CLAIM FORM INSTRUCTIONS: CLAIMS FOR DECEASED INDIVIDUALS

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 Deceased Individuals. These are the forms you must complete if you wish to submit a claim to the VCF on behalf of someone who has died from physical injuries he or she suffered as a result of the September 11th attacks or related debris removal.

Please note that if you are submitting this claim on behalf of someone who suffered physical injuries as a result of September 11th or the related debris removal but who died from unrelated causes, you should complete the Eligibility Form for Personal Injury Claimants.

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 Decedent’s eligibility for compensation from the VCF. The Eligibility Form is divided into four parts and requests information about the Decedent, the Authorized Representative, 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-XI) – The Compensation Form requests information that may be used to compute the financial award if the Special Master determines that the claim is 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 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.