socialsecuritydisability.com
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https://socialsecuritydisability.com/
Submission Tags: @ecarlesi possiblethreat phishing Search All
Submission: On August 11 via api from IT — Scanned from IT
Submission Tags: @ecarlesi possiblethreat phishing Search All
Submission: On August 11 via api from IT — Scanned from IT
Form analysis
1 forms found in the DOMPOST /wp-admin/admin-post.php
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<!-- One "tab" for each step in the form: -->
<div class="tab" style="display: block;">
<p style="color:#1b465e; font-size:20px;">Do you have a disability or medical condition that prevents your from working? </p>
<div class="btn-group btn-group-justified" role="group">
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<input type="radio" id="medical_condition3" onclick="nextPrev(1)" name="Disability_That_Prevents_You_From_Working" value="Yes">
<label for="medical_condition3">Yes</label>
<input type="radio" id="medical_condition2" onclick="nextPrev(1)" name="Disability_That_Prevents_You_From_Working" value="No">
<label for="medical_condition2">No</label>
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<div class="tab">
<p style="color:#1b465e; font-size:20px;">How long do you expect to be out of work because of your disability? </p>
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<input type="radio" onclick="nextPrev(1)" id="longmedical_condition2" name="How_Long_Out_Of_Work" value="1 year or more">
<label for="longmedical_condition2">1 year or more</label>
<input type="radio" onclick="nextPrev(1)" id="longmedical_condition1" name="How_Long_Out_Of_Work" value="Less than 1 year">
<label for="longmedical_condition1">Less than 1 year</label>
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<p style="color:#1b465e; font-size:20px;">Were you recently denied disability? </p>
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<input type="radio" onclick="nextPrev(1)" id="recently_denied_disability1" name="Recently_Been_Denied_Long_Term_Disability" value="Yes">
<label for="recently_denied_disability1">Yes</label>
<input type="radio" onclick="nextPrev(1)" id="recently_denied_disability2" name="Recently_Been_Denied_Long_Term_Disability" value="No">
<label for="recently_denied_disability2">No</label>
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<p style="color:#1b465e; font-size:20px;">Are you currently receiving social security benefits? </p>
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<input type="radio" onclick="nextPrev(1)" id="receiving_social1" name="Currently_Receiving_Social_Security_Benefits" value="Yes">
<label for="receiving_social1">Yes</label>
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<label for="receiving_social2">No</label>
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<p style="color:#1b465e; font-size:20px;">Is an attorney or advocate currently helping you with your disability claim?: </p>
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<input type="radio" onclick="nextPrev(1)" id="currently_helping2" name="Currently_Represented" value="No">
<label for="currently_helping2">No</label>
<input type="radio" onclick="nextPrev(1)" id="currently_helping1" name="Currently_Represented" value="Yes">
<label for="currently_helping1">Yes</label>
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<div class="tab">
<p style="color:#1b465e; font-size:20px;">What is your date of birth?: </p>
<div class="btn-group btn-group-justified" role="group">
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<input placeholder="" type="date" oninput="this.className = ''" name="DOB" style="font-size: 20px;font-weight: 600;">
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<p style="color:#1b465e; font-size:20px;">State* </p>
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<div class="radio-toolbar">
<select onchange="nextPrev(1)" placeholder="In what state do you live?" oninput="this.className = ''" name="State" style="color: #666;padding: .75em;height: auto;border-width: 1px;border-style: solid;border-color: #eaeaea;border-radius: 2px;background: #fafafa;
box-shadow: none;box-sizing: border-box;transition: all .2s linear;font-size: 20px;font-weight: 600;">
<option value="" selected="selected">Select a state</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
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</div>
</div>
<div class="tab">
<p style="color:#1b465e; font-size:20px;">ZIP Code* </p>
<div class="btn-group btn-group-justified" role="group">
<div class="radio-toolbar">
<input type="text" id="Zip" placeholder="ZIP Code" maxlength="5" onkeyup="jumpNextzip(this,this.value)" style="font-size:20px;" oninput="this.className = ''" name="Zip">
