Whiteman v. Wardlaw Consulting Services, Inc. et al

Western District of Texas, txwd-6:2016-cv-00312


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Case 6:16-cv-00312-RP-JCM Document 12-2 Filed 12/20/16 Page 1 of 2 CONSENT TO BE A PARTY PLAINTIFF Fair Labor Standards Act of 1938, 29 U.S.C. 216(b) I hereby consent to be a party plaintiff seeking unpaid wages and overtime pay in the case in which this consent is filed. By joining this lawsuit, I designate the above-named Plaintiffs and their attorneys (and other persons those individuals designate as necessary) as my representatives to make all decisions on my behalf, to the extent permitted by law, concerning the method and manner of conducting the case including settlement, the entering of an agreement with Plaintiffs’ counsel regarding payment of attorneys’ fees and court costs, and all other matters pertaining to this lawsuit. I further acknowledge that this consent is intended to be filed to recover my overtime wages against my current/former employer whether in the above-captioned action or in any subsequent action that may be filed on my behalf for such recovery, and this consent may be used in this case or in any subsequent case as necessary. For purposes of pursuing my unpaid wage and overtime claims I choose to be represented by the O’Brien Law Firm and its co-counsel Lee & Braziel, LLP, and other attorneys with whom they may associate. Date: _______________________ Signature: ______________________________ Printed Nate: ___________________________ CONSENT TO JOIN Case 6:16-cv-00312-RP-JCM Document 12-2 Filed 12/20/16 Page 2 of 2 PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION: This information will not be made part of any public record and is necessary for your attorney’s files for litigation and possible settlement purposes. Name: Any other Name(s) used or known by: Location Where You Worked (address/city/state): Dates of Employment with Company: Begin: ____ End: __________________ Last Job Title with Wardlaw: ______________________________ Estimated Monthly Compensation: Your Mailing Address: City, State & Zip Code: Social Security No. (last 4 digits ok): Daytime Telephone: Cellular Telephone: E-Mail Address: Return this form by mail, fax or email/scan to: O’Brien Law Firm 1011 Westlake Drive Austin, Texas 78746 Phone: (512) 410-1960 Fax: (512) 410-6171 Email: ko@obrienlawpc.com CONSENT TO JOIN