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845 University Ave.
Sacramento, CA 95825

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Are You Already Receiving SSDI Benefits? YesNo

Are You Seeing a Doctor?

Have you been treated for your disability within the past year?

YesNo

Does Applicant Expect To Be Out Of Work For At Least 12 Months? YesNo

Is Applicant Currently Working Full Time? YesNo

How Many Years Has Applicant Worked In Last 10 Years?

Have You Accumulated More Than $7,500 In Personal Loans, Medical or Credit Card Debt? YesNo

Want A Free Bankruptcy Relief Evaluation To Determine Your Eligibility For Bankruptcy? YesNo Next

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San Bernardino

THE EXECUTIVE SUITES AT HAVEN
9431 Haven Ave., Suite 100
Rancho Cucamonga, CA 91730

San Diego

1 W. BROADWAY
101 West Broadway, Suite 300
San Diego, CA 92101

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SILICON VALLEY CENTER
2570 N. First Street, 2nd Floor
San Jose, CA 95131

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5757 Wilshire Blvd. Suite 345
Los Angeles, CA 90036

Phone: 888-830-2303

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2600 Michelson Dr. Suite 1700
Irvine, CA 92612

Phone: 949-612-9606

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