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New Client Intake

Hi and thank you for your confidence in Ginsberg Law.  Here are the document we need signed and returned to us in order to get started:

Intake Form – this is our starting point to learn about your disability claim.

Form 1696 – Appointment of Representative – we need to submit this signed form to Social Security to start work on your case

SSA Form 1693 – contingency fee contract provided to us by SSA – no fee unless we win; fee is 25% of past due benefits with a cap of $7,200

Form SSA-827  – SSA Medical Authorization – this is Social Security’s medical authorization form

Ginsberg Law medical authorization – this is the form we use when requesting records from your doctors

Please print out each of these documents and return to us by scan/email (to jen.ginsberglaw@gmail.com) or by postal mail (1854 Independence Square, Atlanta, GA 30338).

If you would like to sign these documents digitally, please call paralegal Jen Socha at 770-393-4985.

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