Become a Partner | Connect a Claim Partner Program

Return your partner profile

Submit the form below with your organization's name, contact, and payment details.

Begin screening

Use the LTD screening script to identify qualified leads among the individuals you already serve.

Submit your leads

Send qualified leads by spreadsheet template or secure upload once your access is set up. Connect a Claim screens each lead for qualification.

Organization Name

Primary Contact

Email Address

Phone Number

Payment Address

Message (optional)

By submitting this application, you acknowledge that compensation under the Connect a Claim Partner Program is paid per qualified lead, with the amount based on case type, within 7–10 business days once a submitted lead is verified as qualifying. We'll share the full payment structure once you apply. This program is open to organizations serving Social Security disability claimants and does not require attorney licensure.

Already a partner? Partner Portal

Apply once, then send leads.

Return your partner profile

Begin screening

Submit your leads