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Final Eligibility Questions for @program - Let's Go!

Checking requirements in your area...

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Do you currently receive any government benefits?

FACT: The USA spends around TWO TRILLION dollars each year on programs like @program to help people like you and me!

How many people worked at your workplace when you were there, including yourself?

What kind of company or organization did you work for?

What was the reason for your unemployment?

Do you currently receive Social Security Disability benefits?

Do you expect to be out of work for at least a year due to your health?

FACT: If you are approved for SSDI benefits in 2023, you could receive up to $3,627/month to help cover your living expenses and provide financial stability.

Have you had a full-time job within the past 5 years?

Are you actively working with a disability advocate or attorney?

What describes your situation?

Are you seeing a doctor or taking prescription medication to help with your situation?

Have you or your spouse served in the US Military? 🇺🇸

Injured by any of the following in the last 2 years?

What is your current household credit card debt amount?

What is your monthly income?

What name will you use on your @program application?

Please enter your first name
Please enter your last name

What is your zip code?

Please enter a valid zip code
Example: 90210

Unlock Over $900/Month in Benefits by Meeting Certain Age Requirements

What year were you born, @first_name?

Please specify a valid birth year

Where would you like your results sent, @first_name?

mail_outline
Please enter a valid email address
phone
Please enter a valid phone number
Example: 1112223333

Calculating eligibility for benefit programs...

Where would you like your results sent, @first_name?

mail_outline
Please enter a valid email address
phone
Please enter a valid phone number
Example: 1112223333

Have you or a loved one been injured by one of the following, within 2 years?

Have you or a loved one been exposed to any of the following:

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