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This form acts as a notice to NYCERS for members who participated in the World Trade Center operations between September 11, 2001, and September 12, 2002, indicating potential health conditions arising
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How to fill out wtc notice of participation

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How to fill out WTC Notice of Participation

01
Obtain the WTC Notice of Participation form from the official website or your local workers' compensation office.
02
Fill out your personal information, including your name, address, and contact details.
03
Provide details of your employment history related to the September 11, 2001 attacks.
04
Indicate your health conditions or illnesses that you believe are related to your exposure at the WTC site.
05
Attach any supporting documents, such as medical records or employment verification.
06
Review the completed form for accuracy and completeness.
07
Submit the form to the appropriate agency as specified in the instructions.

Who needs WTC Notice of Participation?

01
Individuals who worked at or near the World Trade Center site during and after the September 11, 2001 attacks.
02
First responders, including firefighters, police, and emergency medical personnel.
03
Workers who experienced health conditions related to their exposure to debris, dust, or other hazardous materials from the attacks.
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The WTC Notice of Participation is a document that allows eligible individuals to formally express their intention to participate in the World Trade Center health program and compensation fund.
Individuals who were exposed to toxic substances during the rescue, recovery, or cleanup operations at the World Trade Center site, as well as those who worked or lived in the area surrounding the site, are required to file the WTC Notice of Participation.
To fill out the WTC Notice of Participation, individuals must complete the form by providing personal information, details of their exposure, and any relevant medical information. The form can usually be obtained from the administering body's website or office.
The purpose of the WTC Notice of Participation is to enable eligible individuals to officially enroll in health monitoring and compensation programs related to the health effects caused by exposure to hazardous materials following the 9/11 attacks.
Individuals must report their name, contact information, details of exposure, any medical conditions related to their exposure, and, if applicable, information about any claims made for compensation or benefits.
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