September 11 Digital Archive

dojW000790.xml

Title

dojW000790.xml

Source

born-digital

Media Type

email

Created by Author

yes

Described by Author

no

Date Entered

2002-02-05

September 11 Email: Body

Kenneth L. Zwick, Director
Office of Management Programs
U.S. Department of Justice
Civil Division
Main Building, Room 3140
950 Pennsylvania Avenue, N.W.
Washington, D.C. 20530

Dear Mr. Zwick:

With heavy hearts we write this letter to you representing not only ourselves, but the
hundreds of other families whose loved ones were either hurt or killed in the tragic events
of September 11, 2001. On that day, our lives spiraled out of control. Writing this letter to
you in response to your request for comments about the Victims Compensation Fund is
one step in our efforts at regaining control over our new lives, and learning to have hope
for tomorrow.

The Victims Compensation Fund's intent is to make whole the families of the victims
While the fund is set up as a convenient, expedient process, we are concerned and do share
some reservations about its ability to make us whole.

OPPORTUNITY TO BE HEARD

Most importantly, we are concerned that we will not be given a complete and full
opportunity to be heard, should we choose to do so. Each of us rightfully deserves the
opportunity to be fairly heard before a hearing officer. We would like to have the occasion
to present evidence through our own testimony and the testimony of expert witnesses. We
would like for each of our cases to be considered on a case-by-case basis. For many of us,
being given the right to be heard is a crucial and extremely valuable part of our healing
process. Lack of economic means should not foreclose such an opportunity. We hope that
you can understand this.

Currently, most, if not all of us, are in financial distress. We do not have the economic
means to hire the necessary experts for our particular cases. We do not want to be
precluded from retaining the services of these expert witnesses simply because of our own
financial inability to do so. Therefore, we believe that all expert fees should be paid
directly out of the compensation fund by the Special Master, and that there should be no
limit on garnering such fees.

RIGHT TO APPEAL AND FORM OF PAYMENT

One of our greatest concerns is that the current statutory schemes are removing our
options. With the passage of the most recent legislation removing all public entities from
fault, we are left with one viable means of recovery - the Victims Compensation Fund.

Please understand, by electing the Fund we are forfeiting our right to bring a third-party
lawsuit. We are forfeiting our right to find actual fault against an entity (the federal
government, the Port Authority, the airlines, etc.) - that would psychologically provide us
with some kind of answers as to why this horrible event was even able to occur.

If we are forfeiting our right to bring a third-party lawsuit, we should be guaranteed a right
to appeal in exchange. If we are going to put our fate in the hands of a hearing officer, we
should at the very least have the right to appeal his or her decision.

We would also like the option to receive any payments made either in one lump sum, or
through a structured pay out to the decedent's beneficiary, consistent with what our
personal investment advisors recommend for each of our individual family circumstances.
For example, any payment made to minor children should be in trust. In addition, the
parent of said minor children should determine the date of vesting. The trust should not
automatically vest at the age of 18, unless the parent determines that it is in the children's
own best interests to do so.

ECONOMIC LOSSES

Of critical importance to us, is the fair computation of economic losses. We strongly
oppose any cap being placed upon this portion of recovery. Simply put, no one should be
penalized because their loved one worked long, hard hours and earned a "good salary".

Every case is unique and deserves individual treatment, but we would like to know
beforehand how economic damages will be calculated for loss of earnings and work related
benefits. This will, at least, provide us with a base from which we can begin to make a
decision as to whether the fund will provide us with adequate compensation to survive.

We request an approach similar to that used in personal injury actions. However, neither
age nor marital status should be a discriminatory factor. Retirement should be set at age
68. The decedent's income should be averaged over the past 3 working years. The
decedent's age should be subtracted from 68. Those two numbers should be multiplied
together, thereby gleaning a starting point for computation. From this base point, other
factors such as inflation, wage-increases, merit, likely bonuses and advancement, and any
other benefits should be considered. We should be given the right to present expert
testimony to prove these losses.

