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WELCOME TO OUR ONLINE DISABILITY APPLICATION PROCESS.

FOLLOW THESE SIMPLE STEPS TO BEGIN.

NUMBER ONE: UNDER THE "GET READY" SECTION ON THE "APPLY FOR BENEFITS" PAGE, MAKE SURE YOU MEET THE REQUIREMENTS TO APPLY FOR BENEFITS ONLINE AND YOU HAVE THE INFORMATION YOU WILL NEED TO DO SO.

NUMBER TWO: NOW THAT YOU KNOW YOU QUALIFY TO APPLY FOR BENEFITS ONLINE AND YOU HAVE ALL OF THE INFORMATION YOU WILL NEED TO APPLY, SELECT THE "START A NEW APPLICATION" BUTTON TO GET STARTED.

NUMBER THREE: YOU WILL THEN BE ASKED TO AGREE TO A TERMS OF SERVICE AGREEMENT AND CREATE OR LOG IN TO YOUR PERSONAL "MY SOCIAL SECURITY" ACCOUNT.

IF WE ARE NOT ABLE TO PROCESS YOUR REQUEST, YOU WILL RECEIVE SPECIFIC INFORMATION ON HOW TO CONTACT US BY PHONE OR SCHEDULE AN APPOINTMENT.

NOW YOU CAN COMPLETE THE APPLICATION.

COMPLETING THE APPLICATION SHOULD TAKE BETWEEN ONE TO TWO HOURS.

WE RECOMMEND YOU COMPLETE AND SUBMIT YOUR APPLICATION ALL AT ONCE.

IF THAT IS NOT POSSIBLE, WE'LL GIVE YOU A RE-ENTRY NUMBER YOU CAN USE TO RETURN TO YOUR SAVED APPLICATION AT ANY TIME AND CONTINUE RIGHT WHERE YOU LEFT OFF.

IF YOU LOSE YOUR RE-ENTRY NUMBER, JUST LOG IN TO YOUR MY SOCIAL SECURITY ACCOUNT AND GO TO YOUR BENEFIT APPLICATION SECTION TO RETRIEVE IT.

IF YOU WISH TO APPLY FOR BENEFITS IN A LANGUAGE OTHER THAN ENGLISH, WE'LL GIVE YOU THE OPPORTUNITY TO REQUEST AN APPOINTMENT.

IF YOU'RE FILLING OUT THIS APPLICATION FOR YOURSELF, THERE ARE FOUR STEPS YOU NEED TO COMPLETE.

STEP ONE: PROVIDE BACKGROUND INFORMATION.

STEP TWO: PROVIDE DISABILITY INFORMATION.

STEP THREE: SIGN MEDICAL RELEASE.

AND STEP FOUR: VIEW YOUR CONFIRMATION.

PLEASE NOTE, IF YOU ARE FILLING OUT THIS APPLICATION FOR SOMEONE ELSE, YOU CANNOT ELECTRONICALLY SIGN THE APPLICATION OR RECEIVE A CONFIRMATION NUMBER.

WE WILL MAIL THE APPLICATION TO THE PERSON CLAIMING BENEFITS ALONG WITH THE MEDICAL RELEASE FORM, ALSO KNOWN AS THE AUTHORIZATION TO DISCLOSE MEDICAL INFORMATION.

THEY WILL NEED TO SIGN IT AND RETURN IT TO THEIR LOCAL SOCIAL SECURITY OFFICE.

THANK YOU FOR USING OUR ONLINE DISABILITY APPLICATION PROCESS.

SOCIAL SECURITY, SECURING TODAY AND TOMORROW.