Disability Specialists

Get Started Current Clients

Disability Specialists

Get Started Current Clients

Apply Now

Disability Specialists strives to make the Social Security Disability application as simple and straightforward as possible.

Please call us toll free at 1-800-642-6393 to request an intake interview, or simply complete the questionnaire below and we will contact you.

We work in 120 different languages. When your call is answered, state the language you prefer, then wait a moment while we get someone on the line to help.

We proudly serve applicants in Minnesota, North Dakota, South Dakota and Western Wisconsin. If you reside outside of our service area please call the National Association of Disability Representatives at 1-800-747-6131 or visit their website at www.nadr.org to find representation in your area.

Have you started an application for Social Security benefits?

Are you currently working and earning more than $1,170 per month?

Are you able to perform any full time job that you have done in the past 15 years?

Do you have a severe physical and/or mental condition?

Will you miss at least 12 months of work because of your condition or have you already missed 12 months of work because of your condition?

Have you received treatment from a doctor for your condition?

Applicant Name:                        

Applicant Phone:                      

Last Four of
Applicant Social              
Security Number:

Email (optional):    

Street Address:      

Address Line 2:      




Best time of day to contact you?  

Do you need an interpreter? YesNo
  If so, which language.  

Are you completing this form for someone else?

If so, your name:

What is your relationship
to the individual?