For many, the lost income streams may be contingent, variable, or unpredictable. We do
not believe that our families should be penalized because of this. The hearing officers
should be permitted to consider the testimony of experts concerning such things as the
likelihood of advancement, the bonus scheme unique to each company and each
department in each company, economic cycles, performance reviews, as well as, how the
compensation of other co-workers progressed during the course of their working lives. In
those cases where the compensation is extremely variable and dependant upon
commissions, as a base, we believe that the hearing officer should consider the average of
the best three out of five years of employment.

NON-ECONOMIC LOSSES

There should also be absolutely no cap on the non-economic losses awarded by the Fund.
Each person's circumstances must be evaluated individually. Each case should take into
account the decedent's age, the marital status, and the number and ages of the decedent's
children. Moreover, the severity of pain and suffering (both mental and physical) of not
only the decedent, but also the spouse, children, parents, and next of kin of the decedent
should also be evaluated.

Non-economic losses should be calculated similar to that in personal injury actions. But,
again, neither age, marital status, nor dependency status should be a detriment. Special
consideration must be given to the fact that eyewitness testimony concerning the horrific
pain and suffering endured by our loved ones may be impossible to elicit. Thus, the
hearing officer should consider the reports and/or testimony of expert witnesses who may
describe based upon their training and experiences what the decedent went through both
mentally and physically prior to his or her own death. Hearsay testimony should be
permitted.

Moreover, we do not believe that there should be a limitation on the types of injuries to be
compensated. We are concerned that we may suffer from real and devastating emotional
harm not immediately apparent after the attack; harm for which we should be
compensated. In addition to personal injury, we may suffer the loss of the ability to earn
an income, we may incur large medical bills, etc. All of these things should be
compensated for by the Fund.

We strongly oppose any attempt to place into a formula or matrix a predetermined
methodology for calculating our other losses. Each family situation is different. We have
the right to be treated as individuals.

Compensation for non-economic losses is crucial to the survival of some families, such as
the firemen and policemen's. Any family who has a considerable amount of coverage in
life insurance will need some incentive to enter the Fund, since life insurance proceeds are
currently scheduled to be deducted from any recovery. We strongly disagree with the
proposal as outlined below. Certainly, we would expect any non-economic recovery from
this Fund to be generous in light of the terrible circumstances of September 11th.

COLLATERAL SOURCES

Finally, we are very concerned about the possible use of collateral sources to offset any
amount recovered from the Fund. Life insurance should not be deducted from Fund
payments. Simply put, life insurance is not taxed by the IRS for one reason-it encourages
people to plan for their heirs. To deduct any life insurance from Fund payments would
penalize those who were merely responsible estate planners. The decedents sacrificed and
saved hard-earned money to pay for such plans. They are already victims once, do not
make them victim's twice. At the very least the premiums paid should be offset
against the life insurance deductions.

Moreover, pension funds, IRAs, and 401k plans should not be deducted from the fund's
recovery amount. Again, our loved ones sacrificed to save for these plans as part of a
responsible estate planning program. Essentially, they are savings accounts, and they
should not be deducted from any award received from the Fund.

There should be no deductions from any Fund recovery for any "in kind" contributions
made to our families. In addition, all potential future collateral source payments should
similarly be excluded from consideration as deductions from any compensation recovery.

With regard to charity, Americans across this country donated their hard-earned money as
a symbol of their patriotism, and our brotherhood as a nation. To deduct this charity
money from any final payment would, in our opinion, be wrong. Donations made to
families like us were generously and selflessly given to us as a form of healing for both
donor and recipient. Every single dollar donated and received gives each one of us a hope
for tomorrow and a belief in our country as a united whole. Please do not denigrate this
beautiful symbol of our nation standing together as one by turning it into a dollars and
cents computation.

