Social Security Disability - Form 2

Hey! I'm Emma, I'm going to check your eligibility for Social Security Disability.
Are you currently receiving Social Security benefits?

Safe & Secure Form

Disability levels can vary by age.
What is your age?

Please choose your age

Next1

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Seeing a doctor for your condition is important.
Have you seen a doctor or plan on seeing
a doctor for your disability?

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Does your disability prevent you from
working full-time for at least 12 months?

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Have you worked
for 5 out of the last 10 years?

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Is a lawyer currently handling your case?

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What is your name?

Please fill - First name

Please fill - Last name

dsfsd

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Where do you live? I ask because In some states eligibility for disability is easier than others

city

state

dnaname

dnacode

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Alright , you’re all set!
Now, let me run your eligibility analysis

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Check Your Eligibility

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, I am analyzing your eligibility for Social Security Disability Benefits

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Age

Receiving benefits

Seen a doctor

Unable to work full time 12 months

Worked 5/10 years

Hired attorney

City / State

Hey! I'm Emma, I'm going to check your eligibility for Social Security Disability. Are you currently receiving Social Security benefits?

Disability levels can vary by age. What is your age?

Seeing a doctor for your condition is important. Have you seen a doctor or plan on seeing a doctor for your disability?

Does your disability prevent you from working full-time for at least 12 months?

Have you workedfor 5 out of the last 10 years?

Is a lawyer currently handling your case?

What is your name?

Where do you live? I ask because In some states eligibility for disability is easier than others

Alright , you’re all set! Now, let me run your eligibility analysis

, I am analyzing your eligibility for Social Security Disability Benefits

Hey! I'm Emma, I'm going to check your eligibility for Social Security Disability.
Are you currently receiving Social Security benefits?

Disability levels can vary by age.
What is your age?

Seeing a doctor for your condition is important.
Have you seen a doctor or plan on seeing
a doctor for your disability?

Does your disability prevent you from
working full-time for at least 12 months?

Have you worked
for 5 out of the last 10 years?

Alright , you’re all set!
Now, let me run your eligibility analysis