Get World Trade Center Health Program Survivor Eligibility Application - Nycosh

This guide provides clear, step-by-step instructions for completing the World Trade Center Health Program Survivor Eligibility Application online. By following this process, you can ensure that your application is filled out accurately and submitted correctly.

Follow the steps to complete your application efficiently.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred editing tool.
2. Begin filling out your personal details. Enter your last name, first name, and middle name in the designated fields.
3. Provide your mailing address, including city, state, and zip code. Make sure to enter a valid email address for communication.
4. Input your primary and secondary phone numbers in the correct format.
5. Enter your date of birth in the specified format and select your gender by checking the appropriate box.
6. Fill in your place of birth and choose your government identification number from the options provided, keeping in mind that this information is optional.
7. Answer the questions regarding your experience in the World Trade Center disaster area. Check all applicable boxes and provide detailed descriptions and addresses where required.
8. Compile the required documentation to support your application. This may include proof of residence, school attendance, or employment documentation related to your time in the disaster area.
9. If you are unable to submit documentation, explain the efforts made to obtain it and the reasons for your inability to provide this information.
10. Review all your answers to ensure completeness and accuracy before signing and dating the application.
11. Once complete, you can save your changes, download, print, or share the form as necessary to submit your application.

Complete your application online today to take the crucial step towards eligibility for the World Trade Center Health Program.