Social Security Disability Advocates

Free Disability Case Evaluation
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Apply for Social Security Disability in Wisconsin

SSA, Office of Disability Adjudication and Review
2501 W. Beltline Highway, Suite 305
Madison, Wisconsin 53713

Telephone: (877) 600-2854 Fax: (608) 264-5656

eFile Fax: (877) 486-2936
Use the eFile Fax number to send evidence directly to the electronic folder.


Services the following Social Security Field Offices:
WISCONSIN:
     Janesville, La Crosse, Lancaster, Madison, Portage, Rhinelander, Wausau, Wisconsin Rapids
  
SSA, Office of Disability Adjudication and Review
Room 300W
310 West Wisconsin Avenue
Milwaukee, Wisconsin 53203

Telephone: (866) 495-0039 Fax: (414) 297-1993

eFile Fax: (877) 486-2940
Use the eFile Fax number to send evidence directly to the electronic folder.


Services the following Social Security Field Offices:
WISCONSIN:
   Appleton, Fond du Lac, Green Bay, Greenfield, Marinette, Kenosha, Manitowoc, Milwaukee (Mitchell, North, Downtown, West), Oshkosh, Racine, Sheboygan, Waukesha, West Bend
MICHIGAN:
   Escanaba, Houghton, Marquette, Ironwood, Sault St. Marie

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
free case evaluation Applicant's Information
First Name MI 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?
 
* Does applicant already receive Social Security benefits?
 
* Is an attorney helping applicant with this case?
 
* Is applicant a Veteran?
 
* Is applicant currently under the care of a doctor?
 
* How many years has applicant worked in the last 10 years?
 
* What is the medical condition that prevents applicant from working?
 
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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