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Apply for Social Security Disability in South Dakota

SSA, Office of Disability Adjudication and Review
4020 Jackson Boulevard, Suite 2
Rapid City, South Dakota 57702

Telephone: (877) 813-9124	Fax: (605) 355-0258
eFile Fax: 877-389-4226 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
SOUTH DAKOTA:
	Eagle Butte, Martin, Rapid City
NEBRASKA:
	Scottsbluff

SSA, Office of Disability Adjudication and Review
1720 South Southeastern Avenue, Suite 200
Sioux Falls, South Dakota 57103

Telephone: 877-378-9080	Fax: 605-330-4496
eFile Fax: 877-389-4225 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
SOUTH DAKOTA:
	Aberdeen, Huron, Sisseton, Sioux Falls

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

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?

YesNo

* Does applicant already receive Social Security benefits?

YesNo

* Is an attorney helping applicant with this case?

YesNo

* Is applicant a Veteran?

YesNo

* Is applicant currently under the care of a doctor?

YesNo

* How many years has applicant worked in the last 10 years?

* What is the medical condition that prevents applicant from working?

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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.

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