Social Security Disability Advocates
Free Disability Case Evaluation
social security disability

Contact Us

To contact us in regards to the content on this website, problems with the website, etc., please use this mailing address:

Global Leads Solutions, Inc.
3896 Dewey Ave. #107
Rochester, NY 14616

Contact Us By Email

You may contact us by email at postmaster@disabilityapplicationhelp.org

Free Disability Case Evaluation

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
free case evaluation Applicant's Information
* Zip Code:
* 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?


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

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