Phone: 813-609-5500  |  Fax: 813-609-5501

info@lonettolaw.com

Dax J. Lonetto, Sr., PLLC

 

SOCIAL SECURITY & VETERANS DISABILITY

LAW PRACTICE

 

 

HOW DID YOU HEAR ABOUT US?

Are You Married? /  Esta Casado(a)?

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SOCIAL SECURITY QUESTIONNAIRE

4012 GUNN HIGHWAY, Ste. 165 TAMPA FL   33618  |  813.609.5501    GET DIRECTIONS

 

Do You Have Minor Children? / Tiene Hijos Menores de Edad?

Are you currently working / Usted trabaja actualmente?

Do you work / Usted trabaja:

Have you tried vocational rehabilitation? / Ha tratado la rehabilitacion vocacional?

Have you applied for Social Security benefits or SSI? / Usted ha aplicado para obtener beneficios del Seguro Social o SSI?

Is the claim pending? / Esta pendiente el reclamo?

Have you received Social Security or SSI in the past? /  Usted ha recibido beneficios del Seguro Social o SSI en el pasado?

Did you serve in the military?Usted estuvo en el ejercito?

Have you ever filed a claim for compensation or pension benefits? / Usted ha reclamado beneficios de pension o compensacion?

Type of discharge? Cual fue el tipo de separacion del ejercito?

Do you currently have a VA claim pending?/Usted tiene en estos momentos un reclamo de beneficios pendiente como veterano?

Do you need assistance with your VA claim?/Usted necesita asistencia con su reclamo de beneficios como veterano?

Do you feel like you have recently been harassed by a company who was attempting to collect a debt from you? Usted siente que ha sido acosado recientemente por parte de alguna compania que pretende cobrarle una deuda pendiente?

If you checked “Yes” above, you might be entitled to money damages for harassment and legal representation at no cost to you. We are affiliated with a consumer protection attorney who specializes in suing harassing bill collectors. Would it be ok if he calls you to see if he can help you with that issue? Si usted selecciono SI, tiene la posibilidad de recibir compensacion por el acoso y representacion legal sin costo de su parte. Estamos asociados a un abogado que defiende los Derechos de Proteccion del Consumidor y que se especializa en demandar a colectores de deudas que acosan a los clientes. Le gustaria que dicho abogado lo llamara para una consulta sobre ese asunto?

PLEASE NOTE: the hiring of an attorney is an important decision which should not be based on advertisements alone, ask us to send you a written statement of our qualifications and experience. Also, this web site is designed for general information only, and the information contained herein may not apply to your circumstances and is based upon Florida law only. Finally, please be aware that the presentation of the information at this web site does not and should not be construed to be formal legal advice and it does not create or form an attorney/client relationship. No attorney client relationship is created until you have signed an Authorization for Legal Services.

DESIGN BY BRANDIVERSITY  |  2017 DAX J. LONETTO, SR., PLLC ALL RIGHTS RESERVED