NJWINS Work Incentive Planning and Assistance - Information Request Please fill out the form below. To be immediately Screened for NJWINS Services please contact the 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 *FirstLastSocial Security Benefits (Check all that apply) *Social Security Disability Insurance (SSDI)Supplemental Security Income (SSI)Employment Status *Currently EmployedSelf-EmployedSeeking EmploymentContemplating EmploymentOtherPhone Number *Email *County You Live In *BergenBurlingtonEssexHudsonHunterdonMercerMiddlesexMonmouthMorrisOceanPassaicSomervilleSussexUnionWarrenFor beneficiaries residing in Cape May, Camden, Atlantic, Gloucester, Cumberland and Salem counties, remote service will be offered by the following agency, which can be contacted at the address and phone listed below: Full Circle Employment Solutions LLC P.O. Box 7030 Hyattsville, MD 20787 Phone: 888-466-2942 x20 Question/MessageSubmit