In closing, we sincerely thank you for considering our comments. We are all struggling
through extremely difficult times. Your asking for our input about the Victims
Compensation Fund--something that will have an enormous and tremendous bearing on the
rest of our lives-truly and honestly gives us a small bit of peace in our restless minds. We
can only ask you to please keep our children and ourselves in your hearts during the weeks
ahead.

Sincerely,
Comment by
September 11th Victims Families
Colts Neek, NJ

ATTACHMENT 1

Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: Hoboken, NJ


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:




Name:


Address: Congers, NY


Email:


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Signature:




Name:


Address: NY NY


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Signature:




Name:


Address: Bayonne, NJ


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:




PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ



Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: Katroh, NY


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:




Name:


Address: Nutley, NJ


Email:

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Name:


Address: N.Y. NY


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Signature:



Name:


Address: New York, NY


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ


Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: no city state


Email:

Name of Decedent/Injured:


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Name:

Address: Fort Lee NJ


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PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: Freehold NJ


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:




Name:


Address: New York, NY


Email:

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Name:


Address: N.J.


Email:


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Name:


Address: Hadia NJ


Email:


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Children's Names:


Signature:

PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
ATTACHMENT 2

Kenneth L. Zwick
Office of Management Programs
U.S. Department of Justice
Civil Division
Main Building, Room 3140
950 Pennsylvania Ave, NW
Washington, DC 20530

Name:
Address:
City: Mandlapan NJ
State: NJ
Zip Code:
Phone Number:

Although, there isn't anything that can bring
back life, I believe that the unfortunate incidents
have destroyed many families. There is not enough money
in the world that can be sufficient to make
these families whole.
By compensating these families in one lump
sum, it can only help with their insurmountable
debt. In lieu of bringing on lawsuits,
I think this is the better alternative.

Sincerely,
Individual Comment

(Please Print)
ATTACHMENT 3

PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ

Name:

Address: Darien , CT


Email:

Name of Decedent/Injured:


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Name:

Address: Hoboken, NJ

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Name:

Address: West Nyack NY


Email:


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Signature:


PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ



Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.

Name:


Address: Wilton CT


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: Hohokus NJ


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Address: Irvington N.Y.


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PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ

Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.

Name:


Address:


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:

Signature:


Name:


Address:


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Address: Manalapan NJ


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Address: NY NY


Email:


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Decedent/Injured Employer:


Children's Names:


Signature:


PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ

Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.

Name:

Address: Manalayan NJ

Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:

Signature:


Name:


Address: NY NY

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Name:


Address: Garden City, NY

Email:


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Name:


Address: Freehold, N.J.

Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:

Decedent/Injured Employer:


Children's Names:


Signature:


PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: JC NJ


Email:

Name of Decedent/Injured:

Relation To Decedent/Injured:

Decedent/Injured Employer:


Children's Names:

Signature:

Name:


Address: JC NJ


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Name:


Address:


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Decedent/Injured Employer:

Children's Names:


Signature:


PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ



Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.

Name:

Address: Plainview NY

Email:


Name of Decedent/Injured:

Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:
Signature:


Name:

Address: Brooklyn NY

Email:


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Children's Names:

Signature:
Name:

Address: SI, NY


Email:


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Decedent/Injured Employer:


Children's Names:

Signature:

Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ




Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: JC NJ


Email:

Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: JC NJ


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:
Signature:


Name: J Branagan


Address: JC NJ


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: JC NJ


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ

Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: Manalapan NJ

Email:


Name of Decedent/Injured:

Relation To Decedent/Injured:

Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: Manalapan NJ


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:

Decedent/Injured Employer:

Children's Names:


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Address:


Email:


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Address:


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Signature:


PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ

COVER PAGE

TO:

FROM:

FAX:

COMMENT: CONFIDENTIAL

Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.

Name:


Address: Saunderstown, RI


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:



Signature:


Name:


Address:


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:


PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ


Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:

Address: Belman NJ


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:

Address: Belmar NJ


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


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Name:


Address:


Email:


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Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: Springfield NJ


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:

Name:


Address:


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Address:


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Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


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PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.

