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THE SOCIAL SECURITY LAW GROUP®, LLP
Blue Hills Medical Center
340 Wood Road, Suite 300
Braintree, MA 02184
(800) 909-7754 Toll Free
(781) 794-5150
(781) 794-3010 Fax
Email

 

Online Referral Form

   
 

If you would like our assistance, please complete our Online Referral Form. Once we receive your inquiry, we will respond to you either today or the next business day.

Before you complete our on-line referral form, please keep in mind that you must provide us with accurate, genuine contact information including a valid telephone number and valid e-mail address.

If we cannot assist you, we will notify you by e-mail. If you do not enter a valid e-mail address, you may not receive a response to your inquiry. Thank you for choosing THE SOCIAL SECURITY LAW GROUP®,LLP

Please answer the questions below before beginning:

 
Are you the Claimant?
Yes No
 
Does the claim involve a Childhood Disability of a Minor?
Yes No
 
Does the claim involve an Overpayment with Social Security?
Yes No
 
Is the Claimant presently working?
Yes No
 
   

 

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