My Free Social Security Disability Review begins with the evaluation of your claim without obligation. The Free Social Security Disability Review is now only available to residents of Louisiana. Bold labels are required information.

    Personal Information

    Name

    Age

    Date of birth

    Highest grade in school completed?

    Street Address

    City

    ZIP

    Email Address

    Phone

    Contact Preference

    Best time to call
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    General Preferences

    Do you have a current application for Social Security disability or SSI benefits?
    YesNo

    Has your application been denied?
    YesNo

    Have you filed an appeal?
    YesNo

    Are you waiting for a hearing date?
    YesNo

    Are you currently represented?
    YesNo

    What physical and/or mental condition(s) prevent you from working?

    Are you currently receiving treatment?
    YesNo

    Details

    When did you last work full time?

    What kind of work have you mostly done in the past?

    Are you receiving Workers Compensation benefits?
    YesNo

    Internet communication with this form does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

    I have read the disclaimer.

    Privacy Policy - Disclaimer and acknowledgement

    The information you send us will be reviewed.

    After you request My Free Social Security Review we contact you by telephone. We will call you only during ordinary work hours. At that time we will arrange for a personal discussion at either of our offices.

    All meetings will be by appointment only. At our discretion, the results of the review may be presented by phone without a personal meeting. There is no cost to you for the review.
    The materials and information on this website is for informational purposes only. It is not legal advice. Any use of this website does not form or constitute an attorney-client relationship. You should not act upon the information provided without seeking professional legal counsel.


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