Case Evaluation

There are some very distinct obstacles to overcome in establishing a claim for Social Security Disability.

Have you been considering filing a claim for Social Security Disability benefits but have been told that it is too difficult to establish a claim for benefits?

In cases involving Fibromyalgia Syndrome (FMS) there are some very distinct obstacles to overcome in establishing a claim for Social Security Disability Insurance(SSDI).

Thinking about filing a claim for Social Security Disability Benefits?

Getting out of bed in the morning can be a painful and arduous process

Trying to work and handle daily job responsibilities with chronic headaches is often impossible.

Bi-Polar Disorder - Depression - Anxiety - Post Traumatic Stress Disorder

Multiple Sclerosis, often referred to as MS, can make daily living difficult.

The Center for Disease Control Estimates that 3.9 million (1.8%) Americans are infected with the Hepatitis C virus (HCV)

Cancer is one of the greatest health fears of most Americans.

The mission of the law firm of Jeffrey A. Rabin & Associates, Ltd. is to provide effective, aggressive, and compassionate legal services to persons with disabilities seeking benefits from the Social Security Administration (SSA). We believe that by providing ethical representation within the framework of these government disability programs we can successfully advocate for our clients.

Please note, we cannot properly consider your case without a valid e-mail address.

* = Required Fields

Your Name:	*
Your Telephone Number:	*
Your Email Address:	*
Claimant's Name:	*
Claimant's Telephone:	*
Claimant's Email Address:	*

Claimant's Address:
City:
State, Zip:
Telephone Number:
Cell (Mobile) Phone:

Please tell us the best way to reach you:
Your Current Age:
When did you stop working?

Social Security Claim Status:

Have you applied for Social Security Disability (SSDI) in the last 18 Months?	Yes No
If yes, is the claim still Pending?	Yes No Not Sure

If yes, at what level?
Was your claim denied?	Yes No Not Sure
If yes, at what level?
Give us the approximate date of your last denial:

Please describe your disability:

Please tell us some of your
physical and mental limitations:

Is a doctor currently treating you?	Yes No
If no, why not?
Is the injury work-related?	Yes No
If Yes, did you file a Workers Compensation Claim?	Yes No
Are you receiving or have your Received Workers Compensation?	Yes No

To Better Serve You:

Please tell us how you found us? If "other" please specify.

If you found us using a search engine,
please tell us which search engine?

Please tell us exactly what terms you typed into the
search engine to find us? (i.e. Social Security lawyer )

I understand that by filling out this free consultation form I am not forming an attorney client relationship. I understand that I may only retain an attorney by entering into a fee agreement and that by submitting this form I am not entering into a fee agreement. I understand that not all submissions may receive a response.
Yes No

I agree that the above does not constitute a request for legal advice. I agree that any information that I will receive in response to the above question is general information and I will not be charged for the response to this e-mail question. I further understand that the law for each state may vary, and therefore, I will not rely upon this information as legal advice. I agree that if this matter requires advice regarding my home state, local counsel may be contacted for referral of this matter. I understand that email is not secure and thus I am not forming a confidential relationship.
Yes No

By Clicking the box below, I agree to submit my case for a free case evaluation:

636 South Des Plaines River Road
Suite 300
Des Plaines, Illinois 60016
Email Us

Phone: 847-299-0008
Toll Free: 1-888-LAW-0600
Fax: 847-299-4493