Long Term Disability – Top Social Security Disability Attorney

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Step 2

Does the applicant have a long term disability policy?

Step 3

Where do you need a Disability Attorney?

Step 3

Where do you need a Disability Attorney?

Step 4

What Is Applicant's Date of Birth?

Step 4

What is your relationship to the applicant? Self Family Member Other

Step 5

Applicant's Occupation

Step 5

What Is the Applicant's Date of Birth?

Step 6

Applicant's monthly salary/pay when last at work

Step 6

When did the condition first begin to affect the applicant?

Step 7

How did the applicant obtain the long term disability policy? Employer Self Other

Step 7

Has the applicant been forced to stop or reduce work hours? Yes No

Step 8

Has the applicant previously applied for long term disability? Yes, claim pending Yes, claim denied No

Step 8

Has the applicant previously applied for long term disability? Yes, claim pending Yes, claim denied No

Step 9

Has the applicant ever received long term disability benefits for this claim?

Step 9

Is the applicant currently being treated by a doctor? Yes No

Step 10

Briefly describe your case

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