NJWINS Work Incentive Planning and Assistance - Information Request Please fill out the form below. To be immediately Screened for NJWINS WIPA Services please contact the Ticket to Work Help Line at 1-866-968-7842 or 1-866-833-2967 (TTY). Please enable JavaScript in your browser to complete this form.Name of Consumer/Organization *Social Security Benefits (Check all that apply) *Social Security Disability Insurance (SSDI)Supplemental Security Income (SSI)OtherEmployment Status *Currently EmployedSelf-EmployedSeeking EmploymentContemplating EmploymentOtherPhone Number *Email *County You Live In *AtlanticBurlingtonCamdenCape MayCumberlandGloucesterHunterdonMercerMiddlesexMonmouthMorrisOceanPassaicSalemSomersetSomervilleSussexWarrenFor beneficiaries residing in Essex, Bergen, Union and Hudson counties, remote service will be offered by Goodwill Industrties of Greater NY/NJ. Please contact the ticket to work helpline at 1-866-968-7842 to be screened and referred for services.Question/MessageSubmit