www.claimssdi.com
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Submitted URL: https://claimssdi.com/
Effective URL: https://www.claimssdi.com/
Submission: On December 19 via api from BE — Scanned from NZ
Effective URL: https://www.claimssdi.com/
Submission: On December 19 via api from BE — Scanned from NZ
Form analysis 1 forms found in the DOM
<form id="userInfoForm">
<input id="leadid_token" name="universal_leadid" type="hidden" value="7A493CE3-52B4-B58F-8345-11948A83B699">
<div class="initial-questions">
<div class="form-group" id="question1">
<label>Are you currently receiving any Social Security benefits?<span class="required"></span></label>
<div class="yes-no-buttons">
<button type="button" class="yes-no-button yes-button" data-value="no">No</button>
<button type="button" class="yes-no-button no-button" data-value="yes">Yes</button>
</div>
</div>
<div class="form-group" id="question2" style="display: none;">
<label>Do you expect to be out of work for at least a year?<span class="required"></span></label>
<div class="yes-no-buttons">
<button type="button" class="yes-no-button yes-button" data-value="yes">Yes</button>
<button type="button" class="yes-no-button no-button" data-value="no">No</button>
</div>
</div>
<div class="form-group" id="question3" style="display: none;">
<label>Have you worked for 5 of the last 10 years?<span class="required"></span></label>
<div class="yes-no-buttons">
<button type="button" class="yes-no-button yes-button" data-value="yes">Yes</button>
<button type="button" class="yes-no-button no-button" data-value="no">No</button>
</div>
</div>
<div class="form-group" id="question4" style="display: none;">
<label>Are you being treated by a Medical Professional?<span class="required"></span></label>
<div class="yes-no-buttons">
<button type="button" class="yes-no-button yes-button" data-value="yes">Yes</button>
<button type="button" class="yes-no-button no-button" data-value="no">No</button>
</div>
</div>
<div class="form-group" id="question5" style="display: none;">
<label>Is an attorney helping you with your case?<span class="required"></span></label>
<div class="yes-no-buttons">
<button type="button" class="yes-no-button yes-button" data-value="no">No</button>
<button type="button" class="yes-no-button no-button" data-value="yes">Yes</button>
</div>
</div>
</div>
<div id="finalForm" class="final-form" style="display: none;">
<div class="form-group">
<h2 class="final-form-headline">You Are Qualified For $3,822/Month! Fill In Your Details To Claim</h2>
<label for="firstName">First Name<span class="required">*</span></label>
<input type="text" id="firstName" name="firstName" placeholder="Enter your first name" required="">
</div>
<div class="form-group">
<label for="lastName">Last Name<span class="required">*</span></label>
<input type="text" id="lastName" name="lastName" placeholder="Enter your last name" required="">
</div>
<div class="form-group">
<label for="email">Email Address<span class="required">*</span></label>
<input type="email" id="email" name="email" placeholder="Enter your email address" required="">
</div>
<div class="form-group">
<label for="phone">Phone Number<span class="required">*</span></label>
<input type="tel" id="phone" name="phone" placeholder="(555) 555-5555" pattern="\(\d{3}\)\s\d{3}-\d{4}" required="">
</div>
<input type="hidden" id="city" name="city">
<input type="hidden" id="state" name="state">
<button type="submit" class="submit-button">Submit</button>
<p class="disclaimer">By submitting this form you agree to be contacted by our company and our <a href="/partners" style="color: #616161; text-decoration: underline;">marketing partners</a> regarding your case via phone, email, or SMS. Message
and data rates may apply. You may opt-out at any time.</p>
</div>
</form>Text Content
Final Notice: Closing Soon CLAIM $3,822/MONTH WITH A 30 SECOND QUIZ Are you currently receiving any Social Security benefits? No Yes Do you expect to be out of work for at least a year? Yes No Have you worked for 5 of the last 10 years? Yes No Are you being treated by a Medical Professional? Yes No Is an attorney helping you with your case? No Yes YOU ARE QUALIFIED FOR $3,822/MONTH! FILL IN YOUR DETAILS TO CLAIM First Name* Last Name* Email Address* Phone Number* Submit By submitting this form you agree to be contacted by our company and our marketing partners regarding your case via phone, email, or SMS. Message and data rates may apply. You may opt-out at any time. Americans unable to work due to health issues can now qualify for up to $3,822 per month in benefits! A FREE government program now allows you to apply for these life-changing monthly benefits from the comfort of your own home. Millions of Americans are missing out on these crucial benefits simply because they don't know they qualify or haven't applied. Don't leave money on the table that could transform your life. Our team of experts is ready to guide you through the application process and maximize your chances of approval. Time is of the essence! The sooner you apply, the sooner you could start receiving your benefits. Don't wait another day to secure the financial support you deserve. CHECK ELIGIBILITY! *Assumes the maximum monthly benefit of $3,822 for 2024 found by clicking here. PAID ATTORNEY/ADVOCATE ADVERTISEMENTS. Participating attorneys and advocates pay to advertise on this site. This site is not an attorney referral service or prepaid legal services plan. Where you provide any information to us, such information shall be passed on to advocates or attorneys whom may have additional qualification requirements. Potential benefits are only examples. claimssdi.com is not a law firm. The information contained herein is not legal or financial advice. We are not affiliated with or endorsed by the federal government or the SSA. By using our website or requesting a free evaluation you agree to be bound by our terms and conditions. Terms and Conditions Do Not Contact Privacy Policy Marketing Partners Powered by Loop Marketers