World Trade Center Volunteers Claim For Compensation {WTC Vol-3}

WTCVol-3 - WORLD TRADE CENTER VOLUNTEER'S CLAIM FOR COMPENSATION. This form is used to file a claim for compensation as a World Trade Center volunteer. The form requires the injured person to provide their personal information, including their name, address, contact details, social security number, and date of birth. It also asks about the volunteer activities, including the dates volunteered, involvement of a volunteer agency or rescue entity, and details of the injury/illness sustained. The form further inquires about benefits and medical care received, including applications to the September 11th Victim Compensation Fund and the need for ongoing medical care. The claimant must sign the form, acknowledging the consequences of making false statements. The form provides important information to the claimant regarding the availability of funds for compensating injured or disabled volunteers. It outlines the requirements for filing a claim and the need to submit supporting documentation, including proof of volunteer status, medical evidence, and letters from relevant programs. The claimant is also instructed to complete additional forms, including the WTC HIPAA release form and the Victim Compensation Fund release form. The form concludes with a notice regarding the collection of personal information and the protection of privacy under state and federal laws. www.FormsWorkflow.com