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Apply for Social Security Disability in Colorado

SSA, Office of Disability Adjudication and Review
Plaza of the Rockies
111 S. Tejon Street
Suite 401, North Tower
Colorado Springs, CO 80903

Telephone: (888) 844-8269	Fax: (719) 634-1735
eFile Fax: 877-389-4219 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
COLORADO:
	Alamosa, Canon City, Colorado Springs, Durango, Glenwood Springs, Grand Junction, La Junta, Montrose, Pueblo, Trinidad

SSA, Office of Disability Adjudication and Review
1244 Speer Boulevard, Suite 752
Denver, Colorado 80204-3584

Telephone: 888-383-8889	Fax: (303) 844-5817
eFile Fax: 877-389-4221 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
COLORADO:
	Aurora, Boulder, Denver, Englewood, Lakewood, Fort Collins, Greeley

The form below allows you to request a Free disability benefits evaluation. Complete the form below and a disability attorney will review your case and call you to let you know if you may be eligible for benefits.

Free Evaluation

Applicant's Information

First Name

Last Name

* Name:

Street Address:

* City:

* State:

* Zip Code:

* Phone:

()

* Confirm Phone Number:

()

* Email Address:

* *

* Date of birth:

* Does applicant expect to be out of work for at least 12 months?

Yes

* Does applicant already receive Social Security benefits?

Yes

* Is an attorney helping applicant with this case?

Yes

* Is applicant a Veteran?

Yes

* Is applicant currently under the care of a doctor?

Yes

* How many years has applicant worked in the last 10 years?

* What is the medical condition that prevents applicant from working?

Attention

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By clicking “Submit”, I hereby consent to receive autodialed and / or pre-recorded phone calls and / or SMS Messages (for which standard rates may apply), from an attorney at the telephone number(s) provided above, even if that phone number is a wireless number and even if you have previously registered that phone number on a “do not call” list. I understand that consent is not a condition of purchase.

Privacy and Security Notice: Your personal information is strictly confidential and secure.

Upon submitting this form, you will receive a phone call shortly during regular business hours. A disability attorney will give you a free evaluation of your disability claim.

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