Disability Guide

We need a few pieces of information on your case.

To find out if you qualify for our help in obtaining up to $3,822/month in disability benefits, fill out the form below in its entirety and submit by 7PM MST on .*

Have you worked full-time for 5 out of the last 10 years?

Yes No

Is an attorney helping you with your case?

Yes No

Do you currently earn less than $1,000 a month?

Yes No

Are you currently seeing a doctor or taking any prescription medication?

Yes No

Are you already receiving any Social Security Disability benefits?

Yes No

Are you a Veteran?

Yes No

The fields highlighted in red are required.

Age

First Name

Last Name

Email Address

Email format is invalid

Telephone Number

Zip Code

Please describe your Illness

The fields highlighted in red are required.

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Absolutely RISK-FREE & Confidential Evaluation!

“Thank you so much for helping me! I've given your name to a few people who are also trying to get disability. You guys were wonderful.”

Rose F.
Madison, Wisconsin

Our advocates have helped thousands of people just like you through the disability approval process

Out of work due to a health issue? You may qualify for up to in Social Security Disability Benefits. Fill out our quick form to get your free evaluation today.