Please complete the case profile form below and submit. Doing so will add your name to our case review system. If the information you provide appears valid, we'll then add your name to our advocate referral 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 will be contacted for a phone interviewed. Be prepared to provide additional information about your disorder. This advocate contact and interview is free of charge.
Submit 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. Please note that your profile may remain in our database for a period of up to one year or until it is chosen by an advocate for review. The more information you provide, the better your chances of having your case reviewed. Please be patient!