This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York.
The document is provided in Italian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form WTC-12I?
A: Form WTC-12I is a registration form for individuals who participated in the World Trade Center rescue, recovery, and/or cleanup operations in New York.
Q: Who is eligible to use Form WTC-12I?
A: Individuals who took part in the World Trade Center rescue, recovery, and/or cleanup operations in New York are eligible to use Form WTC-12I.
Q: Is Form WTC-12I available in Italian?
A: Yes, Form WTC-12I is available in Italian.
Q: What information is required on Form WTC-12I?
A: Form WTC-12I requires information such as personal details, dates and locations of participation, and medical information related to the World Trade Center rescue, recovery, and/or cleanup operations.
Q: What benefits can I receive by submitting Form WTC-12I?
A: By submitting Form WTC-12I, you may be eligible for medical benefits, lost wage benefits, and disability benefits related to the World Trade Center rescue, recovery, and/or cleanup operations.
Q: How can I submit Form WTC-12I?
A: You can submit Form WTC-12I by mailing it to the New York State Workers' Compensation Board or by contacting their office for further instructions.
Q: Is there any cost associated with submitting Form WTC-12I?
A: No, there is no cost associated with submitting Form WTC-12I.
Form Details:
Download a printable version of Form WTC-12I by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.