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Free Attorney Disability

Evaluation Form

*Fully Completed Forms Are Reviewed First

Check your Working Status
IF A OR B is answerd above, when did you last work near Full Time?
Have you previously filed a claim with the SSA?
If YES, my SS application status is as follows:
Have you eve been in a Hearing with an Administrative Law Judge?
Do you have a Primary Care Doctor see in the last 12 months?
Do you see One or More Specialsts in last 12 monts?

Thank you for submitting!  To Learn MUCH about how to make  your claim the  best it can be, please  watch our TIPS by short video shares, here!

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