MAILING ADDRESS:
Disability Defenders Group, LLC
P.O. Box 2023
Bristol, CT 06011

PHONE: 860.973.3288
FAX:  860.973.3278
EMAIL: disabilitydefenders@outlook.com

 

Please fill data into the fields below:

Are you currently working?

YesNoFull TimePart Time

Are you currently under the care of any doctors?

YesNo

Have any of your doctors or past employers stated you are unable to work?

YesNo

Have you applied for Social Security Disability Benefits in the past?

YesNo

Do you have a current application for disability pending?

YesNo

Please, provide any additional comments you would like us to know regarding your medical conditions and inability to work?

The information you obtain at this site is not, nor is it intended to be, legal advice. We invite you to contact us TODAY we can be reached at here . Completion of this form does not mean you have retained Disability Defenders Group, LLC to represent you. You are not a client until you sign the official paperwork and release form that is required by SSA. Please, contact us TODAY as we cannot start the process of defending you and getting you the benefits you deserve until you have officially retained us. The disability backlog continues to grow every day, so it is extremely important that you contact right now for your FREE case review.