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Form wtc 2026

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  1. Click ‘Get Form’ to open the WTC registration form in the editor.
  2. Begin by entering your current residential address, including apartment number, street name, city, state, and zip code. If your mailing address differs, provide that as well along with your telephone number.
  3. Indicate your participation in World Trade Center operations between September 11, 2001, and September 12, 2002. Specify whether you participated as an employee or a volunteer.
  4. List any evidence of your activities as a volunteer such as badges or letters. If you did not participate as a volunteer, you can skip this section.
  5. Fill in the table with dates and locations of your participation. Describe the work performed and provide the name and address of your employer or agency involved.
  6. State whether you have previously filed a workers' compensation claim related to this participation. Include the date filed and WCB case number if applicable.
  7. Review all information for accuracy before signing. Ensure that you sign in front of a notary public to validate your statement.

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Related links

Application - World Trade Center Health Program

May 28, 2025 You can apply online or download a form and send it by mail or fax. You may choose to have someone represent your interests when applying to the WTC HealthRead more

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Forms Publications

Fundraiser Request Form Major Change Form Major/Program Form Nomination See additional publications on the Publications page at wtc.edu/publications.Read more

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