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Click on the links below to download our intake questionnaires for disability benefits. once completed and signed, these forms should be mailed to our office for review. These forms can be viewed using acrobat reader. Download acrobat reader
*****If you are interested in having our firm represent you
before the Railroad Retirement Board, please
complete the Social Security disability questionnaire above or call our office to schedule an interview.
Please note:
1. Any submission of information is for review only. there will be no charge for this review.
2. No attorney-client relationship is established unless and until a formal, written Retainer Agreement has been signed both by me and by a representative of Daley, DeBofsky & Bryant.
3. Further information may be requested in order for Daley, DeBofsky & Bryant to reach a decision.
4. It takes time to review the material submitted and to make any reply or decision. you are responsible until notified otherwise to meet all necessary deadlines and time frames applicable your claim.
5. E-mail Intake Questionnaire to info@ddbchicago.com.
Notice: Neither by accessing this site or by reviewing its contents has an attorney-client relationship been formed or established; and nothing contained in this site shall constitute the giving or rendering of legal advice or be construed as a legal opinion, or guarantee of a particular resolution of a legal problem. This information is provided as a public service, and is not intended to be a substitute for competent legal counsel. The information provided is general in nature and may not apply to your circumstances, particularly if you are not in the State of Illinois. Under no circumstances should you make legal decisions solely based upon the information provided on this web site. You should consult an attorney before making any important decision involving a legal matter.
Copyright 2002 Daley, DeBofsky & Bryant.

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