NEW ORLEANS PUBLIC SCHOOL EMPLOYEES JUSTICE

NEW ORLEANS PUBLIC SCHOOL EMPLOYEES CONTACT FORM

Please complete this form if you are interested in receiving information concerning the lawsuit filed by employees of the Orleans Parish School Board who are challenging the decision to terminate OPSB employees following Hurricane Katrina.

We ask you to complete this form even if you have already given your contact information by telephone.

Please note: completing this form does not enroll you as a member of a class action lawsuit. The Plaintiffs’ Legal Committee will use this information to establish communication with you. In the future, you may be asked to sign a formal agreement for legal representation and other documents as the process for class action certification moves forward in court.

In order for us to receive this form, you must click SUBMIT at the bottom.

If you do not receive a response from us within 45 days of submitting this form, please print this page, complete the form, and mail it to us at NOPSE Justice, P.O. Box 56068, New Orleans, La., 70156-6068.

NOTICE:
If you have already submitted your information via this online form, DO NOT submit it again.

If you wish to make changes to your previously submitted information, fax or mail changes to the NOPSE JUSTICE OFFICE AT: 504 556-4472(FAX), NOPSE JUSTICE, P.O. BOX 56068, New Orleans, Louisiana, 70156-6068.

Name on NOPS records:

(First Name): (Last Name): M.I.:

Current Mailing Address: Apt./Suite:

City: State: Zip:

E-mail Address 1: Email 2:

Current Telephones:

Landline (Area Code): Tel. no.: Extension:

Cell: (Area Code): Tel. no.:

Fax: (Area Code): Tel. no.:

NOPS Employee Number (if known):

Years of Service with NOPS:

Date of Birth (mm/dd/yy):

Last position held: (i.e. administrator, principal, teacher, paraeducator, clerical, etc.)

Last worksite prior to 08/29/05: (Name of school, Central Office, etc.)

Read over your information above for accuracy, then click the 'SUBMIT' button below to send it to us.

NOPSEj Form-2b

Revised: 12/15/09.