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Layoff / Closure Help
Let us know if you are planning a layoff or closure.
Fill out this form as completely as possible. Once you submit it a representative from Rapid Response will contact you within 2 business days to follow up on your needs and how we can help you. The fields marked by a red asterisk (
*
) or highlighted by a yellow background are required.
*
Company Name:
Industry Type:
Select One...
Accommodation and Food Services
Admin/Support/Waste Mgmt/Remediation Services
Agricuture, Forestry, Fishing and Hunting
Arts, Entertainment, and Recreation
Construction
Educational Services
Finance and Insurance
Health Care and Social Assistance
Information
Management of Companies and Enterprises
Manufacturing
Mining
Other Services (excl. Public Administration)
Professional, Scientific, and Technical Services
Public Administration
Real Estate and Rental and Leasing
Retail Trade
Transportation and Warehousing
Utilities
Wholesale Trade
Address:
*
Street:
*
City:
*
Zip Code:
Company Contact:
*
Contact Name:
Title:
*
Phone Number:
Area Code
Number
Extension
Fax Number:
E-mail Address:
*
Layoff or Closure:
Select One...
Layoff
Closure
*
Employees Affected:
Job Classifications Affected:
Was a WARN Notice Filed:
Select One...
No
Yes
If Yes, the date it was filed:
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2015
Month:
Day:
Year:
Was a Trade Act Petition Filed:
Select One...
No
Yes
If Yes, the date it was filed:
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2015
Month:
Day:
Year:
Are the layoffs caused because the employer is relocating jobs:
Select One...
No
Yes
If yes, where are you relocating to:
Layoffs Scheduled over the Next Six Months:
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