myfamilybenefits.org

How old are you?

When did your condition start?

Is an attorney helping you with your case?

No

Yes

Have you worked full time within the last 5 years?

Yes

No

Do you expect to be out of work for at least a year?

Yes

No

Please describe your medical condition

Have you previously applied for disability benefits?

Yes

No

Please confirm your information so that a professional may immediately assist with getting you help.

If you are a human, ignore this field

By clicking SUBMIT, you consent and request to be contacted by My Family Benefits by recurring live agent, automatic telephone dialing system, artificial/pre-recorded message(including pre-recorded messages using soundboard technology), email, and text/SMS to the home or mobile number(s) you provided even if your provided number is on a National or State Do Not Call List. Pre-recorded messages and automated technology may be used to contact you for marketing purposes. You understand that your telephone company may impose charges on you for these contacts, and you are not required to enter into this agreement as a condition of purchasing property, goods, or services. You understand that you can revoke this consent at any time. For SMS campaigns: Text STOP to cancel and HELP for help. Msg & data rates may apply Terms & conditions/privacy policy apply.

Thousands in benefits are available. Take this survey to review your qualifications!