DISABILITY LAWYER EVALUATION Check out what my clients are saying about me as a disability lawyer! (Click Here) Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *What City and State do you live in? *Phone Number *What is your age? *Are you currently working? *NoYesWhile it is possible to be working part time, generally it will make your case harder to win.Have you applied for Social Security BenefitsYesNoIf 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?YesNoNote: 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 caseNoYesDo you recieve medical treatment?YesNoWhat 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.Submit for an Evaluation of your claim! Share this:TwitterFacebookLike this:Like Loading...
