Office:

111 2nd Ave. N.E., Suite 360

St. Petersburg, FL 33701

Mailing Address:

P.O. Box 12168

St. Petersburg, FL 33733

Contact Us 24/7 For a Free Consultation

Email:

abellhorn@bellhornlawfirm.com

Phone:

727-822-7121

Fax:

727-822-6141

Follow Us On:

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Law Offices of Amy G. Bellhorn, PLLC.

A Voice for the Injured and the Disabled

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Important Forms


Adult SSD/SSI Appeal Packet:
Request for Reconsideration

Request for
Reconsideration Form
SSA-561-U2
Disability Report
Appeal (Adult) Form
SSA-3441-BK
SSA’s Release of
Information Form
SSA-827

Adult SSD/SSI Appeal Packet:
Request for Hearing

Request for
Hearing Form
HA-501-U5
Disability Report
Appeal (Adult) Form
SSA-3441-BK
SSA’s Release of
Information Form
SSA-827

Child’s SSI Appeal Packet:
Request for Reconsideration

Request for
Reconsideration Form
SSA-561-U2
Disability Report
(Child’s) Form
SSA-3820-BK
SSA’s Release of
Information Form
SSA-827

Child’s SSI Appeal Packet:
Request for Hearing

Request for
Hearing Form
HA-501-U5
Disability Report
(Child’s) Form
SSA-3820-BK
SSA’s Release of
Information Form
SSA-827
SSD, SSI, Child’s SSI
New-Client Packet
Law Firm Authorization to
Release Information Form
Attorney Fee Agreement Form Appointment of
Representation Form
SSA-1696-U4
Direct Fee Form
SSA-1695
SSD, SSI, Child’s SSI
New-Client Memo
SSD, SSI and Child’s SSI Updated
Medical and School Form
SSD/SSI Pre-Hearing
Prep. Packet
Personal Injury/
Auto Accident
New-Client Packet
  • Areas of Practice

    • Social Security Disability Insurance Benefits (SSD)
      • What are SSD Benefits?
      • SSD vs. SSI
      • How to Apply for SSD, SSI or Child’s SSI
      • Frequently Asked Questions
    • Supplemental Security Income (SSI)
      • What are SSI Benefits?
      • SSI vs. SSD
      • How to Apply for SSD, SSI or Child’s SSI
      • Frequently Asked Questions
    • Child’s Supplemental Security Income (SSI)
      • What are Child’s SSI Benefits?
      • How to Apply for Child’s SSI
      • Frequently Asked Questions
    • Auto Accidents
    • Traffic Tickets & DUI
    • Criminal Defense
    • Real Estate
    • Advanced Health Care Directives, Wills & Trusts
    • Family Law
    • Immigration
  • Serving Locally:

    We serve the Tampa Bay Area and surrounding areas for All of Our Practice Areas

    • Pinellas County
    • St. Petersburg
    • Clearwater
    • Tampa
    • Manatee
    • Sarasota
    • Pasco
    • Orlando

    Serving Nationally:

    In addition to serving the Tampa Bay and surrounding areas, we also provide legal assistance nationally for SSD, SSI and Child's SSI

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Office:

111 2nd Ave. N.E., Suite 360

St. Petersburg, FL 33701

Mailing Address:

P.O. Box 12168

St. Petersburg, FL 33733

Contact Us 24/7 For a Free Consultation

Email:

abellhorn@bellhornlawfirm.com

Phone:

727-822-7121

Fax:

727-822-6141

Follow Us On:

Facebook Twitter LinkedIn YouTube
  • Home
  • About Our Firm
  • Attorney Profile
  • Areas of Practice
  • Resources
  • Forms
  • Contact Us

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