Complete the quick disability evaluation below.
Complete the form to instantly find out if you're eligible for benefits.
Is applicant currently receiving Social Security Disability benefits?
To qualify for disability, you cannot currently be receiving any disability benefits.
Does applicant expect to be out of work for at least 12 months?
To qualify for SSDI, you must be unable to work for at least 1 year.
Does applicant have an attorney helping with this case?
What is the applicant's age?
Has applicant worked full time for 5 of the last 10 years?
You must have worked for at least 5 of the last 10 years to qualify.
Is applicant currently under the care of a doctor?
If you have or will have a medical diagnosis from a doctor then click 'Yes'.
You’re Almost Finished with the Evaluation!
To get your disability results, complete the below info. This will help us determine your eligibility status and provide you with immediate results.
By submitting quiz and by opting in to the offer above, I consent to receive phone sales calls and text messages (SMS) – message and data rates may apply – from Citizens Disability, National Disability, United States Disability, American Disability, American Disability Helpline on the landline or mobile number I provided even if I’m on a Federal or State do not call registry. I understand these calls may be generated using an auto dialer and may contain pre-recorded messages and that consenting is not required to utilize our services.