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SSA, Office of Disability Adjudication and Review
Citadel Building
131 S. Dearborn
Chicago, Illinois 60603

Telephone: (866) 964-1719	Fax: (312) 886-3504
eFile Fax: (877) 670-6914 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:

ILLINOIS:
Chicago-South, Chicago-West, Chicago-East, Chicago Near Southwest, Chicago-Southeast, Chicago-Near Northwest, Chicago-Lawndale, Chicago-Loop, Chicago-Back of the Yards

SSA, Office of Disability Adjudication and Review
Northwestern University Research Park
1033 University Place, Suite 200
Evanston, Illinois 60201

Telephone: (866) 336-6051	Fax: (847) 869-6121
eFile Fax: (877) 670-6920 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
ILLINOIS:
	Chicago-North, Chicago-Northwest, Evanston, Freeport, Mt. Prospect, Rockford, Sterling, Waukegan, Woodstock

SSA, Office of Disability Adjudication and Review
2301 West 22nd Street, Suite 201
Oak Brook, Illinois 60523

Telephone: (866) 964-7344	Fax: (630) 954-2995
eFile Fax: (877) 670-6912 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
ILLINOIS:
	Aurora, Bloomingdale, Elgin, Hillside, North Riverside, Woodridge

SSA, Office of Disability Adjudication and Review
15401 South 94th Avenue
Orland Park, Illinois 60462

Telephone: (877) 490-9530	Fax: (708) 675-3300
eFile Fax: (877) 670-6915 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
ILLINOIS:
	Chicago Heights, Danville, Joliet, Kankakee, Palos Hills, Peru

SSA, Office of Disability Adjudication and Review
3328 W. Willow Knolls Drive
Peoria, Illinois 61614

Telephone: (866) 726-8293	Fax: (309) 689-9782
eFile Fax: (877) 670-6918 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
ILLINOIS:
	Bloomington, Champaign, Decatur, Galesburg, Pekin, Peoria, Rock Island, Springfield

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?

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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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