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SSA, Office of Disability Adjudication and Review
121 South Main Street, Suite 400
Akron, Ohio 44308-1426

Telephone: (866) 708-3209	Fax: (330) 535-6052
eFile Fax: (877) 482-0825 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:

OHIO:
Akron (Downtown and West), Canton, Medina, New Philadelphia, Ravenna, Warren, Wooster, Youngstown

SSA, Office of Disability Adjudication and Review
Enquirer Building, Suite 2100
312 Elm Street
Cincinnati, Ohio 45202

Telephone: 877-405-7672	Fax: (513) 361-0282
eFile Fax: (877) 904-5488 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:

INDIANA:
   Madison
KENTUCKY:
   Florence
OHIO:
   Batavia, Cincinnati (Downtown), Cincinnati (North), Gallipolis, Hamilton, Ironton, Portsmouth

SSA, Office of Disability Adjudication and Review
Skylight Office Tower, 5th Floor
1660 West Second Street
Cleveland, Ohio 44113

Telephone: (877) 402-0822	Fax: (216) 522-3344
eFile Fax: (877) 904-5539 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
OHIO:
	Ashtabula, Cleveland (Downtown, Northwest, Northeast, East, Southeast, Southwest, West), Cleveland-Buckeye Shaker, Lorain, Painesville

SSA, Office of Disability Adjudication and Review
401 N. Front Street, Suite 400
Columbus, OH 43215

Telephone: (888) 397-6870	Fax: (614) 469-6786
eFile Fax: (877) 486-2935 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
OHIO:
	Chillicothe, Columbus (Downtown, East, North, West), Lancaster, Mansfield, Marion, Newark, Zanesville

SSA, Office of Disability Adjudication and Review
10 N Ludlow Street, Suite 300
Courthouse Plaza SW
Dayton, Ohio 45402

Telephone: (888) 450-4590	Fax: (937) 225-7701
eFile Fax: (877) 486-2939 Use the eFile Fax number to send evidence directly to the electronic folder.

Services the following Social Security Field Offices:
OHIO:
	Dayton, Dayton-West, Middleton, Piqua, Springfield, Xenia

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:

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* 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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