Webinar Participant Information Survey

Empowering Our Community With Knowledge on Disability Benefits

Join Access California Services for an informative webinar on Social Security and disability benefits presented by Hatixhe B. Grbeshi, a licensed attorney.

What: Webinar about SSI and SSID

When: November 12th, 2026 at 7:00PM

Where: Zoom (link provided after registration)

Question Title

1. Full Name (Required.)

Question Title

2. What is your age range? (Required.)

18-24

25-44

45-64

65+

Webinar Participant Information Survey

Empowering Our Community With Knowledge on Disability Benefits

Question Title

1. Full Name (Required.)

Question Title

2. What is your age range? (Required.)

Question Title

3. Contact Number (Required.)

Question Title

4. Email Address (Required.)

Question Title

5. County (Required.)

Webinar Participant Information Survey

Empowering Our Community With Knowledge on Disability Benefits

Question Title

* 1. Full Name (Required.)

Question Title

* 2. What is your age range? (Required.)

Question Title

* 3. Contact Number (Required.)

Question Title

* 4. Email Address (Required.)

Question Title

* 5. County (Required.)

1. Full Name (Required.)

2. What is your age range? (Required.)

3. Contact Number (Required.)

4. Email Address (Required.)

5. County (Required.)