33%

Which of the following disability benefits are you currently receiving?

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50%

How many hours per week are you currently working?

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66%

In the past 10 years, how many years have you been employed?

This is not a government website. Completing this form is a private screening, not an official SSA eligibility check.
75%

Are you currently seeing a doctor or taking prescribed medication for a disability?

Yes
No
This is not a government website. Completing this form is a private screening, not an official SSA eligibility check.
75%

Do you expect to be out of work for at least a year due to a disability?

Yes
No
This is not a government website. Completing this form is a private screening, not an official SSA eligibility check.
75%

Do you have a pending application for Social Security Disability (SSD) benefits?

Yes
No
This is not a government website. Completing this form is a private screening, not an official SSA eligibility check.
75%

Is a lawyer currently representing you for a disability claim?

Yes
No
This is not a government website. Completing this form is a private screening, not an official SSA eligibility check.
75%

Please select the option below that represents your age range

This is not a government website. Completing this form is a private screening, not an official SSA eligibility check.
85%

Please enter your email address.

This is not a government website. Completing this form is a private screening, not an official SSA eligibility check.
95%
Enter your name and start SSD benefits claim process
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This is not a government website. Completing this form is a private screening, not an official SSA eligibility check.

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90%
Based on your answers, we believe you may have a claim!
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