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 French. 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 participation in 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 World Trade Center operations.
Q: Who is required to fill out Form WTC-12?
A: Those who participated in World Trade Center rescue, recovery, and/or cleanup operations are required to fill out Form WTC-12.
Q: What is the Sworn Statement Pursuant to Wcl 162?
A: The Sworn Statement Pursuant to Wcl 162 is a statement made under oath regarding the information provided in Form WTC-12.
Q: Is Form WTC-12 available in languages other than English?
A: Yes, Form WTC-12 is available in languages other than English, such as French.
Form Details:
Download a fillable version of Forme WTC-12 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.