Welcome to SSDC Services Corp. On-Line Questionnaire. We are happy to assist you with determining potential eligibility for Social Security Disability (SSD) benefits. The information you provide on this form will help to determine whether it would be beneficial for you to file a claim for SSD benefits. Receiving Social Security Disability benefits can increase your monthly income now and may increase your Social Security Retirement benefits later.

All information will be processed through a secure Web site and will be kept strictly confidential and carefully safeguarded in accordance with state and federal laws and regulations. None of the information you provide will be used for any purpose other than to determine potential eligibility for SSD benefits.

If you have any questions about this form, or if you wish to speak directly with a Customer Service Representative at any time, please click on “Contact Us.” If you would like more information about SSDC Services Corp., please click here.

Before getting started, we recommend that you click on the links below (above the START button) to obtain information that will help you with your on-line experience.
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