ATTENTION RETIREES!
DEADLINE EXTENDED!
WERE YOU A RETIREE ON SEPTEMBER 11, 2001 WHO VOLUNTEERED FOR THE WORLD TRADE CENTER RESCUE, RECOVERY OR CLEAN-UP OPERATIONS BETWEEN SEPTEMBER 11, 2001 AND SEPTEMBER 12, 2002?
IF SO, FILE THE BELOW FORM (WTC-12) WITH THE STATE OF NEW YORK WORKERS COMPENSATION BOARD BY AUGUST 13, 2008.
YOU SHOULD FILE, IN ORDER TO PROTECT YOUR RIGHTS, SHOULD YOU DEVELOP ANY OF THE QUALIFYING AILMENTS.
FORM (WTC-12) INCLUDES A SWORN STATEMENT AND FULFILS THE REGISTRATION PROCESS - BUT, IT IS NOT A FILING OF A CLAIM FOR WORKERS COMPENSATION BENEFITS. IT SIMPLY PRESERVES YOUR RIGHT TO FILE A CLAIM IN THE FUTURE.
These forms are in PDF format.If you cannot read them then you will need to have Acrobat Reader installed on your computer. This is a free product that you can download from Adobe
Click Below or 'copy and paste' the address in your browser:
http://www.adobe.com/products/acrobat/readstep2.html
CLICK BELOW FOR THE FORM WTC-12
CLICK BELOW FOR A COPY OF THE WTC VOLUNTEERS CLAIM FORM.
THIS IS TO BE USED IF YOU WANT TO FILE FOR A CLAIM.YOU CAN GET MORE INFORMATION AT THE
NYS WORKERS COMPENSATION BOARD WEBSITE