If you or a family member would like help in applying for Social Security Disability, please complete the form below. A Sun Disability Advocate experienced in Social Security Disability cases will contact you to evaluate you or your family member’s situation. There is no obligation for the evaluation. Our experts will start working on your case and you stay at home while we do the work.

Sun Disability Free Case Evaluation Form


Age: *
Home Street Address: *
City: *
State: *
Zip Code: *
Contact Preference:
I Need Help: *
Work History: *
(Years worked in the past 10 years)
Employment Status: *
Medical Condition:
Impact on your ability to work:
How Long Have You Been Disabled:
Are you being treated by a physician:
Other Comments:


Fields marked * are required