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 Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form WTC-12?
A: Form WTC-12 is a registration form for individuals who participated in the World Trade Center rescue, recovery, and/or cleanup operations.
Q: What is the purpose of Form WTC-12?
A: The purpose of Form WTC-12 is to gather information and establish eligibility for benefits related to the World Trade Center rescue, recovery, and/or cleanup operations.
Q: Who should fill out Form WTC-12?
A: Individuals who participated in the World Trade Center rescue, recovery, and/or cleanup operations should fill out Form WTC-12.
Q: What is a sworn statement?
A: A sworn statement is a written declaration made under oath and penalties of perjury.
Q: What is WCL 162?
A: WCL 162 refers to the New York Workers' Compensation Law section that governs benefits for individuals involved in the World Trade Center rescue, recovery, and/or cleanup operations.
Q: Is this form only available in Russian?
A: No, this form is available in English and Russian. The title provided indicates that the form is available in both languages.
Q: What benefits can I be eligible for by filling out Form WTC-12?
A: By filling out Form WTC-12, you may be eligible for various benefits under the New York Workers' Compensation Law, including medical expenses and lost wages.
Q: Is there a deadline to submit Form WTC-12?
A: Yes, there is a deadline to submit Form WTC-12. The specific deadline may vary, so it's important to check the instructions provided with the form or consult with the appropriate authorities.
Form Details:
Download a fillable version of Form WTC-12 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.