Form to appoint an attorney or representative:
Appointment of Representative Form: Download Here!
Forms to file an Initial Application for SSDI or SSI benefits:
Application for Social Security Disability Insurance Benefits (Initial Application for SSDI): Download Here!
Application for Supplemental Security Income Benefits (Initial Application for SSI): Download Here!
Adult Disability Report (Disability Report for SSDI and SSI): Download Here!
Authorization to Disclose Information To The Social Security Administration (Medical Release Form/HIPPA Release): Download Here!
Forms to file an appeal of a denial of your SSDI or SSI claim:
Request for Hearing: Download Here!
Request for Reconsideration: Download Here!
Disability Report-Appeal Form (Reconsideration Appeal and Hearing Appeal Form): Download Here!
Additional forms often requested by SSA to process your claim:
Application for Child’s Insurance Benefits: Download Here!
Child’s Disability Report: Download Here!
Claimant’s Medications: Download Here!
Claimant’s Recent Medical Treatment: Download Here!
Claimant’s Work Background: Download Here!
Function Report: Download Here!
Request for Social Security Earnings Information: Download Here!
Work Activity Report: Download Here!
Workers’ Compensation/Public Disability Benefit Questionnaire: Download Here!
Work History Report: Download Here!
Resources:
Why Work with Us
We Have the Ability to Simplify a Complicated Process and Make Applying for Benefits Easier
- No travel to our office is necessary
- We can offer guidance on how to get the appropriate documentation
- No money upfront – we don’t receive a legal fee unless you win
- We build as strong a case as possible for a favorable outcome
- You will have a dedicated case manager to coordinate all aspects of your case
