an interview or to talk with Media Press or TV ?

Yes

File Upload your termination of contract ( Optional for lawyers )

Choose File

File Upload your last Payslip ( Optional for lawyers )

Choose File

File Upload your contract ( Optional for lawyers )

Choose File

Signature

Sign Here

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