Test Step 1 of 7 14% Response Group ID I am currently receiving Social Security Benefits.*This refers to any type of benefit including: retirement, disability (SSD), supplemental (SSI), and survivors. True False Which Social Security Benefits are you currently receiving?Select Benefit TypeRetirementDisability (SSDI)Supplemental (SSI)Survivors I am currently unable to work full-time.*Answer 'True' if the severity of your disability makes you unable to work full-time. Full-time is classified as 40 hours/week. True False I expect to be out of work for at least 12 months.*Answer 'True' if the severity of your disability makes you unable to work full-time for the next 12 months. Full-time is classified as 40 hours/week. True False I have worked at least 5 of the last 10 years.*The exact number of years you need to have worked depends on your age at the time of your disability. Answer 'True' if you have worked and have paid Social Security taxes for at least five of the last ten years before your disability began. True False Applicant Information After you submit, you'll get instant results & recommended next steps.Indiana or USA State*Select Your StateState...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingN/A HiddenAgeHiddenAge Class Date of Birth*Date of Birth:MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Result ID (Detailed) Last Step! 🔒 We Respect Your Privacy Data is never shared with 3rd parties & all entries are regularly deleted from database.Name* First Last Phone Number* Email* HiddenResult ID (Sub-Category) HiddenResult ID (Parent Category) Hiddenwebsource (auto)– Fill Out Other Fields –HiddenRID_ValuePlease enter a number greater than or equal to 0.HiddenResult ID Image (auto) Unique IDBy clicking the "See If I Qualify" button and submitting my request, I confirm that I have read and agree to the privacy policy of this site and that I consent to the terms.PhoneThis field is for validation purposes and should be left unchanged. Δ
