Disability Benefits for Chronic Obstructive Pulmonary Disease (COPD)

Disability Evaluation

Step 1: Disability Questions

Does applicant expect to not work for at least 12 months?

Yes

Is applicant receiving treatment from a doctor?

Yes

Can the applicant work at all?

Yes

Please list all conditions.

Step 2: Applicant’s Information

Name

Phone

Age

State

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