</div>
</div>
</div>
<div class="tab">
<p style="color:#1b465e; font-size:20px;margin-bottom: 0%;margin-top: 3%;">First Name* </p>
<div class="btn-group btn-group-justified" role="group">
<div class="radio-toolbar">
<input type="text" style="font-size:20px;" placeholder="First name" oninput="this.className = ''" name="First_Name">
</div>
</div>
<p style="color:#1b465e; font-size:20px;margin-bottom: 0%;margin-top: 3%;">Last Name* </p>
<div class="btn-group btn-group-justified" role="group">
<div class="radio-toolbar">
<input type="text" style="font-size:20px;" placeholder="Last name" oninput="this.className = ''" name="Last_Name">
</div>
</div>
</div>
<div class="tab">
<p style="color:#1b465e; font-size:20px;">Primary Phone*</p>
<div class="btn-group btn-group-justified" role="group">
<div class="radio-toolbar">
<input type="text" style="font-size:20px;" maxlength="10" placeholder="Phone" oninput="this.className = ''" id="Primary_Phone" name="Primary_Phone">
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<div class="tab">
<p style="color:#1b465e; font-size:20px;">Email*</p>
<div class="btn-group btn-group-justified" role="group">
<div class="radio-toolbar">
<input style="font-size:20px;" type="text" placeholder="Email" oninput="this.className = ''" name="Email" id="Email">
</div>
</div>
</div>
<div class="tab" style="height: 277px;">
<p style="color:#1b465e; font-size:16px;">Do you have any comments or additional information about your inquiry?: </p>
<div class="btn-group btn-group-justified" role="group">
<div class="radio-toolbar">
<textarea style="font-size:16px; margin-top: -8%;" name="Notes"></textarea>
</div>
</div>
<div class="btn-group btn-group-justified" role="group">
<div class="radio-toolbar">
<span style="font-size:10px;line-height: 10px;">By clicking "Submit" you agree to be contacted by a legal representative, participating attorney, affiliate, Citizens Disability, National Disability, United States Disability, American
Disability, American Disability Helpline via phone, email or SMS (Msg & Data rates may apply) about your interest in finding an attorney. Consent is not a requirement of purchase.</span>
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Text Content
Skip to content SocialSecurityDisability.com is a privately-owned website that is not owned by or affiliated with any state government agency Call Us Today: (833) 613-0618 * Home * About Us * SSD FAQ * SSD Eligible Disabilities * Blood and Circulation Disorders * Cancer Disorders * Digestive Disorders * Endocrine Gland Disorders * Genitourinary Disorders * Heart Disorders * Immune System Disorders * Neurological Disorders * Non-Mosaic Down Syndrome Disorders * Respiratory Disorders * Skin Disorders * Special Senses and Speech Disorders * Spine Disorders * SSD Application Process * Denied Claims * Free Evaluation * Blog Menu * Home * About Us * SSD FAQ * SSD Eligible Disabilities * Blood and Circulation Disorders * Cancer Disorders * Digestive Disorders * Endocrine Gland Disorders * Genitourinary Disorders * Heart Disorders * Immune System Disorders * Neurological Disorders * Non-Mosaic Down Syndrome Disorders * Respiratory Disorders * Skin Disorders * Special Senses and Speech Disorders * Spine Disorders * SSD Application Process * Denied Claims * Free Evaluation * Blog NEW CLAIMS OR DENIED BENEFITS DO YOU HAVE A DISABILITY AND ARE UNABLE TO WORK? You may be eligible for social security benefits to help pay for your food, housing, and medical bills CHECK IF YOU QUALIFY FREE EVALUATION FORM Complete the form to be matched with a local attorney -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Do you have a disability or medical condition that prevents your from working? Yes No How long do you expect to be out of work because of your disability? 1 year or more Less than 1 year Were you recently denied disability? Yes No Are you currently receiving social security benefits? Yes No Is an attorney or advocate currently helping you with your disability claim?: No Yes What is your date of birth?: State* Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Code* First Name* Last Name* Primary Phone* Email* Do you have any comments or additional information about your inquiry?: By clicking "Submit" you agree to be contacted by a legal representative, participating attorney, affiliate, Citizens Disability, National Disability, United States Disability, American Disability, American Disability Helpline via phone, email or SMS (Msg & Data rates may apply) about your interest in finding an attorney. Consent is not a requirement of purchase. Previous Next DO I QUALIFY FOR SSDI BENEFITS? Social