Free Case Review

Disability Advocate business and training program.

Free Case Review

Determine Your Chances of Winning!

A case review is a convenient way of determining your chance of receiving Social Security disability benefits. This service is free of charge and there is no obligation. You have two options for acquiring a free case review. You may call us directly at 303-281-9031. Please leave your name and number and a representative will return your call within 48 hours.

You may also use our assessment form below. Please complete the case profile form below and submit. If the information you provide is valid, we'll add your name to our free case review list. Please note that all required fields are marked with a red * star. Failure to provide this information will automatically void your submission. Once you have been added to our referral list, your case will be reviewed by one of our disability advocates who will determine if your case is viable. If your case is found to have merit, you'll be contacted for a phone interviewed. Be prepared to provide additional information about your disorder. We provide our assessment service at no charge.

Submit Only Once:

Please do not submit your profile more than once. Submitting your profile more than once in a one year period, will decrease your chances of having your case reviewed. Our database automatically removes duplicate profiles, so adding your information twice will delete your submission. The more information you provide, the better your chances of having your case reviewed.

Please complete the profile form and submit

Case Review Profile Form

First Name:*
Last Name:*
Address:*
City:*	State: *
Zip:*
Phone:*
E-mail:*
Gender:*	Male: Female: * Age:
Highest level of education:*
Approx date disability began: *
List your impairments:	*1 2
Were you incarcerated while suffering from your condition?*	Yes No
Briefly describe how your impairments restrict your ability to perform work?
Do you have any mental limitations?
List current medications:
Do you use a prosthesis?	Yes No
Problems walking?	Yes No
Hand use limitations?	Yes No
Problems sitting?	Yes No
Previously applied for benefits?	Yes No
Date of previous decision?
Do you have a representative?	Yes No
Last job title: *
Are your currently working? *	Yes No
Briefly describe the physical requirements of your past work: *
Date employment ended?
Average annual income:	Example: $35,000 per year.
Briefly describe your daily activities:
Best time to contact you: