Social Security Inquiry

Social Security Inquiry

First Name
Last Name
DOB
Age
Phone
Cell Phone
Email
Relationship Status
Address
City
State
Zip
Do you have a pending claim with Social Security?
Have you been denied Social Security benefits?
Are you currently being treated by a doctor?
If yes, please list (optional)
Are any of the above doctors supportive of your disability?
Are you currently working?
When was the last time you worked?
When was the last time you filed taxes?
What is the highest grade level you completed?
When is the best time to contact you?
Why are you filing for disability? Please Briefly Describe:?

A Tradition of Legal Excellence

Our team of professionals seek justice one client at a time, because every client is a cause we believe in. We keep things simple, by consistently showing our dedication not only to the law, but to our clients. Passionate about honoring the law and respecting every client, our firm strives to make the legal changes that are needed to improve the lives of people throughout our community.