Social Security Disability Eligibility Quiz Let's find out if you are eligible for Social Security Disability benefits and how we can help you. Answer each question in our free SSD evaluation questionnaire. Are You Receiving Social Security Benefits?* No Yes Have you applied for Social Security Disability Benefits?* No Yes What is the status of your application? Pending Denied Don't Know Enter date for application status MM slash DD slash YYYY Click NEXT to continue. Are You Currently Working?* No Yes OK. When did you last work on a regular basis? MM slash DD slash YYYY Click NEXT to continue. Are you working Part-Time or Full-Time?* Part-Time Full-Time There is a limit to the amount of time you can work and still claim Disability. We'll have to keep an eye on this. Click NEXT to continue. Are You Seeing a Doctor?* No Yes Great! If your doctor is a specialist, please enter their specialty below. Click NEXT to continue. Does your doctor support your inability to return to work?* Yes No We haven't had that Discussion This is probably one of the most important conversations you can have with your treating doctors as your claim will hinge on opinions of medical professionals. Please continue with the Quiz.Click NEXT to continue. What was the approximate date you became unable to work?* MM slash DD slash YYYY Tell us about your disabilityClick NEXT to continue. Great! It seems as though we may be able to help you with your claim. We just need a bit more information. Please complete the fields below and a member of our staff will contact you shortly!Name* First Last Address City StateSelect stateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVTWAWIWVWYZipcode PhoneEmail* Date of Birth MM slash DD slash YYYY Is there a best time to contact you? Morning Afternoon Early Evening Anytime May we contact you electronically? No Yes Click SUBMIT to finish. You will be contacted by an authorized Binder & Binder® employee.Without a doctor supporting your inability to work, it is unlikely you will be successful in your claim for benefits. We encourage you to continue seeking treatment for your disability and contact us when you have doctors' support.Unfortunately, the Social Security Administration relies heavily on the opinions of your treating physicians. The evidence used in your case will consist of your doctors' records and opinions. Without this material it would be almost impossible to win a claim for Disability. I would strongly encourage you to seek treatment and come back to us when you have established treatment with a physician who supports your inability to work.In order to qualify for SSD you must be out of work for or plan to be out of work for at least 12 months. If you are still working and do not plan to stop, you are not eligible for SSD at this time.If you are currently receiving Social Security benefits, this quiz may not be for you. If you have questions about the benefits you are receiving, please call the Social Security Administration at 1-800-772-1213. Click here if you need to start over. To speak to one of our Social Security Disability representatives directly, call 1-800-424-6337.