Tell Us About Your Situation
Answer a few questions about your age, work history and the medical condition keeping you from working.
You may qualify for Social Security Disability benefits. Answer a few simple questions to see if your circumstances may meet the preliminary criteria for a free case evaluation.
Takes about 60 seconds • No obligation
Answer a few questions about your age, work history and the medical condition keeping you from working.
Your responses help determine whether your circumstances may fit the preliminary requirements for an evaluation.
If appropriate, a participating disability representative may contact you to discuss possible next steps.
Choose the answer that best describes your situation.
Choose the answer that best describes your current benefit status.
A condition generally must last or be expected to last at least 12 months.
This may include care from a doctor, clinic, therapist or specialist.
Complete your information to request a free, no-obligation evaluation.
The questionnaire is complete. Lead delivery must be connected before this page is used for live advertising.
Last updated: September 12, 2026
These Terms & Conditions govern your use of 911SSDI.com. By accessing this website or submitting information through it, you agree to these terms. If you do not agree, please do not use the website.
911SSDI.com is a privately operated legal advertising and referral website. It is not the Social Security Administration, is not affiliated with or endorsed by any government agency, and does not file applications for Social Security benefits. The website is not a law firm and does not provide legal advice.
Using this website, completing the questionnaire, or communicating through the website does not create an attorney-client or representative-client relationship. Such a relationship may be formed only through a separate written agreement with a participating attorney or disability representative.
The questionnaire provides only a preliminary screening. It is not a determination of eligibility. The Social Security Administration makes all benefit decisions. No result, benefit amount, approval, representation, or response time is promised or guaranteed.
You agree to provide accurate, current information and to submit information only for yourself or with proper authorization. You may not use the website for unlawful, fraudulent, abusive, or disruptive purposes.
When you submit the form, you request an evaluation and authorize 911SSDI.com and participating service providers, attorneys, or disability representatives to contact you regarding your inquiry by telephone, email, or text message, including through automated technology where permitted. Consent is not a condition of purchase. Message and data rates may apply. You may opt out of text messages by replying STOP and may request that calls or emails cease.
Your information may be shared with participating providers to respond to your request. Their services and privacy practices are governed by their own agreements and policies. We are not responsible for third-party websites, decisions, advice, or services.
Website content is provided “as is” and may be changed or discontinued without notice. To the extent permitted by law, we disclaim implied warranties and liability arising from reliance on general website information. The website’s design, text, branding, and other original content may not be copied or commercially reused without permission.
Applicable law governs these terms without overriding rights that cannot legally be waived. We may update these terms by posting a revised version and changing the “Last updated” date. Continued use after an update constitutes acceptance of the revised terms.
Questions about these terms may be submitted through the contact information published on 911SSDI.com.
Last updated: September 12, 2026
This Privacy Policy explains how 911SSDI.com collects, uses, discloses, and protects information when you visit the website or request an evaluation.
We may collect information you provide, including your name, telephone number, email address, ZIP code, age range, work history, treatment status, and responses concerning your health and ability to work. We may also collect technical information such as IP address, browser type, device information, referring page, pages viewed, and approximate location.
We may use information to evaluate your inquiry, connect you with participating attorneys or disability representatives, respond to requests, communicate with you, operate and improve the website, measure advertising, prevent fraud, maintain security, comply with law, and enforce our terms.
We may disclose information to participating attorneys, disability representatives, intake providers, technology vendors, communications providers, analytics or advertising providers, professional advisers, and authorities when required by law or reasonably necessary to protect rights and safety. We may also transfer information in connection with a merger, sale, financing, reorganization, or similar business transaction. We do not represent that information submitted through this general screening form is protected by attorney-client privilege.
We and our service providers may use cookies, pixels, and similar technologies to operate the website, remember preferences, understand usage, prevent fraud, and measure advertising performance. Browser settings may allow you to limit cookies, although some functions may not work properly.
You may opt out of marketing emails by using an unsubscribe link, opt out of text messages by replying STOP, and request that telephone communications cease. Transactional or legally required communications may still be sent where permitted.
We retain information for as long as reasonably necessary for the purposes described here, including legal, compliance, dispute-resolution, and fraud-prevention needs. We use reasonable administrative, technical, and physical safeguards, but no transmission or storage system can be guaranteed completely secure.
Depending on your state, you may have rights to request access, correction, deletion, or a copy of certain personal information, and to opt out of certain targeted advertising, sharing, or sales as those terms are defined by applicable law. We may need to verify your identity before completing a request. Authorized agents may be required to provide proof of authority.
This website is intended for adults seeking information about disability benefits and is not directed to children under 13. We do not knowingly collect personal information from children under 13.
Links to or services provided by third parties are governed by their own privacy policies. We are not responsible for their privacy or security practices.
We may update this policy by posting a revised version and changing the “Last updated” date. Questions or privacy requests may be submitted through the contact information published on 911SSDI.com.