Do I Qualify for Social Security Disability Benefits?

DO I QUALIFY? SS Disability Benefits Questionnaire

For a free, no obligation consultation or just to ask a question about Social Security in general, please complete the form below.

NOTE: This application is only for people seeking disability through SSDI or SSI.
This application is not for people seeking retirement benefits.

Name (First, Middle initial, Last)(required)

Preferred Contact type(required) Listed phone number e-mail

Contact information phone and/or email address(required)

Filers State of residence(required) Michigan Other explain below

Your role in this matter(required) I am the filer I am related or a friend of the filer

Filers age(required) Over 50 Under 50 but over 21 Under 21 Other please specify

Filers employment status(required) I am presently disabled and not working I am presently working and making less than $1000 a month I am presently working and making more than $1000 a month Other explain below

How long filer has been disabled?(required) Less than 6 months More than 6 months but less than 12 12 months or more

Approximately how many years has filer paid into the Social Security system?(required) 1-5 years 5-10 years More than 10 years

Status of filers Social Security case (if any)(required) I have not applied I have applied and am awaiting a decision I have applied and been denied Other explain below

What best describes filers disability?(required) Legally Blind Cancer related disease Back pain Arthritis or related disease Fatigue related disease Psychological disorder Skin disease Blood related disease or HIV Organ function or related disease Loss of hearing or sight Loss of limb (ie arm leg foot) or limb function Work related injury Other physical disability or disease explain below

Best time to contact After 5 p.m M-F Any time between 8 am and 8 pm Weekends

Payment options(required) I have limited resources to retain a competitively priced attorney I have the resources and can afford the best I do not have resources available to afford a competitively priced attorney retainer but will consider monthly payments Contingent I have no resources and would like to see if I qualify for an indigency waiver

Brief description of the disability or disease that prevents filers ability to work and best describes filers condition

A person may contact Social Security by filling out and submitting the form available on the Social Security Web site link below:

Q: How long does it take before Social Security makes a decision once I file a claim for Social Security disability benefits?
A: In most cases Social Security makes the first decision within four months.

Q: How long does it take for Social Security to make a reconsideration determination on my Social Security disability claim?
A: In most case Social Security makes the reconsideration determination within four months.

Q: How long does it take for Social Security to act upon a request for Appeals Council review?
A: About a year, maybe longer.

Thank you! You can expect to be contacted shortly.