Autor: GLAUCIA JANINE | Publicado: 2015-07-22T22:48:00-03:00



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<![endif]-->

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<![endif]-->





MODELO DE FICHA DE ENTREVISTA COM O CLIENTE TRABALHISTA
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ENTREVISTA – AÇÃO TRABALHISTA&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 









DATA _____/______/______









DADOS PESSOAIS:









NOME
_______________________________________________________________________________




ENDEREÇO___________________________________________________________________________




______________________________________________________________________________________




FUNÇÃO ________________ ESTADO CIVIL:
__________NACIONALIDADE_________________ 




DATA DE NASCIMENTO:
_____________________________________________________________




TELEFONE (CONTATO)
_______________________________________________________________




CTPS. Nº _________________________SÉRIE ____________C.I
(RG).:_________________SSP/____




CPF : ________________________________




Outros dados:
_________________________________________________________________________




______________________________________________________________________________________









PARTE ADVERSA:














RAZÃO
SOCIAL: _____________________________________________________________________




CNPJ: ________________________Inscrição
Estadual:_______________________________________




ENDEREÇO:________________________________________________________________________________




NOME
DO RESPONSÁVEL:___________________________________________________________




Outros dados:
_________________________________________________________________________





Chamar sócios à lide? _______, Se positivo, colocar nomes e
endereços em folha anexa.




&nbsp;




FATOS














Admissão:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
____/_____/_____




Demissão ou saída: ____/____/______




&nbsp;(&nbsp; ) menos de 1 ANO&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (&nbsp;
) mais de 1 ANO














Ø&nbsp; MOTIVO:




(&nbsp;&nbsp; ) Rescisão por
pedido de demissão&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(&nbsp;&nbsp; ) Rescisão por dispensa sem justa causa




(&nbsp;&nbsp; ) Rescisão por
dispensa com justa causa&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (&nbsp;&nbsp; ) Aposentadoria




(&nbsp;&nbsp; ) Rescisão de
contrato de experiência (Extinção Automática)&nbsp;&nbsp;
(&nbsp;&nbsp; ) Rescisão por dispensa
indireta




(&nbsp;&nbsp; ) Rescisão
antecipada do contrato de experiência por iniciativa do empregador.




(&nbsp;&nbsp; ) Rescisão
antecipada do contrato de experiência por iniciativa do empregado.




(&nbsp;&nbsp; ) Rescisão por
culpa recíproca.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(&nbsp;&nbsp;
)Rescisão por falecimento.









Ø&nbsp; HORÁRIO DE TRABALHO:
______________________________________________________________________________________________________________________________________________________________________




Ø&nbsp; INTERVALO: (&nbsp;&nbsp;
) Sim&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (&nbsp;&nbsp;&nbsp; )&nbsp;
Não ____________horas.&nbsp;&nbsp; CTPS
ANOTADA:&nbsp; (&nbsp;&nbsp; ) sim&nbsp;&nbsp;&nbsp;&nbsp;
(&nbsp;&nbsp; ) não 




Ø&nbsp;
Quais atribuições desempenhava na empresa? __________________________________________________________________________________




Ø&nbsp;
Havia alguém que desempenhasse as mesmas
atribuições e ganhasse salário maior? __________. Quem?
_______________________________________________________;




Ø&nbsp;
Quanto ele(a) ganhava? ___________________________________________;




Ø&nbsp;
Sabe há quanto tempo essa pessoa desempenhava
a função antes de você passar a exercê-la? ____________________. 




Ø&nbsp;
Havia diferença de produtividade entre o (a)
Sr.(a) e essa pessoa?
___________________.




Ø&nbsp;
Havia diferença de perfeição técnica entre o
Sr. (a) e essa pessoa
________________., 




Ø&nbsp;
Ela tinha alguma capitação técnica além
daquela que o Sr. (a) tem?
____________. Qual?
_______________________; 




Ø&nbsp;
Tinha alguma atribuição ou responsabilidade
inerente a esta pessoa e que o (a) Senhor (a) não exercesse? _______. Quais?
__________________________________________________;




Ø&nbsp;
Tinha intervalo para descanso e refeição? ___ Quanto
tempo? _______________; Trabalha aos
domingos? ___, em qual horário?
___________________________; Trabalhava
em dias de feriados? ____, em qual
horário? ____________________; Recebia
pagamento de horas extras? ___________________________________;




