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Social Security Disability Arkansas

SSA, Office of Disability Adjudication and Review
Central Mall, Suite 475
5111 Rogers Avenue
Fort Smith, Arkansas 72903-2034

Telephone: (877) 348-7549	Fax: (479) 452-5415
eFile Fax: (877) 559-1921 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
ARKANSAS:
	Fayetteville, Fort Smith, Harrison, Russellville

SSA, Office of Disability Adjudication and Review
2405 Federal Office Building
700 West Capitol Avenue
Little Rock, Arkansas 72201

Telephone: (866) 592-2549	Fax: (501) 324-7137
eFile Fax:(877) 559-1933 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
ARKANSAS:
	Batesville, Blytheville, Camden, Conway, El Dorado, Hot Springs, Jonesboro, Little Rock, Little Rock - North, Searcy

The form below allows you to request a Free disability benefits evaluation. Complete the form below and a disability attorney will review your case and call you to let you know if you may be eligible for benefits.

Free Evaluation

Applicant's Information

First Name

Last Name

* Name:

Street Address:

* City:

* State:

* Zip Code:

* Phone:

()

* Confirm Phone Number:

()

* Email Address:

* Date of birth:

* Does applicant expect to be out of work for at least 12 months?

YesNo

* Does applicant already receive Social Security benefits?

YesNo

* Is an attorney helping applicant with this case?

YesNo

* Is applicant a Veteran?

YesNo

* Is applicant currently under the care of a doctor?

YesNo

* How many years has applicant worked in the last 10 years?

* What is the medical condition that prevents applicant from working?

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By clicking “Submit”, I hereby consent to receive autodialed and / or pre-recorded phone calls and / or SMS Messages (for which standard rates may apply), from an attorney at the telephone number(s) provided above, even if that phone number is a wireless number and even if you have previously registered that phone number on a “do not call” list. I understand that consent is not a condition of purchase.

Privacy and Security Notice: Your personal information is strictly confidential and secure.

Upon submitting this form, you will receive a phone call shortly during regular business hours. A disability attorney will give you a free evaluation of your disability claim.

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