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Apply for Social Security Disability in Virginia

SSA, Office of Disability Adjudication and Review
2nd Floor,
1470 Pantops Mountain Place
Charlottesville, Virginia 22911

Telephone: (866) 613-2969	Fax: (434) 295-4515
eFile Fax: (877) 390-2321 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
MARYLAND:
	Cambridge, Cumberland
VIRGINIA:
	Charlottesville, Culpeper, Danville, Farmville, Harrisonburg, Lynchburg, Martinsville, South Boston, Staunton
WEST VIRGINIA:
	Petersburg

SSA, Office of Disability Adjudication and Review
5850 Lake Herbert Drive, 3rd Floor
Norfolk, Virginia 23502

Telephone: (866) 931-9167	Fax: (757) 459-6733
eFile Fax: (877) 871-1879 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
PENNSYLVANIA:
	Lewistown, Towanda
VIRGINIA:
	Hampton, Newport News, Norfolk, Portsmouth, Suffolk, Virginia Beach

SSA, Office of Disability Adjudication and Review
801 East Main Street
4th Floor
Richmond, Virginia 23219-2406

Telephone: (877) 405-3665	Fax: (804) 771-2405
eFile Fax: (877) 871-1880 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
MARYLAND:
	Hagerstown
VIRGINIA:
	Chesterfield, Fredericksburg, Petersburg, Richmond Downtown, Richmond West, Richmond East, Winchester
WEST VIRGINIA:
	Martinsburg

SSA, Office of Disability Adjudication and Review
Second Floor, Suite 200
612 South Jefferson Street
Roanoke, Virginia 24011

Telephone: (866) 592-3548	Fax: (540) 857-2635
eFile Fax: (877) 871-1881 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
VIRGINIA:
	Bristol, Covington, Roanoke, Wise, Wytheville
WEST VIRGINIA:
	Bluefield, Welch

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:

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* Confirm Phone Number:

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* 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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