Social Security Disability Help

By filling out the form on the right of this page, you are not filing for SSDI/SSI benefits. You are submitting your information for a free attorney/advocate evaluation in regards to your potential SSDI/SSI claim.

Filing for Social Security Disability Benefits is a very tedious process. With the recent influx of claimants over the past few years, the SSA is denying more than 60% of individuals on their initial application, whether or not the benefits are actually deserved. Due to this extremely high denial rate, it’s more important now than ever before, to hire an experienced advocate or attorney to help guide you through the procedure.

Many people find that once they’ve been denied their benefits, that there is no hope for their claim. That is not true. If you have been recently denied your benefits, you have 65 days* to appeal your claim. If it has been longer than that time frame since your denial, you must resubmit an initial application. There is no need to let a setback prevent you from filing for benefits that are rightfully yours. An experienced SSD/SSI attorney or advocate can help you through the process ensuring a smooth experience.

Disability Denial Claim


Please Fill Out the
Evaluation Form Below:

First Name (required)

Middle Initial

Last Name (required)




Zip Code

Home Phone (required)

Alt Phone (optional)

E-mail Address

Date of Birth


Under the care of a doctor?
 Yes No

Do you already receive Social Security benefits?
 Yes No

Do you already have an attorney?
 Yes No

Are you currently receiving medical treatment?
Yes No 

Applicant out of work for 12 months?
 Yes No

How many years worked in last 10 years?

Medical condition - Please Describe in Detail

Would you like to be contacted by an attorney for further evaluation concerning your potential compensation?
 Yes No


Disability Claim Helpline may have to contact you occasionally to help you with your claim. By pressing the submit button above, you give Disability Claim Helpline your consent to use automated technology to call you at the phone number(s) listed above, including your wireless number if provided. Please note that you are not required to provide this consent to utilize our services.

Back to Top