Free Lawyer Consultation Nationwide: (800) 533-5718 or 

Schedule A Free Lawyer Consultation

Please complete the form below and we will contact you the same day via phone or email to schedule a free phone consultation with one of our disability insurance attorneys. We represent claimants nationwide at all stages of a claim for either short term or long term disability insurance benefits and long term care benefits. Thank you for considering our firm.

Please Note: We Don't Handle SSDI or State Disability Cases.

Full Name: (required)

Age:

Email: (required)

Phone Number (10 digits, no dashes):

State: (required)

Occupation:

Disability Company: (required)

Claim Status:

Monthly Benefit Amount Owed:

Disabling Medical Condition(s):

How Can We Help You? (optional)