Apply
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 Responder Eligibility Application
Pentagon & Shanksville, PA
Supporting Documentation
For more information on how to enroll
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