Allsup: Life Reclaimed
Allsup: Life Reclaimed
For organizations that help people with disabilities
Allsup: Life Reclaimed
Allsup: Life Reclaimed
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Allsup: Life Reclaimed
Allsup: Life Reclaimed
 
 
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Allsup: Life Reclaimed

Refer Someone to Allsup

We can help you help others.
 
Complete the form below to secure a free Social Security disability eligibility evaluation and screening for an individual who may be eligible for monthly benefits and Medicare coverage.
 
Answer the questions below if the individual is under his or her retirement age, with a medical condition expected to last at least 12 months and who has worked 5 out of the last 10 years. Allsup only charges a fee to the individual if we obtain benefits. For faster service, call (888) 841-2126, Monday – Friday, 7 a.m. - 5 p.m. (CST).
 
All submitted information is strictly confidential.
 
If YOU are the individual seeking assistance, please click here to complete your Free SSDI evaluation.
 
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Your Information
Please select your state, organization, office and name from the lists below. If your information is unlisted, please select "Not Listed" in any of the dropdowns and input the information in the fields that appear.
 
Allsup: Life Reclaimed
Allsup: Life Reclaimed
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