Get a Free Case Review

We offer free disability evaluations to determine if you may qualify for Social Security Disability benefits. If you’ve already been denied, don’t wait—fill out the form below and we’ll contact you to discuss your options.

📌 Purpose:

To give you a professional, obligation-free legal opinion about your eligibility and the strength of your claim. All information is kept 100% confidential.

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Name *

First

Last

Email *

What City and State do you live in? *

Phone Number *

What is your age? *

Are you currently working? *

While it is possible to be working part time, generally it will make your case harder to win.

Have you applied for Social Security Benefits

If you have not applied go to your local Social Security office or to their website http://www.ssa.gov to apply. (Note apply for both Retirement Survivor Disability Insurance (RSDI) and Supplemental Security Income (SSI). BOTH ARE DISABILITY!

Have you been denied for benefits within the last 60 days?

Note: You generally have only 60 days to file your appeal.

What is the date of your last denial from Social Security? *

Do you currently have an attorney or representitive working on your case

Do you recieve medical treatment?

What physical and/or mental impairments are keeping you from working? *

Include all physical and/or mental impairments that cause symptoms and limitations that prevent you from working.

Describe your work in the last 15 years & the last grade you completed in school, college, and/or vocational training,

Describe why you stopped working as it relates to your impariments.

Get a Free Case Review

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