Pre-Interview Question & Answer Form Summary

Pre-Interview Question & Answer Form

Your Full Name:

Today’s Date:

Your phone number:

Your mailing address:

1.When did you first start with Instawork (date of first job):

2.When was the last job you worked for Instawork:

3.Are you owed wages for hours worked on a job for Instawork?:

a.If yes, for each job you are owed wages for hours worked, provide the name of the business/employer that you worked for and the position or type of job you performed?

Business/Employer Name Position/Job

b.What were the date(s) and number of hours that you worked for each employer (if more than one business/employer, please indicate which business/employer)?

Date(s) Total number of hours worked

c.How many hours of work have not been paid for each job(s)?

Date(s) # of hours that were not paid

4.Are you owed tips for any job you worked for Instawork?

a.If yes, for each job you are owed wages for hours worked, provide the name of the business/employer that you worked for and the position or type of job you performed?

Business/Employer Name Position/Job

b.What were the date(s) you worked and the amount of tips you earned on each date that were not paid (if more than one business/employer, please indicate which business/employer)?

Date(s) Dollar amount of unpaid tips

5.For any Instawork job that you worked more than five hours in a single day, were you denied or unable to take a full 30-minute meal break?

a.If yes, please provide the name of the business/employer and the date of the missed meal break.

Business/Employer Name Date

At the end of the interview, you may be asked to provide documents to the interviewer. If there are documents or other materials that will assist you in answering questions, please have them with you during the interview. These might include:

Paycheck stubs

Time sheets or work schedules

All written or electronic messages regarding your complaint (emails, text messages, app messaging, notes, etc.)

Customer receipts for any unpaid tips

Employee handbooks or employer policies regarding the subject(s) of your complaint

Contact this candidate