Social Security Disability Evaluation Form

Be sure to fill out Step 1 & 2 form fields below and click send. All fields marked with an asterisk* are required. Thank you!

Step 1: Case Information

Is applicant currently receiving Social Security Benefits?* YesNo
Does applicant expect to be out of work for at least 12 months?* YesNo
Does applicant have an attorney helping them with this case?* YesNo
Is applicant receiving treatment from a doctor? * YesNo
What is the applicant’s disability?

Step 2: Contact Information

Full Name*
Phone*
Email*
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Get Social Security Disability HELP!

Welcome to our law firm’s website. Our team is committed to helping disabled people receive approval for disability benefits. Our law firm limits our cases to only Social Security claims, including Disability Insurance Benefits, Supplemental Security Income and Disabled Widow’s claims. Applying for Social Security Disability benefits can be a difficult process. Having the assistance of an experienced disability attorney increases the odds that you will be granted benefits. Our experienced team helps our clients by assisting with accurately completing the sometimes complex paperwork that is involved. Our team helps our clients in not missing important deadlines. Your case may, and most likely will, involve a face-to-face meeting with the judge who is assigned to decide your case. We will be with you at the hearing on your case, providing you with representation.

After submitting our web form, you will receive a 100% FREE evaluation of your disability claim.
It is becoming increasingly difficult for disabled individuals to receive a favorable decision on their disability claim. Denial rates for the initial application stage have climbed to well over 60% in recent years. Many people find themselves unsure of their options and unprepared to further pursue a claim for the benefits, even though they are genuinely disabled. Our experienced legal team wants to help.

To get a free, no obligation consultation about your claim, please fill out the free disability evaluation form above. You will be contacted by a member of our team, who can provide you with advice about the disability benefits program.