J. Paige Frampton, P.C.

 

 


Contact Info

Please complete the form below so that I may review the facts of your case. I am happy to discuss your claim with you, but no attorney/client relationship exists until we mutually agree to enter into this relationship and sign the appropriate paperwork.

Fields marked with * are required!

Contact Form
 * Full Name:
Telephone Number:
Address 1:
Address 2:
City / State / Zip    
 Email Address
Date of Birth
Highest Level of Education:
Last Year Worked:
Married:

 

Dependant Children:
Describe the condition that keeps you from working:
  Are you receiving...
 

Welfare benefits
Worker’s compensation
Long term disability benefits
Veterans’ benefits
Unemployment benefits

* Have if you filed an application with Social Security?  Yes   No
          If YES, did you receive a denial letter?  Yes No
          If YES, please list date:

Please note, you only have 60 days to appeal your claim if you have received a denial letter from Social Security.  If you are close to the deadline, you should visit your local social security office immediately in order to preserve your deadline.  Make sure you receive a “receipt” to prove you timely appealed your claim.  I will be happy to speak with you afterwards about your case.

 

 

Nothing contained herein shall be taken as professional legal advice and no attorney client relationship
exists until a written agreement is made. Please contact an attorney for legal advice

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