When you call, you will be asked to provide your full name so the Service Center can look up your work history. Surgery, full prostatectomy or incontinence may impact payouts. You do not need to submit any proof of presence with your claim. The form includes detailed instructions on how to complete it and where to send it once it is complete. [6] If you asked someone to write an affidavit on your behalf and the affidavit is signed and dated prior to this date, the VCF will accept the affidavit even if it is submitted after February 1, 2023. Note: The FECA claim might not contain information to help verify your presence. For uniformed NYPD members, the VCF will consider the documents listed below helpful in establishing presence. Secure .gov websites use HTTPS [4] The VCF and the WTC Health Program use two different geographic areas and two different timeframes during which an individual needed to be at a 9/11 site. If we do not have an agreement with your employer or organization, you should provide your employer/organization with the VCF Third Party Verification Form, and instruct them to send the completed form directly to the VCF. You should contact the employee verifications team by email at GS-HCM-Help-Americas@ny.email.gs.com and request an employment verification letter. If the VCF needs additional information from you after reviewing your claim form and the letter, we will contact you. The court order establishing that the action has been discontinued and/or dismissed, or the notice/letter of withdrawal filed on the ECF system in the relevant docket, must be dated on or before the date you submit your claim or amendment. Unsettled claims withdrawn/dismissed before submitting the VCF claim form or amendment. We will review the Witness Presence Statement as part of the review of your claim and will contact you if additional information is needed. College, school, or day care records and transcripts confirming enrollment or attendance during the relevant time period must be accompanied by one of the following two certifications: (1) Accuracy: A certification in the form of an accompanying letter, or a certification within the document (common on transcripts) from an employee of the college, school, or day care facility certifying the accuracy of the records; OR (2) True Copy: A certification in the form of an accompanying letter from from your legal counsel (if an attorney is assisting you with your claim) certifying that the document is a true and accurate copy of what they received directly from the school/daycare facility. You should also submit other evidence (such as contemporaneous documents, Witness Presence Statements, or affidavits) demonstrating that you were physically present in the NYC Exposure Zone during the period beginning on September 11, 2001, through May 30, 2002, when you submit your claim. Release tendered before the date on which the WTC Health Program added the individuals eligible condition to the list of qualified physical injuries. This form is optional you are not required to submit this form as part of your claim. If you have a document that you believe can be used to prove your presence at an eligible location and it does not fall into one of the categories below, you should submit the document to the VCF to be reviewed. Please see Section 1.4.e for more information specific to mental health conditions. The VCF will notify you if additional information is needed. You may submit either a court order establishing that the action has been discontinued and/or dismissed, dated on or before January 2, 2012, or a notice/letter of withdrawal filed on the Electronic Case Files (ECF) system in the relevant docket on or before January 2, 2012.
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