People are eligible for a medical evaluation if they were in the New York City disaster area in Lower Manhattan and northwest parts of Brooklyn on September 11, 2001, or if they lived, worked, went to school or day care, or were otherwise in the area for some time afterward.

If the screening shows that you or your children have a condition covered by the WTC Health Program, the doctor will certify that. Everyone with a certification can enroll in the WTC Health Program, and will continue to receive medical monitoring and treatment at no cost. This program is funded by the federal government.

Step 1: Figure out if you are eligible

Read the description of a NYC Survivor.

See the map of the New York City Disaster Area.

Step 2: Enroll in the WTC Health Program

Please download this form and fill it out. You must also provide copies of documents that show where you lived or worked or went to school on 9/11. Please see the list of documents here. If you can't get copies of one or more of those documents, you must write down what you tried to do to get the papers, and why you cannot not include them with your form.

Then mail or fax your form and copies of your documents (or your report saying why you couldn't get them) to:

WTC Health Program
P.O. Box 7001
Rensselaer, NY 12144
Fax number: 1-877-646-5308

If You Need Help

If you have questions about completing the form or submitting it, please call us at 1-888-982-4748 (1-888-WTC-HP4U).

If you are unable to download the form, we can mail you a paper copy. To ask for a paper copy, please call us at 1-888-982-4748 (1-888-WTC-HP4U).

Information for Re-enrollees

In order to comply with the James Zadroga Act, the WTC Health Program is requiring that all survivors who enrolled in the WTC Environmental Health Center survivor program after the law was signed on January 2, 2011 and before June 30, 2011 must re-enroll in the World Trade Center Health Program.

Re-enrollment notification letters were mailed out to individuals with an application form. If you did not receive or have misplaced your re-enrollment notification letter please call 1-888-982-4748.