LA Caregiver Referral Fill out the form below to request assistance. A WorkLife Law attorney will get in touch within two business days. Who referred you?Name First Last LanguagePreferred Method of ContactEmailPhoneEmail(Required) Phone(Required)When is the best time to call?How long have you worked for your employer? Less than 6 months 6 months to a year More than a year Not sure (Or how long did you work there before leaving?)Is your employer a government? No Local Government State Government Federal Government Type of Issue Difficulty getting approval for leave Need information about leave Harassment/bullying at work Termination or demotion Unfair treatment, schedule changes Challenges with PFL paperwork Denied PFL by the state Other (please explain below) Your Comments/Questions