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Free Claim Evaluation

Free Claim Evaluation

Opened in 1990 | Licensed in Illinois and Wisconsin | Free Claim Evaluation

Opened in 1990
Licensed in Illinois and Wisconsin
Free Claim Evaluation

Get Your Free SSD or SSI Claim Evaluation Today!

Randall J. Manus Attorney At Law offers FREE evaluations of your Social Security disability claim. Please fill out the form below to schedule your appointment at one of our firm's three offices in Freeport, Sterling and Rockford, IL.

FREE Claim Evaluation

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Full Name*

Age*

Date of Birth*

Do you have a current application pending?*

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If yes, what level are you at?

Do you have an attorney representing you now? *

Yes

No

Are you working now? *

Full-time

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No

What level of education have you completed? *

Elementary (6th)

Middle school (8th)

High school (12th)

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What was your most recent job and when did you stop working?*

List the medical conditions that affect your ability to work:*

Explain how these medical conditions keep you from working: *

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Free Claim Evaluation

Professional representation in SSD and SSI claims.

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Randall J. Manus Attorney At Law

2319 E. Lincolnway

Sterling, IL 61081

Randall J. Manus Attorney At Law

308 W State St.

Suite 401

Rockford, IL 61101

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CONTACT US

Main: (800) 851-1737

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