Sacramento Social Security Disability

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Sacramento Social Security Disability Case Consultation Form

Please fill out the following Case Evaluation form and provide as much information as possible. All information is kept strictly confidential and is used only by Anderson & Johnson for the evaluation of your case. By accepting and reviewing this completed form, we are not agreeing to represent you. Rather, we will evaluate your information to determine whether or not we can accept your case.

 YOUR CONTACT INFORMATION
 * First and Last Name:
 * Telephone: - -
 * Email Address:
 YOUR INJURY INFORMATION
Date of Birth:
What was the date of the last denial notice that you received?
When did your disability become so severe that you became unable to work?
What Type of work have you done over the past 15 years?
Why do you believe you are disabled and not able to work at any type of job?

**PLEASE DO NOT GIVE A WRITTEN OR RECORDED STATEMENT TO THE INSURANCE COMPANY!**




Do you have a Social Security Disability claim?

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1-888-954-7312

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Anderson & Johnson, LLP
855 Howe Avenue, Suite 6  |  Sacramento, CA 95825
Telephone: 916-922-9902


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DISCLAIMER: The Sacramento Social Security law information offered herein by Sacramento Social Security Attorneys and Sacramento Social Security Lawyers is general in nature and not formal legal advice on California Social Security disability benefits SSD or California Supplemental Security Income SSI. Please call a Sacramento Social Security Disability Lawyer or Sacramento Supplemental Security Income Attorney about your particular case. No Sacramento Social Security attorney lawyer client relationship is formed. Concentrating in Sacramento Social Security Disability - serving Sacramento, Sacramento County and all of Northern California.