Irish, Cardon & Bernhardt, LLC
(208) 344-3839
Free Disability Evaluation

Submit electronically below or print and return to:
Irish, Cardon & Bernhardt, LLC
P O Box 299
Boise, Idaho 83701-0299
FAX: (208) 344-7100

Please enter the information below and one of our staff will contact you
within 48 hours for your FREE disability evaluation.
Use the tab key not the enter key to navigate the form.

Name:
Address:
City:
State:
Zip:
Telephone Number:
What is the date of your last denial?
What stage was the denial?	Initial application Reconsideration Hearing Appeals Council