Agreement and Fees

Engagement for Social Security Assistance-Individual

I agree to the assistance of Social Security Solutions LLC , aka Dennis M. Heywood under the following terms:

• S-3 will review the facts and evidence in your case.
• S-3 will interview you and provide options in regards to Social Security benefits and administrative procedures.
• S-3 will complete the required Social Security application for your claim.
• S-3 will complete the Adult Medical Report (SSA-3368) for your disability claim.
• S-3 will submit such claim to Social Security, at your request, in the appropriate timeframes to protect your entitlement to all benefits.
• S-3 will provide you a copy of all documents submitted to Social Security.
• S-3’s assistance in no way guarantees the approval of your claim for Social Security benefits.
• S-3’s fees are as follows:
  • Pre-retirement analysis-$200.00 per person
  • Online retirement claim-$100.00
  • Disability claims-$600
  • Other issues @ $200.00 per hour
  • All fees are due at the time service is completed.
• S-3 will safeguard and protect all personal and financial information according to the Privacy Act. Personal information and documents will be shredded and/or deleted after a one year retention period.
• You understand I am not your appointed representative with the Social Security Administration.

I appreciate the opportunity to assist you in this important engagement.