Employment Discrimination

Dana L. Wefer, Esq

PO Box 374
290 Hackensack St.
Woodridge, NJ 07075

office@WeferLawOffices.com

Please use the form if you were discriminated against by your employer, college, or other authority because of your vaccine status or refusal to test for Covid-19.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Employer / School *

Date you were fired, resigned, or were otherwise separated *

Did you file for a religious exemption? *

If you filed for an RE, was it a refusal to be vaccinated or to test for covid-19? *

Was your religious exemption accepted? If not, what was the date of rejection? *

Did you file for a medical exemption? *

If you filed for an ME, was it a refusal to be vaccinated or to test for covid-19? *

Was your medical exemption accepted? If not, what was the date of rejection? *

In a few sentences, please give a short description of your discriminatory experience *

Submit

﻿Dana L. Wefer, Esq﻿

Dana L. Wefer, Esq