Step 1: Basic Information

Your Age: -- Select -- Under 18 18–24 25–34 35–44 45–54 55–64 65 or older What is your current marital status? -- Select -- Single Married Divorced Widowed Separated Select Your U.S. State: -- Select a state -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Total Annual Household Income (USD): Number of People in Household: -- Select -- 1 2 3 4 5 6 7 8 9 10 More than 10 Employment Status: -- Choose -- Employed Full-time Employed Part-time Unemployed Unable to work due to disability Retired Student

Step 2: Additional Details

Are you a U.S. citizen or someone legally allowed to live in the U.S.? -- Select -- Yes No Are you the spouse or child of someone receiving retirement or disability benefits? -- Select -- Yes No Are you taking care of a child whose parent is retired, disabled, or has passed away, and the child is under 16 or has a disability? -- Select -- Yes No Do you have a physical disability, mental health condition, or serious illness that limits your ability to work or function daily? -- Select -- Yes No Do you identify as American Indian or Alaska Native? -- Select -- Yes No Have you served in the U.S. Armed Forces (active duty)? -- Select -- Yes No Have you recently lost an immediate family member (parent, child, spouse)? -- Select -- Yes No

Your Potential Benefits

Based on the information you provided, you may qualify for the following benefits and programs. Please note that this is only a preliminary assessment. Final eligibility is determined when you apply through official channels.