Name:


Address: Valley Stream, NY


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: New York, NY


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


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Name:


Address: New York NY


Email:


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Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address:


Email:


Relation To Decedent/Injured:


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Decedent/Injured Employer:


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PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ

Name:


Address: NYC NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Name:


Address: Bedford NY


Email:


Relation To Decedent/Injured:


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Address:


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Name:


Address: toms River N


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victim:


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Name:


Address: toms River NJ


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victim:


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Name:


Address: LH, NJ


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victim:


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victim:


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victim:

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Address: NYC, NY


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victim:


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Address: NYC


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Address: Staten Island, NY


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victim:


Children's Names:


Signature:


Name:


Address:


Email:


Relation To Decedent/Injured:

K
Decedent/Injured Employer:


victim:


Children's Names:


Signature:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

victim:

Children's Names:


Signature:


Name:


Address: West Orange, NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


victim:


Children's Names:


Signature:

Name:


Address: Westfield, NJ

Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

victim:

Children's Names:


Signature:


Name:


Address: Newark, NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


victim:

Children's Names:


Signature:

Name:


Address: Peyton Colorado


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


victim:

Children's Names:


Signature:

Name:


Address: NY NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Name:


Address: Skillman, N.J.


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: NY NY

Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:

Name:

Address: NY. NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:

Name:

Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: NY, NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:

Name:


Address: N.Y.


Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:

Children's Names:


Signature:


Name:


Address: Patchogue N.Y.


Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address:


Email:

Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:



Name:


Address: Summit NJ


Email:

Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:

Name:
Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:



Children's Names:


Signature:


Name:


Address: Scarsdale


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: NY,NY


Email: t.


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:

Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Victim:

Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name:


Address: , Scarsdale, NY


Email: Ellen.


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:

Name:


Address: Weehawken, NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:

Victim:

Name:


Address: River Edge, NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:

Victim:


Name:


Address: Highland Park, NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:

Name:

Address: E. Brunswick NJ


Email:

Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:

Victim:


Name:


Address: Atlantic Highland, NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:

Signature:

Victim:

Name:


Address: West Windsor NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Victim:

Name:

Address: East Windsor, NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:

Signature:


Victim:


Name:


Address: NY,NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Victim:


Name:


Address: Penn Valley, PA


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:

Victim:


Name:

Address: Penn Valley PA

Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:

Name:


Address:


E-mail:


Children's Name:


Relation to Decedent/Injured:


Decedent/Injured Employer:

Victim:


Name:


Address: Corona, NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:

Signature:


Name:

Address: NY, NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:

Name:


Address: NY,NY


Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:


Children's Names:


Signature:

Name:


Address: NYC, NY


Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address:

Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:

Name:


Address:

Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:

Address: Edison, NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:

Address: Edison, NJ


Email:

Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:

Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: San Jose, CA


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:

Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:
Victim:

Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:

Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:

Name:


Address: Willingboro, NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:

Name:


Address: Willingboro, NJ


Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:

Children's Names:


Signature:


Name:
Address: Belle Mead, NJ

Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:


Children's Names:


Signature:


Name:

Address: Melville, NY


Email:

Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:

Victim:

Name:


Address: Melville, NY


Email:
Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Victim:
Name:

Address: Basking Ridge NJ

Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:

Children's Names:


Signature:

Victim:

Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Victim:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Victim:


Name:

Address: Framingham, MA


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name:

Address: Framingham MA


Email:

Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Victim:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:

Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:
Name:

Address: NY, NY


Email:


Relation To Decedent/Injured:


Children's Names:


Signature:


Victim:


Name:


Address: NY, NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:

Name:

Address: NY, NY


Email:

Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name: Mr.


