Need Social Security Disability Benefits?

Is the applicant currently receiving Social Security Disability benefits? Yes
No

Does the applicant expect to be out of work for at least 12 months? Yes
No

Does the applicant have an attorney helping with this case? Yes
No

Has the applicant worked full time for 5 of the last 10 years? Yes
No

Is the applicant currently under the care of a doctor? Yes
No

What is the applicant's age? 0-49
50-65
65+

Submit

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