Get 0920 0891 Form

Filling out the 0920 0891 Form online is a crucial step for individuals seeking eligibility for the World Trade Center Health Program. This guide provides a clear, step-by-step approach to ensure that you complete the form accurately and efficiently.

Follow the steps to successfully complete the 0920 0891 Form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering today’s date in the provided format (MM/DD/YYYY).
3. Fill in your last name, first name, and middle name in the respective fields.
4. Provide your complete mailing address, including street address, city, state, and zip code.
5. Enter your email address for future correspondence and updates.
6. Indicate your primary and secondary phone numbers, ensuring accuracy for contact purposes.
7. Record your date of birth in the specified format (MM/DD/YYYY) and select your gender by checking the appropriate box.
8. If you wish to provide a Government Identification Number, select the type from the options and enter the number. Remember, this is optional.
9. Answer the questions regarding your experience in the World Trade Center disaster area by checking the appropriate boxes and providing additional details where necessary.
10. If you have symptoms related to the September 11 attacks, describe them briefly and indicate when they started.
11. Provide any required documentation as per the instructions and include details about your attempts to obtain it if necessary.
12. Read the attestation statement carefully, then sign and date the form in the designated areas.
13. Review the completed form for accuracy before saving changes, downloading, printing, or sharing it as needed.

Complete your documents online today to ensure your eligibility for the World Trade Center Health Program.