Security Disability Income benefits are designed to pay those who are disabled and unable to work for at least a year. To qualify for Social Security Disability Income (SSDI), the jobs you have worked need to have paid into the Social Security fund and the Federal Insurance Contributions Act (FICA) tax. SHOULD I APPLY FOR SSDI OR SSI? You’ve been injured or have a disability that will prevent you from working. You know you might qualify for social security benefits but don’t know which to apply for Social Security Disability Income (SSDI) or Supplemental Security Income (SSI). Which one do you apply for? Here is some information on both types of Social Security benefits. THE SSDI APPLICATION PROCESS If you are considering applying for Social Security Disability, the application process may seem daunting. You will be required to provide much information about the particulars of your case, as well as fill out all of the required forms and paperwork. Below, we will walk you through the initial steps of your SSD application. IF YOU ARE BETWEEN THE AGES OF 30 AND 64 YEARS AND SUFFER FROM A DISABILITY THAT PREVENTS YOU FROM WORKING, YOU MAY BE ELIGIBLE FOR SOCIAL SECURITY DISABILITY BENEFITS CHECK IF YOU QUALIFY SSDI ELIGIBLE DISABILITES CANCER While many different types of cancer will qualify to receive benefits, your approval process for benefits will depend on the type, stage SPINE DISORDERS Every day you participate in activities that can put a tremendous amount of strain on your spine. Things from sitting for extended periods HEART DISORDERS If you have recently been diagnosed with a severe heart condition and are unable to work, you may qualify to receive Social Security Disability (SSD) DIGESTIVE DISORDERS Do you suffer from a digestive system condition that is so severe it has left you unable to work? If so, you may qualify to receive social VIEW ALL DISABILITIES FREQUENTLY ASKED QUESTIONS What is Social Security Disability? Social Security Disability is a government program that aims to help support people financially when they’ve been injured and can not work or adapt to a new line of work. It also helps to protect people who are chronically disabled and never had the opportunity to work. Read More How do you qualify for Social Security Disability Social Security Disability Income benefits are designed to pay those who are disabled and unable to work for at least a year. To qualify for Social Security Disability Income (SSDI), the jobs you have worked need to have paid into the Social Security fund and the Federal Insurance Contributions Act (FICA) tax. Read More Does Cancer Qualify to receive Social Security Benefits? While many different types of cancer will qualify to receive benefits, your approval process for benefits will depend on the type, stage, location and how well your cancer is responding to, or expected to, respond to treatment. Read More Should I Apply for SSDI or SSI? You’ve been injured or have a disability that will prevent you from working. You know you might qualify for social security benefits but don’t know which to apply for: Social Security Disability Income (SSDI) or Supplemental Security Income (SSI). Which one do you apply for? Read More What are Compassionate Allowances (CAL)? Compassionate Allowances is a term given by the Social Security Administration (SSA) to identify diseases and other medical conditions that are already identified to meet the standards and requirements to receive Social Security Disability benefits. These conditions are considered to be the most serious disabilities and are treated with more urgency than other disabilities. Read More View All FAQs FEATURED DISABILITY INFORMATION Read All THE TOP 5 MUST-KNOW TERMS IN SOCIAL SECURITY DISABILITY Read More WILL SOCIAL SECURITY GO BANKRUPT? Read More OVERPAYMENT IN SOCIAL SECURITY DISABILITY: A GROWING DILEMMA Read More AM I ELIGIBLE? FREE NO OBLIGATION EVALUATION start now SocialSecurityDisability.com is an ADVERTISEMENT. The Social Security disability information on this site is not, nor is it intended to be, legal advice, and should be used for informational purposes only. The use of this website or the use of our contact and evaluation forms does not create an attorney-client relationship. You should consult an attorney or advocate for advice regarding your individual situation. Social Security Disability is neither affiliated with nor endorsed by the Social Security Administration or any other government entity or agency. Your access to and use of this site is subject to additional Terms of Service. Copyright © 2024 SocialSecurityDisability.com Privacy Policy | Do Not Sell My Personal Information | Contact Us