Ohio Worker Compensation Lawyers
Ohio Worker Compensation Lawyers
Ohio Worker Compensation Lawyers
Ohio Worker Compensation Lawyers

Social Security Disability Questions:

Where and when did you last work?

Please list and describe your medical problems?

Are you treating regularly with a physician for the above conditions?

Yes
No

Have you received a denial?

Yes
No

If yes, what is the date on your denial?

Have you filed previous applications? If so, when?

Have you had a hearing in front of a judge?

Yes
No

Workers Compensation Questions:

What is your date of Injury?

Are you currently represented by an attorney?

Yes
No

Were you injured while working?

Yes
No

What were your injuries?

Have you filed a claim?

Yes
No

Have you missed more than 7 days from work?

Yes
No

* Please enter the security code shown below:

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Contact Agee, Clymer, Mitchell & Laret

Our firm's mission:

“Striving for quality representation, we are a dedicated team, taking pride in ourselves and in our jobs.”


Columbus Office:

226 North Fifth Street
5th Floor
Columbus, Ohio 43215
1-866-778-1411

Chillicothe Office:

14 South Paint Street
Ste 65, 4th Floor
Chillicothe, Ohio 45601
1-866-778-1411

Circleville Office:

112 West Main Street
Circleville, Ohio 43113
1-866-778-1411

Delaware Office:

20 East Central Avenue
Delaware, Ohio 43015
1-866-778-1411

Galion Office:

118 Harding Way, West
Galion, Ohio 44833
1-866-778-1411

Jackson Office:

345 East Main Street, Suite 200
Jackson, Ohio 45640
1-866-778-1411


If you or someone you know has been disabled through a workplace injury or must rely on disability income, the lawyers of Agee, Clymer, Mitchell & Laret have more than 80 years of combined experience helping clients like you. Call us now at 866-778-1411. The office also has a Spanish interpreter available daily if necessary.