Forms

Testimonials

Thank you for all your hard work and a successful outcome. Mike you are a great help with all my questions. Again, thank you.Melody
Tracy, enclosed you will find a check for your services. Thank you so much for your help. It was a pleasure to work with you.Sierra
Mr. Cooke & Mike, I wish to thank you both for the exceptional help you provided to us. Take care.Kim
“Dear friends, let us love one another, for love comes from God. Everyone who loves has been born of God and knows God.” – 1 John 4:7-9 (NIV) – Wishing you a blessed Christmas…Lorraine
Hi Tracy, Here’s the payment for your work as my representative. I want to thank you & Michael for all your work. Now I can make other plans.Sheila
Tracy & Mike, Thank you so very much for everything!Doris
Dear Mr. Cooke, Thank you again for everything! It never would have happened if not for you!Sally
Tracy & Michael, Thank you both 4 all your help in my S.S. disability case. God bless you both! – PS: I will refer others to you who need help!Jeanne
Dominic & I would like to thank you for all of the work you both did on our behalf. God Bless and with sincere appreciation.Cathy
Thank you so much for all that you guys did in helping win my case. I’m doing good. I finished my chemo this week as that is a very good thing. Thank you for asking.Kandise
Cooke & Company, Thank you so very much!Cynthia
Thanks for all your help. Never would have happened without you guys. Thanks again!Nancy & Jake
Cooke & Company, Inc, Thank you for all the effort you put into winning my case for SSI. It’s been a very hard road, and you have made it significantly easier. You all remain in my…Hannah
Mr. Cooke & Mike, Thanks for all your help. I greatly appreciate everything.Tamara
1000 thank yous! Please send me some business cards so I can give them out at groups I attend.Brian
Tracy Cooke & Mike, Thank you so much for your help.Kathy
Hello Mr. Cooke, Thank you for representing me. You did a fine jib. You and Mike were a pleasure to deal with. Very professional, very polite, always. If there is anything else you need…Angie
Hi guys, I cannot thank you enough for all your hard work. God’s Blessing for you for all you do for people like me.Jean
Dear Cooke and Company, I wanted to tell you how much I appreciate the kindness and help that you gave to me with my court hearing and the support that Mike gave with the overwhelming…Lois
Sir, Enclosed is a check as payment in full for your services in representing me in obtaining a favorable decision from the social Security Administration in my disability application. I…Michael
Tracy & Mike, Thank you both so much for your professional expertise. I’m glad you were both there for me with your expertise and know how.Mary
Tracy Cooke & Mike, Thank you very much for the wonderful result. I appreciate you both. Thanks again.Betsy
Dear Tracy M. Cooke, I would like to thank you for your SSA services you have given me. I would also like to thank Mike Benjamin for his help with my mental & physical well being. It…Steven
Dear Tracy, Enclosed is a check for your case expenses. I am Steve’s aunt and I have been set up as his Representative Payee. Thank you very much for all your help. We appreciate all…Lily
Dear Mr. Tracy Cooke. I am writing to thank you for your Representation in my claim. Your through efforts to track down medical records really helped significantly. Keeping me updated…Bailey
Mike & Mr. Cooke, Thank you so very much for all your help. In a great time of need in my life you were there for me.Lisa
Hi Mr. Cooke, Please find enclosed the balance due for your services. Thank you for everything!Kim
Tracy & Mike! Thank you for really being there for us. PeaceBrandy & Tawnya
Mr. Cooke & Mike, I would like to take this opportunity to thank you for all you have done in my behalf. Thanks! I really do appreciate it.Jim
Dear Mr. Cook, you are great representatives. Thank you so much for all your help.Theresa
Dear Tracy & Mike, I can’t thank you enough for representing me. I am very grateful for the outcome, which gave me back a lot of my dignity. God bless you both.Monica
Dear Tracy & Mike, Thank you both for all your help, support, questions answered throughout this SS process!! Tracy, Mike was SO…Vivian
Dear Mike, Thank you and Tracy for all you’ve done to help me. I honestly don’t know how I would have made it through to this point. This has helped make a major difference in…Gina

New Client Intake Forms

Right of Rescission Form Click Here
Fee Agreement Click Here
Appointment of Representative Click Here
Consent for Release of Information Click Here
Federal Health Insurance Portability and Accountability Act (HIPAA) – Authorization for Use Click Here

Additional Social Security Forms

Hearing & Issues Explanation Click Here
Authorization to Disclose Information Click Here
Petition to obtain approval of a fee from representing a claimant Click Here
Request for Reconsideration Click Here
Request for review of hearing decision / order Click Here
Disability Report – Appeal Click Here