Ø&nbsp;
Havia algum tipo de controle de ponto? ______; Eram
registrados corretamente os horários de entrada e saída? ____




Ø&nbsp;
Assinou algum acordo para compensação de
jornada? ________________________________;




Ø&nbsp;
Qual o Sindicato da sua Categoria? ________________________________________________;




Ø&nbsp;
Sabe dizer se existe acordo, convenção ou
dissídio coletivo do trabalho? _________________,




Ø&nbsp;
Já sofreu algum tipo de perseguição por parte
de superior hierárquico, ou algum tipo de assédio? ______, de
que tipo: ________________________________________________________









Ø&nbsp;
Sofreu constrangimentos ou humilhações? _____ descrever ____________________________________________________________________________________________________________________________________________________________________




Ø&nbsp;
Durante a relação empregatícia desenvolveu
alguma doença profissional ou sofreu acidente do trabalho?______, de que tipo ____________________________________________________________









Ø&nbsp;
Quanto tempo ficou afastado (a) do emprego? ____________________________;









Ø&nbsp; REMUNERAÇÃO :
_________________________________________________________________




Ø&nbsp; SALDO DE SALÁRIO:
______________________________________________________________




Ø&nbsp; RECEBEU 13.º SALÁRIO: (&nbsp;&nbsp;
) SIM&nbsp;&nbsp;&nbsp;&nbsp; (&nbsp;&nbsp; ) NÃO.&nbsp;
Quais anos não foram pagos?&nbsp;
_______________&nbsp; 




Ø&nbsp; TINHA DIA DE DESCANSO ? (&nbsp;&nbsp;
) SIM&nbsp;&nbsp;&nbsp; (&nbsp;&nbsp; ) NÃO.&nbsp;
Qual dia?&nbsp;
____________________________




Ø&nbsp; GOZOU FÉRIAS? (&nbsp;&nbsp;&nbsp;
) sim&nbsp;&nbsp;&nbsp; (&nbsp;&nbsp; ) não&nbsp;&nbsp;&nbsp;
RECEBEU ÀS FÉRIAS?&nbsp; ________ Quais
não foram gozadas e recebidas?&nbsp;
______________________________________________________________________________




Ø&nbsp; LICENÇA GESTANTE: _____________________________________________________________




Ø&nbsp; AVISO PRÉVIO
___________________________________________________________________




Ø&nbsp; FOI REGISTRADO NO INSS: &nbsp;(&nbsp;&nbsp; )
SIM&nbsp; (&nbsp;
) NÃO 




Ø&nbsp; EFETUARAM OS DEPÓSITOS: &nbsp;&nbsp;(&nbsp;&nbsp;&nbsp; )
SIM&nbsp; (&nbsp;&nbsp;
) NÃO




Ø&nbsp; VALE-TRANSPORTE: ______________________________________________________________




Ø&nbsp; FGTS ____________________________________FOI
PAGA A MULTA 40% ________________









Ø&nbsp; SEGURO DESEMPREGO:




(&nbsp;&nbsp;&nbsp; ) 1.ª Solicitação&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(&nbsp;&nbsp;
)&nbsp; 2.ª Solicitação&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(&nbsp;&nbsp; )&nbsp; 3.ª
Solicitação ou mais














Ø&nbsp; SALÁRIO IN NATURA:




ALIMENTAÇÃO
______________________________________________________________________




HABITAÇÃO
_________________________________________________________________________




OUTROS&nbsp;
____________________________________________________________________________









Ø&nbsp; RECIBOS ?&nbsp;
_______________________________________________________________________



















Ø&nbsp; DEMAIS INFORMAÇÕES : Tem mais algum fato que o Senhor (a) se lembre
e que possa ser relevante para a causa? 




____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

















TERMO DE RESPONSABILIDADE














Eu, prestador (a) das informações supra,
responsabilizo-me pelas mesmas e declaro serem todas verdadeiras, assumindo o
compromisso de responder legalmente por tudo que possam originar, liberando os
profissionais do Direito, a quem presto essas informações, de qualquer
conseqüência que possa ocorrer em caso de inveracidade dos dados constantes
neste documento e assumo o compromisso de entrar em contato com o advogado
contratado para saber a data das audiências e demais informações à respeito do
Processo.





























_____________________________________________________




Assinatura do Assistido (por extenso)