Contact view larger map Goldstein Borgen Dardarian & Ho 155 Grand Avenue, Suite 900 Oakland, CA 94612-3536 Phone: 510-763-9800 Fax: 510-835-1417 Email: email@example.com We are located in the Lake Merritt Tower in Oakland near Lake Merritt. Potential Case Inquiry Please complete this form and we will get in touch with you shortly about your potential case. Name:* First Last Phone 1:Phone 1 Type:HomeWorkMobilePagerFaxPhone 2:Phone 2 Type:HomeWorkMobilePagerFaxCompany you are complaining about: Email:* Address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What is the best time to contact you?: Type of Potential Case: Employment Discrimination (age, gender, national origin, race, etc.) Wage and Hour Matters (e.g., denial of overtime, improper payroll deductions, missed meal periods, etc.) Disability Discrimination Background Check Other Employment Related Matters (benefits, etc.) Public Accommodations Discrimination (e.g., denial of restaurant services, housing discrimination) Environmental Matters Other (please describe) Background check: Did your employer run a background check on you? Yes No Briefly describe your claims:CommentsThis field is for validation purposes and should be left unchanged.