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 submitting your request, you grant permission for DisabilityOnlineCheck or their third-party partners to contact you by phone, text messaging and/or email using the phone number or email address that you provided so we may assist you with your request for a free case evaluation and that these partners may use an automatic telephone dialing system even if the number provided is a wireless line. Being contacted is not a condition of purchase or acceptance of services of any kind.

Successful checkmark icon

Thank You

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