Applications
You can apply to the Program by either using the online system or by downloading the form below that best describes what you did on 9/11. You should only apply once.
Eligibility Applications
WTC Health Program Responder Eligibility Application – FDNY
WTC Health Program Responder Eligibility Application – General Responder
WTC Health Program Responder Eligibility Application – NYC Survivor
WTC Health Program Eligibility Application – Pentagon & Shanksville, PA
For more information on how to enroll – click here
What You Need to Send
If you used the online system:
- You may submit your required supporting documentation through the website or send it through the mail or fax.
If you downloaded the forms listed above:
- You need to send the signed application form and copies of your supporting documents (or your report on why you couldn’t get the documents).
Where To Send Documents
- Mail to:
WTC Health Program
P.O. Box 7000
Rensselaer, NY 12144 - Or you may send your application and copies of your documents by fax to: 1-877-646-5308