D i s a b i l i t y   A d v o c a t e s
                           o f    C e n t r a l   F l o r i d a
Contact Us
Disability Advocates of Central Florida

20 North Devon Avenue                    (By Appointment Only)

Winter Springs,  FL   32708

Phone   (407)  610.5543             

Please complete all the fields below and we will respond to your inquiry within 24 - 48 hours.  Please complete this form and provide all information below even if you are assisting someone else in their inquiry.
First Name: (of Social Security Applicant)
Last Name: (of Social Security Applicant)
  Are You The Person Applying?  If not, fill in your name below.
Person's Name Filling Out This Form:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Contact Email::
Evening Phone:
  Check Box if you have been denied Social Security Benefits.
Applicant's Date of Birth::
Disabling Condition(s):
Additional Comments:

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