Page 1 of 2

Los Angeles Security Worker Employment Intake

Confidential Employment Information Intake

This form is intended for current and former security workers who worked for Arden David Banks or ABS Security in the Los Angeles area.
The purpose of this intake is to collect firsthand information concerning employment, compensation, documentation, and other workplace experiences for potential review by a California employment attorney.
Please provide information based on your own personal experience and to the best of your knowledge. If you are uncertain about a particular detail, please indicate that rather than guessing.
Completing this form does not guarantee that a legal claim or lawsuit will be filed, that you will be obligated to be included in any legal action, or that compensation will be recovered.

SECTION 1 — About You

1. Full Name

2. Preferred Name

3. Email Address

SECTION 2 — Your Work

4. Did you personally work security for Arden David Banks / ABS Security?

A
B
C

5. Approximately when did you work for the company?

6. Where did you work?

7. Who recruited, hired, scheduled, or referred you?

SECTION 3 — Compensation

8. What were you told you would be paid?

9. How were you paid?

A
B
C
D
E
F

10. Were you fully paid for all work you performed?

A
B
C

11. Approximately how much do you believe you are still owed?

12. Please describe what remains unpaid.

SECTION 4 — Requests for Payment

13. Did you ever request payment that you believed you were owed?

A
B
C

14. How did you request payment?

15. Approximately when did you request payment?

16. What response did you receive?

SECTION 5 — Employment Documentation

17. Did you receive documentation concerning your employment or income?

A
B
C
D

18. Did you ever request employment, income, payroll, or payment documentation?

A
B

19. What did you request, and what response did you receive?

SECTION 6 — Financial Impact

20. Did unpaid or delayed wages cause you financial hardship?

A
B
C

21. What consequences did you personally experience?

Please describe how the situation affected you financially or personally.

SECTION 7 — Documentation You Have

22. What documentation do you currently have related to your employment or payment?

SECTION 8 — Potential Legal Review

23. Would you be willing to speak with a California employment attorney about your experience?

A
B
C

24. Would you be willing to provide supporting documentation if requested?

A
B
C

SECTION 9 — Anything Else

Is there anything else about your experience that you believe is important for us to know?