Address: Holmdel, NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Name:

Address: Holmdel, NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:

Address: Middletown, NJ


Email:

Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:

Name: Ann Curti


Address: Middletown, NJ


Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:

Address: Fanwood NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:

Signature:

Victim:


Name:


Address: Fanwood NJ


Email:


Relation To Decedent/Injured:
Decedent/Injured Employer:

Children's Names:

Signature:


Victim:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name:

Address: Cromwell Ct


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:

Victim:

Name:


Address:

Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:
Children's Names:


Signature:


Victim:

Name:


Address:


Email:


Name:

Address: Middletown, NJ,


Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:
Children's Names:


Signature:


Name:


Address: Middletown, NJ


Email:






Children's Names:


Signature:


Name:

Address: Somerset, NJ


Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: Charlestown, MA

Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name:


Address: Woburn, MA


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name:


Address: 8Dorchester, Ma


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name:


Address: NY, NY,


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Name:


Address: NY, NY,


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:
Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: NY, NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: Riverside, CT


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: NY NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: Manhasset, NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address: S.I. NY


Email:


Relation To Decedent/Injured:

Decedent/Injured Employer:

Children's Names:


Signature:


Name:


Address: NY NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


bearing on the rest of our lives-truly and honestly gives us a small bit of peace in
our restless minds. We can only ask you to please keep our children in your hearts
during the weeks ahead.

Sincerely

September 11th Victims Families

Friends of :

Name Address Signature

Rockaway NJ
Rockaway NJ
Oak Ridge NJ
Wharton NJ
Harington NJ




Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:

Victim:


Name:

Address: Roselle NJ


Relation To Decedent/Injured:

Decedent/Injured Employer:


Signature:


Name:

Address: Massapequa Park NY


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address: Bayside NY


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address: , Brooklyn, NY


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address: Livingston, NJ


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:

Address: Short Hills, NJ


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature: A

Name:


Address: Kearny, NJ


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:

Address: Brooklyn, NY


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address: Brooklyn NY


Relation To Decedent/Injured:


Signature:


Name:


Address: NJ


Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:


Name:


Address: Staten Island NY


Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:

Name:


Address: Atlantic Highlands NJ


Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:


Name:


Address:Brooklyn, NY


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:

Name:


Address:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:


Name:


Address:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:

Address:

Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:


Name:


Address:


Relation To Decedent/Injured:

Decedent/Injured Employer:


Signature:


Name:


Address:

Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:

Name:


Address:


Relation To Decedent/Injured:

Decedent/Injured Employer:


Signature:


Name:


Address:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:


Name:


Address:


Relation To Decedent/Injured:

Decedent/Injured Employer:


Signature:


Name:


Address:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address: Staten Island NY


Relation To Decedent/Injured:

Decedent/Injured Employer:


Signature:


Name:


Address: Atlantic Highlands NJ


Relation To Decedent/Injured:


Decedent/Injured Employer:
Signature:

Name:

Address: Brooklyn, NY

Relation To Decedent/Injured:


Signature:


Name:


Address:


Relation To Decedent/Injured:

Decedent/Injured Employer:


Signature:


Name:


Address:


Relation To Decedent/Injured:

Decedent/Injured Employer:
Signature:


Name:

Address:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Relation To Decedent/Injured:

Decedent/Injured Employer:

Signature:

Name:

Address:

Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:

Name:


Address:


Relation To Decedent/Injured:

Decedent/Injured Employer:


Signature:


Name:


Address:


Relation To Decedent/Injured:

Decedent/Injured Employer:

Signature:


Name:


Address:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:


Name:


Address:


Relation To Decedent/Injured:
Decedent/Injured Employer:

Signature:


Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: NYC, NY


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:

PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.




Name:


Address: Fairfield, NJ


Email:


Name of Decedent/Injured:

Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:



Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.

Name:


Address: Summit, NJ


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address: Summit, NJ


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address: Summit, NJ


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured


Signature:


Name:


Address: Summit, NJ


Email:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:


Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.



