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Social Security Disability Lawyer – 35 Years Experience
(818) 502-9056
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About Aslan Disability Law
Social Security Disability Attorney
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Social Security Disability
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Contact Us
Phone
(818) 502-9056
E-mail Address
Claim@AslanDisability.com
Address
315 Arden Avenue Suite 10
Glendale, CA 91203
Select your case type
*
SSDI (Social Security Disability Insurance)
SSI (Supplemental Security Income)
What is your zip code?
*
What is your relationship to the applicant?
*
Please select an option
Self
Family Member
Other
Applicant's Age:
*
When did the condition first begin to affect the applicant?
*
Please select an option
1 year ago
1-3 year ago
3-5 year ago
over 5 years ago
Has the applicant been forced to stop or reduce work hours?
*
Please select an option
Yes
No
Is the applicant currently being treated by a doctor?
*
Please select an option
Yes
No
Has the applicant previously applied for social security disability?
*
Please select an option
Yes, Claim Pending
Yes, Claim denied
No
Briefly describe your medical impairments:
*
List all jobs performed in last 15 years for which you have earned more than $12000 per year?
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What is the applicant's first name?
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What is the applicant's last name?
Prefered method of contact:
*
Please select an option
By Phone
By Email
What is the applicant's telephone number?
*
What is the applicant's email address?
*
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