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Miller Disability Law, P.C.

Social Security Forms

    PRE-APPLICATION

    Workers Compensation/Public Disability Questionnaire

    SSA-546 Print and fill out by hand (67 kb)
    SSA-546 Fill out online, then print (159 kb)

    Disability Report-Adult

    SSA-3368 Print and fill out by hand (125 kb)
    SSA-3368 Fill out online, then print (426 kb)

    Work History Report

    SSA-3369 Print and fill out by hand (80 kb)
    SSA-3369 Fill out online, then print (385 kb)

    HEARING REQUEST

    Claimant’s Statement when ‘Request for Hearing’ is filed and issue is Disability

    HA-4486 Print and fill out by hand (101 kb)
    HA-4486 Fill out online, then print (157 kb)

    HEARING PREPARATION

    Disability Report Appeal

    SSA-3441-BK Print and fill out by hand (72 kb)

    Medication List

    HA-4632 Print and fill out by hand (46 kb)
    HA-4632 Fill out online, then print (65 kb)

    Recent Work History

    HA-4633 Print and fill out by hand (216kb)
    HA-4633 Fill out online, then print (231 kb)

    Listing of Impairments

    Questions? Contact Us Today!

    Call (865) 637-0515 Schedule Consultation

    What Our Clients Say About Us

    Client
    Testimonials

    Chris was honest, very kind, compassionate and thorough.

    Attorney Haynes was patient and kind also. A huge help when it came to court in helping me stay focused. From the font desk and all the in between to the court date everyone was so helpful, kind and considerate. Thank you all job a job well done!

    Deanna B.

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    Dana was very knowledgeable and an excellent communicator. She listened and answered all my questions.

    Mr. Miller effectively advocated on my part and the outcome was the desired outcome in a timely manner.

    Darrell W.

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    Outstanding, I could have never done it by myself.

    They were professional and knew what they were doing. They really knew what they were doing and did outstanding work. Thank you all so much! You showed that you cared enough to make sure we all walked out a winner.

    Melissa M.

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    We serve residents throughout Knoxville, Knox County, Blount County, Sevier County, Anderson County, Loudon County, Jefferson County, and the many other communities in East Tennessee. If you are disabled and unable to work, we’re here to help. There is no need to go it alone, or to simply accept the initial denial of your claim. Contact our dedicated legal team to receive your free case evaluation – so we can begin the process of getting you the benefits you deserve.

    Contact Us Today for a Consultation so We can help you get what you are entitled to.

    Call (865) 637-0515 Schedule Consultation