SSD Application Status
What is your relationship to the applicant?
Has the applicant previously applied for social security disability?
Has the applicant been forced to stop or reduce work hours?
When did the condition first begin to affect the applicant?
-- Select --
Less than 1 year ago
1 ~ 3 years ago
3 ~ 5 years ago
Over 5 years ago
Is the applicant currently being treated by a doctor?
Briefly describe your case
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