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WTC Health Program | Survivors | How To Apply

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Survivors | How to Apply
 
 
 
Applications
 
 
 
 
To apply to the World Trade Center Health Program, you must fill out an application form and send it to the Program along with the required documentation. There are three steps to joining the program:
 
 
 
1)   Determine if you are eligible
 
A person who was present in the New York City disaster area in the dust or dust cloud on September 11, 2001;
A person who worked, lived, or attended school, child care, or adult day care in the New York City disaster area for at least 4 days during the 4-month period beginning September 11, 2001, and ending on Jan. 10, 2002, or at least 30 days during the 11 months beginning September 11, 2001 and ending on July 31, 2002;
Any person who worked as a cleanup worker or performed maintenance work in the New York City disaster area during the 4 months starting September 11, 2001, and ending on Jan. 10, 2002;
A person who was eligible to receive a grant from the Lower Manhattan Development Corporation Residential Grant Program, who had a lease for a residence or bought a residence in the New York City disaster area, and who lived in that residence during the period beginning on September 11, 2001, and ending on May 31, 2003;
A person whose place of employment:
  At any time during the period beginning on September 11, 2001, and ending on May 31, 2003, was in the New York City disaster area; and
  Was eligible to receive a grant from the Lower Manhattan Development Corporation WTC Small Firms Attraction and Retention Act program or other government incentive program designed to revitalize the lower Manhattan economy after the September 11, 2001, terrorist attacks.
 
 
2)   Assemble any documentation you need to complete your application
 
Please provide copies of documents that show both of these things: (survivor)
The location of your home, work, or school, child care, or adult day care in the New York City disaster area, and
The time period that you lived, worked, or attended school at that location.
 
Examples of acceptable supporting documentation include copies of:
A lease or utility bill with your name showing your residence between September 11, 2001 and July 31, 2002
A pay stub if it shows your work location between September 11, 2001 and July 31, 2002
A letter from your employer, day care center, school, or volunteer organization that states your location between September 11, 2001 and July 31, 2002
A student identification card with an associated date between September 11, 2001 and July 31, 2002
A school transcript from the Fall 2001 semester
If you are enrolled in the WTC Health Registry, you can submit a copy of Wave 1 survey to document your experience at the WTC area with your enrollment form.
 
If your home, work, or school is not in the New York City Disaster Area, but on September 11, 2001, you were present in the New York City Disaster Area, your supporting documentation could include copies of:
 
Receipts showing location and the date of September 11, 2001;
Written statements from people who were with you, or
A detailed description of your activities in the New York City Disaster Area on September 11, 2001.
 
 
3)   Apply to the program
 
You can apply to the Program by either download the form and complete it electronically, or you can print it out and complete it manually. If you complete the form electronically you will still need to print it out and sign before sending back to the Program with appropriate documentation. If you have difficulty filling out the form please call our office and we will assist you and can send to you completed electronically or through the mail. We can be reached at 203 966-3911.
 
Either send or fax the completed application including the supporting documents to:
 
World Trade Center Health Program
PO Box 7000
Rensselaer, NY 12144
 
Faxed: 1-877-646-5308
 
Services for the WTCHP Survivor program are provided through three WTC Environmental Health Center CCE's and through the National Provider Network.
 
Services for the responder program include medical monitoring and treatment for emergency responders, recovery and clean-up workers, and volunteers who helped at the WTC as well as those who worked at the OCME the Staten Island Land fill and on loading Piers they are provided at CCE' in Manhattan, Long Island Queens and NJ as well as through the National Provider Network.
 
 
 
 
 
 
 

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