1. -Aunt of -
Tamarac Fl
2. Tamarac Fl
uncle/
3. Aunt of
Tamarac Fl
4. Cousin
Tamarac Fl
5. Uncle of
Tamarac Fl 33321
6.
Tamarac Fl
7. NW Coral springs Fl
8.
Sunrise Fl #132
9.
Sunrise Fl
10. Sunrise Fl
11. Sunrise Fl
12. cousin of Tamarac Fl nbsp;
13. cousin of Tamarac Fl nbsp;
14. Boynton Beach, Fl
15. Boynton Beach, Fl
16. Parkland Fl
17. Sunrise Fl
18. Sunrise Fl
19. Tamarac Fl
20. Tamarac Fl
21. Tamarac Fl
22. Tamarac Fl
23. Tamarac Fl
24. Tamarac Fl
25. Tamarac Fl
26. Plantenon Fl
27. Sunrise Fl
28. Ft Lauderdale, Fl
29. Deerfield Bch Fl
30. N Laud Fl
31. Coral Springs
32. Coral Springs
33. Coral Springs
34. Tamarac
35. Coral Springs
36. Coral Springs Fl
37. Miramar, Fl


Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.

Name:


Address: NY, NY


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address: Massapequa Park


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address: Forest Hills, N.Y.


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address: Bronx, NY


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.



Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:



PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: Port Neches TX


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:

Name:


Address: Port Neches TX


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:




PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.

Name:


Address: Manlius NY


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:

Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:




PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
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Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: Hoboken, NJ,


Email:
Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:




PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
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Victim's Compensation Fund. Your support can help, thank you.

Name:


Address: Anaheim Ca


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:

Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


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Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:




PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.

Name:


Address: Hoboken NJ


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Signature:


Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:




PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: Hoboken NJ


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address: Denver Co


Email:
Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:



Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:



Name:


Address:


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:




PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
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Victim's Compensation Fund. Your support can help, thank you.


Name:

Address: Jersey City, NJ


Email:
Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:



Name:

Address: Plainsboro, NJ


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Cantor Fitzgerald


Signature:




Name:


Address: Hoboken, NJ


Email:


Name Of Decedent/Injured:

Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:




Name:

Address: W. Orange, NJ


Email:


Name Of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Signature:

Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:

Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:



Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Victim:



Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:


Victim:


Name:


Address: Fresh Meadows, NY


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:

Victim:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:

Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:
Children's Names:


Signature:


Victim:



Name:

Address: Kent, WA


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:
Children's Names:


Signature:

Victim:


Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:

Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:


Victim:



Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: Ossining, NY


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:




Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:




Name:


Address: Great Neck NY


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:



Name:


Address: New York, NY


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:

Decedent/Injured Employer:


Signature:




PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.



Name:


Address: Ossining NY


Email:


Relation to Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:



Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:



Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:



Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:




PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.



Name:


Address: Narberth PA


Email:

Relation To Decedent/Injured:


Name of Decedent/Injured:

Decedent/Injured Employer:


Signature:




Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:




Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:




Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:




PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.

Name:


Address: Dallas, TX


Email:

Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature: Nancy Brenner


Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:




PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.



Name:


Address:

Email:

Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address: Rumson, NJ


Email:

Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:
Address: West Orange, NJ


Email:

Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:

Signature:
Name:

Address: Towson, MD


Email:

Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:



PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.


Name:


Address: New York, NY


Email:


Name of Decedent/Injured:


Relation To Decedent/Injured:


Decedent/Injured Employer:

Children's Names:


Signature:



Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:



Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:



Name:


Address:


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:


Children's Names:


Signature:




PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.

Name:

Address: NY,NY


Email:

Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:

Name:


Address: New York, NY


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:


Name:


Address:


Email:


Relation To Decedent/Injured:


Name of Decedent/Injured:


Decedent/Injured Employer:


Signature:





PLEASE FAX TO or by NOVEMBER 26th Or mail: ,
& , c/o , . , , Woodbridge, NJ
Please help the families of victims from Sept. 11th by supporting equality and fairness within the
Victim's Compensation Fund. Your support can help, thank you.



Name:

Address: park, NJ


Email:


Relation To Decedent/Injured:


Decedent/Injured Employer:

September 11 Email: Date

2002-02-05

Citation

“dojW000790.xml,” September 11 Digital Archive, accessed May 19, 2024, https://911digitalarchive.org/items/show/21178.