Compromise Agreement Questionnaire
Is there any deadline date that the agreements must be dealt with by? If so please state
the date and the reason for it:
YOUR DETAILS
Name:
Address:
Telephone (H):
Telephone (W):
Telephone (M):
Email
DETAILS OF EMPLOYER CONTACT
Name:
Address:
Telephone:
Email:
ADDITIONAL DETAILS
Are you a member of a union? YES / NO
Date of termination (if relevant) -
Have you already been given a copy of the Compromise Agreement? YES / NO