Are You Currently Receiving Social Security Benefits?

Do you have an attorney handling your case?

For most approvals, SSA requires that you are unable to work. Are you currently working?

What is your age?

Please enter your age

Which of the following describes your condition(s)?

Select all that apply

Have you worked 5 of the last 10 years?

Have you visited a doctor in the last year?

What is your zip code?

PLEASE ENTER A VALID 5-DIGIT ZIP CODE

PLEASE ENTER YOUR FIRST NAME

PLEASE ENTER YOUR LAST NAME

PLEASE ENTER A VALID EMAIL ADDRESS

PLEASE ENTER A VALID PHONE NUMBER

By clicking “Do I Qualify”, I provide my express written consent via electronic signature authorizing Benefits Justice, AppAid, and one or more law firms, their agents and marketing partners to contact me about my case and other related legal products and services to the number and email address I provided (including any wireless number). I further expressly consent to receive telemarketing emails, calls, text messages, pre-recorded messages, and artificial voice messages via an autodialed phone system, even if my telephone number is a mobile number that is currently listed on any state, federal or corporate “Do Not Call” list. I understand that my consent is not a condition of purchase of any goods or services and that standard message and data rates may apply. By Clicking “Do I Qualify” I also confirm I have read and agreed to this website's Terms of Service and Privacy Policy, which includes a mandatory arbitration provision. For California residents see here.

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Please look out for a call from one of our representatives. They will have important information about your qualification for benefits.