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Social Security Disability Contact Form

If your application for Social Security Disability benefits has been denied, you have the right to appeal. An attorney can assist you in the appeals process. To find out how our firm can help, contact us to schedule a consultation and case evaluation with a Social Security Disability attorney.

Learn More About Social Security Disability Claims

Are you disabled and unable to perform your job duties? At the Law Office of Mark A. Skelton, we help people with all aspects of Social Security Disability Insurance and Supplemental Security Income claims and appeals. We offer personal, hands-on attention from an experienced attorney who has been handling Social Security disability cases since 1983. Our friendly staff includes a registered nurse who is well-versed in the intricate medical details involved in disability claims. We serve clients from throughout the East Tennessee region.

To learn more about SSDI and SSI claims, please review the information provided below or visit our Social Security disability practice area page.

To schedule your free initial consultation with an experienced Social Security disability lawyer, contact us today online or by telephone at 888-899-5564.

Thank you for contacting Mark Albert Skelton, Attorney at Law. Your message has been sent.

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Social Security Disability Contact Form

Personal Information

*First Name

*Last Name

Maiden name

Other names used

*Email Address

*Phone Number

*Zip

Street Address

Apt/Ste

Incident Street Address

Incident Apt/Ste

*Incident Zip

Business phone

Cell phone

Please describe all of your injuries, illnesses, symptoms, and disabilities, whether physical, mental, or emotional.

How do your medical problems limit your daily activities?

Are you able to work?
Yes No

Are/were you self-employed?
Yes No

What is your age?

What is the last grade you completed in school?

Do you have a high school diploma or its equivalent?
Yes No

Do you attend a vocational school or college or program?
Yes No

If so, what did you study and did you earn any certifications or licenses?

Did you attend college?
Yes No

If so, what did you study and did you earn any degrees?

Please describe any graduate study or advanced or professional degrees.

Do you possess any vocational or professional licenses?

Approximately how long have you been in the workforce? (years)

Describe briefly the types of work you have performed.

If you are able to work, how many hours can you work per week?

Have you filed for disability benefits for the medical problem/s described above?
Yes No

Have you been turned down for benefit payments based on the medical problem/s described above?
Yes No

Have you appealed a Social Security decision that denied you benefits for the medical problem/s described above?
Yes No

Other information or concerns?

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Skelton Law Racing Series
Skelton Law Racing

The Law Office of Mark A. Skelton founded and sponsors a series of trail and road running events in East Tennessee called the Skelton Law Racing Series. Attorney Mark Skelton also serves as the race director for all the races.

Contact the Firm

Law Office of Mark A. Skelton
121 South Depot Street
Rogersville, TN 37857

Phone: 423-546-0118
Toll Free: 888-899-5564
Fax: 423-272-0712
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