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Start Your Journey

Do you Qualify for Social Security Benefits?

Navigating the disability process can be overwhelming. We've simplified the first step: a quick intake quiz designed to help you understand if you meet the initial criteria for SSD or SSI. 

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You Do NOT Pay Unless We Win.

Intake Form

Date of Birth
Month
Day
Year
Type of Benefits You Are Seeking
Current Case Status
Are You Currently Working?
No, I am not working
Yes, part-time
Yes, full-time
When was the last time you worked?
Less than 1 month ago
1-5 months ago
More than 6 months ago
More than 5 years ago
I have never worked
When was the last time you held the same job for more than 12 months?
0-2 years ago
2-3 years ago
3-4 years ago
More than 5 years ago
I have never worked
In the last 5 years, what type of work did you perform?
Mainly physical work
Mainly sit down/sedentary work
A combination of physical and sit down/sedentary work
I have not worked in the last 5 years
What makes working difficult?
Mostly my mental health
Mostly my physical health
A mix of physical and mental health
In the last 6 months, have you… (Select all that apply.)
Do you receive FAP/Food Stamps/SNAP/Bridge Card?
Yes
No
Do you currently have an attorney helping with your disability claim?
Yes
No

Answering these questions helps our Attorneys quickly evaluate your eligibility.

What Happens Next

After reviewing your form, an attorney will call you within 24 business hours for a free case evaluation. 

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