If you’d like your case reviewed, please fill out the claim form to the right.
I accept Social Security disability cases at all stages. If you live in the Pittsburgh metropolitan area or anywhere in southwestern Pennsylvania, and you are thinking about applying or have had your application denied, please answer the questions below if you would like me to review your case.
An asterisk (*) indicates required fields.
*Do you have an attorney representing you now?
Yes No
*Are you working now?
Full-time Part-time No
*What level of education have you completed?
Elementary (6th) Middle (8th) High school (12th) College Graduate school
*What was your most recent job?
List the medical conditions that affect your ability to work:
*1.
2.
3.
4.
5.
*Explain how these conditions keep you from working:
*Name:
*Date of birth:
*Street address:
*City, zip code:
*Email:
*Main phone:
Alternate phone:
*Best time for us to call:
Morning Afternoon Evening