If you have become disabled and have not filed, or have been denied, or are age 50 to 61, you should review the information listed below

Important information You should read. How to file for Social Security Disability What to do if you are Denied. Little known rules for Age 50 to 61. When and why should you appoint a Repesentative How to improve the chances that your claim will be awarded. Kelly Bennett ***** Disability Representative

If you are disabled and have not filed yet. you need to file as soon as possible. <= Additional Info: If you are disabled and you have been denied, you only have 60 days to appeal the decision. <= Additional Info: If you are over age 49, you may be eligible for a decision in less than half the normal time. <= Additional Info: If you have not filed yet, and would like to have your situation evaluated and receive information on possible problems and solutions you may have with a disability claim; If you have been denied, and are interested in having me represent your disability claim; If you are age 50 to 61, and would like to see if you would be eligible to receive a quick, favorable disability decision; Just fill out and submit the form below You will receive an evaluation by email within 3 to 5 working days. FREE DISABILITY EVALUATION There is absolutely no obligation in filling out this form. The submittion of this form does not in any way create a Representative-client relationship In order for your claim to be evaluated, this form must be filled out as completely and accurately as possible, especially the Disability and Work History information. This information is completely confidential and cannot be used for any purpose other than your evaluation. Because of HIPAA laws, Social Security regulations and NOSSCR restrictions, we are bound to keep all information confidential. Evaluation Information Name: Address: City, State, Zip: Age: Email Address: Phone Number: Marital Status: Single Married Highest Education Level: 6th grade or less 11 grade or less Highschool College What level of the Social Security program are you at? Not filed yet. Initial claim. Reconsideration. Hearing. Have you appointed a disability representative/advocate yet? Yes No Are you being treated by a Doctor, clinic or other medical facility?: Yes No Discribe your disability(s) as complete and accurate as possible. List the medications you are on. Are you presently working?: Full Time Part Time Not Working If not working, when was your last day of work: List the jobs and job titles of work that you have done in the last 15 years? When you have finished, hit send button below. The form may take a few seconds so please do not re-submit

Quick Links to Social Security Locate a local Social Security office near you The official Social Security Website New Rules For Getting A Social Security Number And Card Medicare Prescription Drug plan, Help With Prescription Drug Costs Send for the latest copy of your 'Earnings Report' from Social Security, if you do not have one.

I have been a member in good standing of NOSSCR since 1996. (National Organization of Social Security Claimants Representatives)