Get NY WTC-12 2018-2024

WTC-12 9-16 NYS Workers Compensation Board Centralized Mailing Address P. O. Box 5205 Binghamton N.Y. The registration form WTC-12 must be filed not later than September 11 2018. To register this Sworn Statement must be accurately and truthfully completed and the original filed with the Board District Office or Downstate Central Mailing Center see addresses below not later than September 11 2018. State of New York WORKERS COMPENSATION BOARD REGISTRATION OF PARTICIPATION IN WORLD TRADE CENTER RESCUE RECOVERY AND/OR CLEAN-UP OPERATIONS Sworn Statement Pursuant to Workers Compensation Law 162 Please read the background and instructions below completely and carefully before completing the Sworn Statement beginning on page 3. BACKGROUND On August 14 2006 Workers Compensation Law WCL Article 8-A was enacted to expand the time for a participant in World Trade Center rescue recovery and/or clean-up operations who suffers or may suffer in the future from a qualifying condition to file a claim for workers compensation lost wage and medical benefits and to permit the Board to reopen such claims previously denied as untimely. Article 8-A was recently amended to change the definition of qualifying condition and to extend the registration deadline. defined in WCL 161 1 as any a employee who within the course of employment or b volunteer upon presentation to the Board of evidence satisfactory to the Board that he or she i participated in the rescue recovery or cleanup operations at the World Trade Center site between September 11 2001 and September 12 2002 or ii worked at the Fresh Kills Land Fill in New York City between September 11 2001 and September 12 2002 or Manhattan between September 11 2001 and September 12 2002 or iv worked on the barges between the west side of Manhattan and the Fresh Kills Land Fill in New York City between September 11 2001 and September 12 2002. World Trade Center site is defined as anywhere below a line starting from the Hudson River and Canal Street east on Canal Street to Pike Street south on Pike Street to the East River and extending to the lower tip of Manhattan* A qualifying condition is defined as any of the following diseases or condition resulting from a hazardous exposure during participation in World Trade Center rescue recovery or clean-up operations a Diseases of the upper respiratory tract and mucosae including conditions such as conjunctivitis rhinitis sinusitis pharyngitis laryngitis vocal cord disease upper airway hyper-reactivity and trachea-bronchitis or a combination of such conditions dysfunction syndrome and different types of pneumonitis such as hypersensitivity granulomatous or eosinophilic by exposure or aggravated by exposure e New onset diseases resulting from exposure as such diseases occur in the future including cancer chronic obstructive pulmonary disease asbestos-related disease heavy metal poisoning musculoskeletal disease and chronic psychological disease. In order for the claim of a participant in World Trade Center rescue recovery or cleanup operations to come within the application of Article 8-A of the Workers Compensation Law the participant is required to register with the Workers Compensation Board Board.