Services
Ask Us
About ASK
FAQs
Contact
See if you Qualify
Services
Ask Us
About ASK
FAQs
Contact
See if you Qualify
See if You Qualify
Step
1
of
7
14%
1. How long have you been unable to work full time?
(Required)
I’m still working
0 - 6 months
6 - 12 months
Over one year
Are you earning over $1500 monthly?
(Required)
Yes
No
Sorry, but it sounds like you are earning too much. Please contact us when you are no longer able to work full time.
Will you be out of work for at least 12 months?
(Required)
Yes
Maybe
No
In general, to be eligible for benefits you must be unable to work for a year or more because of your disability. Please contact us if your condition prevents you from returning to work for at least one year.
2. In the last 10 years, how many of those did you work?
(Required)
8-10 years
5-8 years
3-5 years
1-3 years
Less than one year
3. Have you applied for disability benefits before?
(Required)
No, I’m just starting
Yes, I’ve been denied
Yes, I’m still waiting for a decision
Were you denied in the last 60 days?
(Required)
Yes
No
What have you done so far?
(Required)
I’ve applied
I’ve appealed
Something else
What type of denial did you receive?
(Required)
Application Denial
Reconsideration Denial
A Judge Denied Me
I’m Not Sure
How long has it been since your last denial?
(Required)
Less than one year
More than one year
4. What is your current age?
(Required)
Under 49
49-54
55-61
Over 62
Are you currently collecting any of the following?
(Required)
Early Retirement
Full Retirement
SSI
I am not
5. Have you worked a job where you were allowed to sit for over 6 hours a day in the past 5 years?
(Required)
Yes
No
6. Do you visit the doctor regularly?
(Required)
I see 1-2 doctors
I see 3 or more doctors
I don’t see doctors right now
It can be difficult to prove your condition keeps you from working without medical evidence.
7. Where should we send the results of your quiz?
(Required)
First
Email
(Required)
Phone
(Required)
Please send the results of my qualification quiz by:
(Required)
Please send the results of my qualification quiz by:
Email
Text
Phone
CAPTCHA
