Now you can contact our office at any time. Simply fill out the following Social Security Disability Questionnaire.
 

Full Name:   

Date of Birth:

Address:        

City:     State :    Zip Code: 

Telephone Number:  Area Code    Number

E-Mail Address :

Are you currently working? Yes No

Date you last worked? 

What is your job description?

When did you become disabled (onset date)?

Have you applied for Social Security Disability?

At what stage is your claim?

Are you currently under the care of a doctor? Yes No

Please give a detailed description of your disability :


Garner & Arnic, LLP- Attorneys at Law
Principle Office Houston, Tx

Social Security Disability & SSI | Bankruptcy & Debt Relief | General Legal Services |
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The Information you obtain at this site is not intended to be legal advice.
you should consult an attorney for advice regarding your own situation.
We are a debt relief agency.  We help people file for bankruptcy under the Bankruptcy Code.
Not certified by the Texas Board of Legal Specialization