Do You Qualify for Benefits | Benefits Justice

Are You Currently Receiving Social Security Benefits?

Do you have someone currently handling your case?

For most approvals, SSA requires that you are unable to work. Are you currently working?

What is your age?

Please enter your age

Which of the following describes your condition(s)?

Select all that apply

Have you worked 5 of the last 10 years?

Have you visited a doctor in the last year?

What is your zip code?

PLEASE ENTER A VALID 5-DIGIT ZIP CODE

First Name

PLEASE ENTER YOUR FIRST NAME

Last Name

PLEASE ENTER YOUR LAST NAME

PLEASE ENTER A VALID EMAIL ADDRESS

Phone

PLEASE ENTER A VALID PHONE NUMBER

By submitting your request, you grant permission for Benefits Justice or their marketing partners to contact you by phone, text messaging and/or email using the phone number or email address that you provided so we may assist you with your request for a free case evaluation and that these partners may use an automatic telephone dialing system even if the number provided is a wireless line or is currently listed on any state, federal, or corporate “Do Not Call” list. Being contacted is not a condition of purchase or acceptance of services of any kind.

Thank You

Please look out for a call from one of our representatives. They will have important information about your qualification for benefits.