Claim Form Instructions For Personal Injury Claimants
Updated: October 28, 2013
These instructions are designed to help you complete and submit the September 11th Victim Compensation Fund (“Victim Compensation Fund” or “VCF”) Eligibility and Compensation Forms for Personal Injury Claimants. These are the forms you must complete if you wish to submit a claim to the VCF for physical injuries you have suffered as a result of the September 11th attacks or related debris removal.
The VCF claim form is divided into two sections: the Eligibility Form and the Compensation Form. There is a Supporting Document Checklist at the end of each of these sections. The checklist will help you organize and submit the supporting documents that you must provide with your claim. Please note that if you are submitting your claim electronically through the VCF’s website, you will also complete a “Claimant Registration” section.
Section 1: Eligibility Form (Parts I-IV) – The Eligibility Form requests information related to the Claimant’s eligibility for compensation from the VCF. The Eligibility Form is divided into four parts and requests information about the Claimant, presence at the crash site, and the physical injury or condition sustained as a result of the September 11th attacks or the related debris removal efforts.
Section 2: Compensation Form (Parts V-X) – The Compensation Form requests information that may be used to compute your award if the Special Master determines you are eligible for compensation.
You should complete and submit the Eligibility Form before you complete the Compensation Form. However, you may submit the Compensation Form prior to hearing from the VCF regarding your Eligibility determination.
Click on the links below to access PDF files with the section-by-section instructions for completing each of the required forms.
Where can I go for more information?
Through the Internet -- The Victim Compensation Fund website address is www.vcf.gov.
By telephone -- The toll-free Helpline number is 1-855-885-1555; TDD 1-855-885-1558. If you are calling from outside the United States, please call 1-202-353-0356.