BlackBerry Class Action Member Secure Document Upload Form Please use this secure form to send us any documents related to your case. The form accepts PDF, JPG, DOC and DOCX formats. Maximum file size is 64Mb. Please contact us if you need assistance or prefer another way of sending your documents over. Thank you! NOTE: The fields marked with red asterisk (*) are mandatory PERSONAL INFORMATIONName First Last Cell Phone*Home Phone*Email (Personal)* Date of Birth* Address* Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code WORK INFORMATION Start date with BlackBerry* Last scheduled day with BlackBerry Have you had any breaks in service with BlackBerry*YesNoIf yes, please provide details (One set of dates per line)Title/Position with BlackBerry*Salary with BlackBerry*Other compensation with BlackBerryLocation of work with BalckBerry (City)*Province*AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonDo you have an employment contract with Blackberry?*YesNoIf yes, please provide a scanned copy (jpg, gif, png, pdf file extensions accepted)Accepted file types: jpg, gif, png, pdf.(Note: this can include an offer letter, and the documents you scan to us should include all updated contracts/offer letters you have received over the years, including the initial one)Have you signed a resignation letter with BlackBerry?*YesNoPlease provide a scanned copy of this letterAccepted file types: jpg, gif, png, pdf.Please provide a scanned copy of this letterIf you were provided with any template resignation letter to sign or any correspondence requesting same, please provide us with this template or a copy of that correspondenceAccepted file types: jpg, gif, png, pdf.If you were provided with any template resignation letter to sign or any correspondence requesting same, please provide us with this template or a copy of that correspondenceWere you offered employment with Ford?*YesNoIf yes, did you accept such employment?*YesNoIf yes, do you have an Employment Contract with Ford?YesNoIf yes, please provide a scanned copy of your Employment Contract with FordAccepted file types: jpg, gif, png, pdf.Start date with Ford Title/Position with FordSalary with FordOther compensation with FordLocation of work with Ford (City)ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPlease also provide the following documents: BlackBerry employment contracts/offer letters; BlackBerry’s requests for resignation; A copy of the resignation letter, whether you signed it or not; Any documents, including offers of employment, Ford has sent; Any other correspondence, including email or documents related to this matter, from Ford or BlackBerry; and A written description, including approximate dates of any other events, communications, conversations, etc. that you think are at all related to this matter. Specifically, anything related to what would happen if you turned down employment from Ford, what would happen to your years of service, and representations as to whether or not this was a sale of business. Moreover, if there were any statements made that led you to believe or suggested to you that your employment may be terminated, please provide those as well. Please upload all pertinent documents here: Drop files here or Accepted file types: jpg, gif, png, pdf. CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Join Our Mailing List Subscribe to updates on BlackBerry class action Email* CAPTCHACommentsThis field is for validation purposes and should be left unchanged. Representing Media? Sign up for updates on other class action suits and newsworthy cases we are working on. 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