Apply for Social Security benefits
.jpeg)
An adult (age 18 and over)
Disability
You have a condition and expect it to affect your ability to work for a year or more or will result in death.
Information we'll ask you to provide
Information about your condition
Names and phone numbers for your doctors
Names and phone numbers for hospitals/clinics where you've been treated
Medical tests you've received
Medication(s) you take
Date of injury and claim number for workers' compensation (if you receive it)
Permission to access medical records
Basic information about yourself
Social Security number
Where you were born (city, state, country)
Recent work
Names of employers for the past two years
Dates of employment
Current and past marriages
Your spouse/former spouse's Social Security number and birthday
Date you got married/divorced
Where you got married (city, state, country)
Direct deposit for benefit payments
Routing and account number for your bank account
Name of Eligible Children
If you have children under age 18, 18 or 19 and in high school, or who became disabled before 22, they may be eligible for benefits too.
To submit an application contact a certified agent by clicking the social icons to send a message
.jpeg)
