Consultations By Appointment Only

Phone

(804) 644-9700

Resources & Information

We have compiled a list of resources if you require additional help.

View Resources

Hours

Monday – Friday
8:30 am – 5:00 pm

Address

3 W. Cary Street
Richmond, VA 23220

view map

Employment Matter Intake Form

Thank you for taking the time to complete this form. The information you provide will help our attorneys better understand your potential employment matter.

Confidentiality Acknowledgement

Shelley & Schulte, P.C. appreciates you taking the time to provide information about your potential employment matter. The information you submit through this form will be used solely for the purpose of evaluating your inquiry. Your responses will be kept confidential and will not be made public or shared outside of our firm. We will not contact your employer -- or any other person -- regarding the information you provide through this form. Submitting this form does not create an attorney-client relationship. If you check the box agreeing to proceed with submitting this form you acknowledge that you have read, understand, and agree to these conditions.

You must agree to proceed.

Your Contact Information

Required
Required

Email Addresses

Primary email will receive a copy of this submission.

Phone Numbers

Please provide at least one contact number. Primary will be used first.

Addresses

Primary address preferred. Add others if relevant.

Employer Information

Please provide details about your employer and employment history. This information is critical for evaluating your claim.

This field is required.
This field is required.
This field is required.
This field is required.

This field is required.

What is the basis of your concern?

Please check all that apply. Based on your selections, you may be required to complete an additional form for each category selected.

Were you referred to our firm by a specific individual or organization? *