Social Security Disability Advocates
Free Disability Case Evaluation
social security disability
Skip Navigation Links

Social Security Disability Eligibility

This website provides a Free disability case evaluation service. This online help form is for anyone interested in finding out if they are eligible for Social Security Disability or Supplemental Security Income benefits.

Based upon your age, work history, and medical conditions, you may be eligible for either:

  • Social Security Disability Insurance (SSDI), or
  • Supplemental Security Income (SSI)
social security disability Note: You can get your case evaluated for free by an experienced Social Security Disability advocate or attorney.

Our Nationwide Disability Advocacy Group is not connected to, or affiliated with, the Social Security Administration.

The form below allows you to request a Free disability benefits evaluation. Complete the form below and a disability attorney will review your case and call you to let you know if you may be eligible for benefits.

Free Evaluation
Applicant's Information
First Name MI Last Name
* Name:
Street Address:
* City:  
* State:
  * Zip Code:  
* Phone:
() - -
* Confirm Phone Number:
() - -
* Email Address:
   
* Date of birth:
       
* Does applicant expect to be out of work for at least 12 months?
 
* Does applicant already receive Social Security benefits?
 
* Is an attorney helping applicant with this case?
 
* Is applicant a Veteran?
 
* Is applicant currently under the care of a doctor?
 
* How many years has applicant worked in the last 10 years?
 
* What is the medical condition that prevents applicant from working?
 
By clicking “Submit”, I hereby consent to receive autodialed and / or pre-recorded phone calls and / or SMS Messages (for which standard rates may apply), from an attorney at the telephone number(s) provided above, even if that phone number is a wireless number and even if you have previously registered that phone number on a “do not call” list. I understand that consent is not a condition of purchase.

Privacy and Security Notice: Your personal information is strictly confidential and secure.

Upon submitting this form, you will receive an email and/or a phone call shortly during regular business hours. A disability attorney will give you a free evaluation of your disability claim.

Link To Us
Site Map
Social Security Disability Office Locations | How To Apply for Social Security Disability
Disclaimer | Privacy Policy | Contact Us | About Us | social security disability
Do Not Sell My Information
This website provides a free disability consultation by an experienced disability attorney. This website is not affiliated in any way with the Social Security Administration. If you wish to find or get help at the social security administration website, please click here. This website is attorney advertising. This is not a lawyer referral service. Advertising is paid for by participating attorneys. This website does not endorse or recommend any lawyer, or law firm who participates in the network. It does not make any representation and has not made any judgment as to the qualifications, expertise or credentials of any participating lawyer. No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers.
Copyright © 2023 DisabilityApplicationHelp.org, All rights reserved.