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Form Approved OMB No. 09200891 Exp. Date 12/31/20149/11 EA Should Trade Center Health Program Survivor Eligibility Application A World Trade Center (WTC) Health Program Survivor is a person who was present

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How to fill out world trade center health

01

To fill out the World Trade Center Health form, follow these steps:

02

Visit the official website of the World Trade Center Health Program.

03

Locate the 'Forms' section on the website.

04

Download the specific form titled 'World Trade Center Health Program Application' or 'WTC Health Registry Enrollment Form'.

05

Print the form and carefully read the instructions provided.

06

Fill out the required sections of the form, including your personal information, medical history, and exposure details.

07

If you have any supporting documents, make copies and attach them to the form.

08

Review the completed form to ensure all information is accurate and complete.

09

Sign the form and date it.

10

Submit the form using one of the options mentioned in the instructions, such as mailing it to the designated address or sending it electronically through the official website.

11

Wait for a confirmation or response from the World Trade Center Health Program regarding your application.

Who needs world trade center health?

01

The World Trade Center Health Program is designed to provide healthcare services and support to individuals who were directly affected by the September 11, 2001 terrorist attacks and their aftermath.

02

The following individuals may be eligible for the World Trade Center Health Program:

03

- Rescue and recovery workers, including firefighters, police officers, and other first responders who participated in the rescue, recovery, or cleanup efforts at the World Trade Center site, Pentagon, or Shanksville, Pennsylvania crash site.

04

- Survivors who were present in the affected areas near the World Trade Center, such as residents, students, or workers.

05

- Certified WTC-related conditions include physical and mental health conditions, such as respiratory illnesses, certain types of cancer, and post-traumatic stress disorder (PTSD), which are associated with the 9/11 attacks and their aftermath.

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What is world trade center health?

World Trade Center Health Program provides medical monitoring and treatment for first responders, recovery workers, and survivors of the September 11, 2001 terrorist attacks in New York City.

Who is required to file world trade center health?

Individuals who were present at the World Trade Center site or in Lower Manhattan during or after the attacks on September 11, 2001.

How to fill out world trade center health?

To fill out World Trade Center Health forms, individuals can visit the program's website or contact their healthcare provider for assistance.

What is the purpose of world trade center health?

The purpose of World Trade Center Health Program is to provide medical monitoring and treatment for those affected by the 9/11 attacks.

What information must be reported on world trade center health?

Information such as demographics, exposure history, medical conditions, and current symptoms must be reported on World Trade Center Health forms.

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