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Find Out if You Qualify for Disability Benefits.

By answering some simple questions, you can quickly learn whether you may qualify for Social Security Disability Insurance. None of the information that you provide will be shared with any outside entities or individuals, and all responses are confidential. This questionnaire consists of no more than 10 short questions. On average, it takes two to five minutes to complete.

Before starting the questionnaire, we first need to know if you have received our Insurance Benefit Questionnaire.

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Do You Qualify Survey.

Did you receive an SSDC Questionnaire in the mail?
Yes

No
Step 1

1. Please enter the age of the person applying for Social Security Disability Insurance.

2. Is this inquiry for an unmarried, disabled adult child over the age of 18?
Yes

No
Step 2

3. Have you ever been a widow(er)?
Yes

No

4. Have you ever worked and paid FICA taxes?
Yes

No

5. Are you currently working?
Yes

No
Step 2

3. Does the adult child have ongoing medical problems that interfere with their ability to work 8 hours a day, 5 days a week?
Yes

No

4. What is the adult child's marital status?
Married

Single

5. Select the answer that best describes the adult child's work history:
[a] Less than 1 year

[b] 1-2 years

[c] 3-4 years

[d] 5 years or more
Step 3

6. Are you earning less than $980 before taxes each month due to active work?
Yes

No

7. Did you work at least 5 out of last 10 years prior to today’s date?
Yes

No

8. Select the answer that best describes your current ability to work 8 hours a day, 5 days a week:
Able to work any job

Able to work only past type of job

Able to work a job other than past type of job

Cannot work at all
Step 3

6. Did you work at least 5 out of the 10 years prior to your last day worked?
Yes

No

7. What is the last date worked from the last job held? If you do not know the exact date, please enter an approximate date.

Month

Day:

Year:

8. When did your medical problems begin to interfere with your ability to work full time? If you do not know the exact date, please enter an approximate date.

Month

Day:

Year:

9. Select the answer that best describes your current ability to work 8 hours a day, 5 days a week:
Able to work any job

Able to work only past type of job

Able to work a job other than past type of job

Cannot work at all
Step 3

6. Did the child's medical problems begin to interfere with their ability to work full time prior to the child turning 22?
Yes

No

7. Does the adult child have a parent that is deceased?
Yes

No

8. Does the adult child have a parent receiving Social Security benefits?
Yes

No

9. Please select the adult child's Social Security Disability Claim status:
[a] Never filed for Social Security Disability

[b] Claim filed, pending response from Social Security

[c] Claim denied at Social Security

You May Qualify for Social Security Disability Insurance

Thank you for completing SSDC’s "Do You Qualify" questionnaire. Based on the answers that were provided on the questionnaire, it appears that you may qualify for Social Security Disability Insurance benefits.

Would you like SSDC to contact you for a free consultation to discuss how we can assist you with obtaining Social Security Disability Insurance (SSDI) benefits or to answer any questions you may have regarding SSDI benefits? If so, please fill out the form below and press the Submit button. Make sure to include your email address and/or phone number so we can contact you.

You can also contact a SSDC Customer Experience Representative at (888) 854-5727, Monday through Friday, 8:30 a.m. to 5:00 p.m. EST. You can also email us at SSDCCustomerService@assurant.com.

You May Not Qualify for Social Security Disability Insurance

Thank you for completing SSDC’s "Do You Qualify" questionnaire. Based on the answers that were provided on the questionnaire, it does not appear that you qualify for Social Security Disability Benefits at this time.

However, only Social Security should make this determination for you. To further assess if you qualify for Social Security Disability benefits or other programs offered through Social Security, you can contact Social Security at:

1-800-772-1213 to make an appointment for a phone or in-person interview.
Social Security website: www.ssa.gov

If your current situation changes or if we can be of any service to you in the future, please contact SSDC at (888) 854-5727. You can also fill out the form below to contact us, or email us at SSDCCustomerService@assurant.com

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Name**
State**
Email Address
Phone Number
Best Time to Call
Additional Questions or Comments

Not only does SSDC exhibit knowledge in their job, but they do so with compassion, kindness and patience.

- Nanette

Find Out if You Qualify for Disability Benefits.

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You May Qualify for Social Security Disability Insurance

You May Not Qualify for Social Security Disability Insurance