Loading
Form preview picture

Get Trade Center 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.

How It Works

world center rating
4.8Satisfied
34 votes

Tips on how to fill out, edit and sign Wtc 12 form online

How to fill out and sign World trade recovery online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Finding a legal specialist, creating a scheduled visit and going to the office for a private conference makes finishing a NY WTC-12 from beginning to end exhausting. US Legal Forms lets you quickly create legally binding papers based on pre-built web-based blanks.

Perform your docs in minutes using our straightforward step-by-step guideline:

  1. Get the NY WTC-12 you need.
  2. Open it with online editor and start adjusting.
  3. Fill in the blank fields; concerned parties names, places of residence and numbers etc.
  4. Change the template with exclusive fillable fields.
  5. Put the particular date and place your e-signature.
  6. Click on Done after twice-checking everything.
  7. Download the ready-produced papers to your gadget or print it out as a hard copy.

Easily create a NY WTC-12 without needing to involve specialists. There are already more than 3 million people taking advantage of our rich collection of legal documents. Join us today and get access to the top catalogue of web blanks. Give it a try yourself!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Video instructions and help with filling out and completing wtc registration online

Make use of our fast video guide for finishing Form in your browser. Moving paperless is the best way to save time for more essential activities in the digitised age.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to form wtc printable

  • participation world
  • wtc registration get
  • nys wtc 12
  • ny world rescue
  • ny world
  • center rescue
  • wtc 12 forms
  • wtc 12
  • world trade rescue
  • 12 wtc
  • world trade form
  • form wtc
  • form wtc form
  • trade recovery
  • trade center form
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.