Social Security Benefits - SSI & SSDI
Location: Barnum Financial Group - 565 Taxter Rd, Suite 625, Elmsford, NY 10523
Date and time: Tuesday October 29, 2019 from 11:00 AM – 1:00 PM
Presenter: Vincent Scocozza Public Affairs Specialist/Social Security

Please answer all questions, then click "submit" at end of form.  This information is needed for our funding sources, and is not used to discriminate during the application process.  This information allows us to continue to provide free informational programs to the community.  Thank you!
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email Address *
Re-type Email Address *
Phone/Cell  Number *
Are you attending this workshop as a parent or a professional? *
If both a parent (of a child with suspected disability, 504 Plan, or IEP) and a professional in the field, please complete application in the role of parent by choosing parent.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms