[Code of Federal Regulations]
[Title 20, Volume 1]
[Revised as of April 1, 2005]
From the U.S. Government Printing Office via GPO Access
[CITE: 20CFR30.102]

[Page 86-87]
 
                      TITLE 20--EMPLOYEES' BENEFITS
 
CHAPTER I--OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR
 
PART 30_CLAIMS FOR COMPENSATION UNDER THE ENERGY EMPLOYEES OCCUPATIONAL 
ILLNESS COMPENSATION PROGRAM ACT OF 2000, AS AMENDED--Table of Contents
 
     Subpart B_Filing Claims; Evidence and Burden of Proof; Special 
                  Procedures for Certain Cancer Claims
 
Sec. 30.102  How does a claimant make sure that OWCP has the evidence 
necessary to process the claim?

    (a) Claims and certain required submissions should be made on forms 
prescribed by OWCP. Persons submitting forms shall not modify these 
forms or use substitute forms. DOE is expected to maintain an adequate 
supply of the basic forms needed for filing claims under the EEOICPA.

------------------------------------------------------------------------
              Form No.                               Title
------------------------------------------------------------------------
(1) EE-1............................  Claim for Benefits Under Energy
                                       Employees Occupational Illness
                                       Compensation Program Act.
(2) EE-2............................  Claim for Survivor Benefits Under
                                       Energy Employees Occupational
                                       Illness Compensation Program Act.
(3) EE-3............................  Employment History for Claim Under
                                       Energy Employees Occupational
                                       Illness Compensation Program Act.
(4) EE-4............................  Employment History Affidavit for
                                       Claim Under the Energy Employees
                                       Occupational Illness Compensation
                                       Program Act.
(5) EE-5............................  Department of Energy's Response to
                                       Employment History for Claim
                                       Under the Energy Employees
                                       Occupational Illness Compensation
                                       Program Act.
(6) EE-7............................  Medical Requirements Under the
                                       Energy Employees Occupational
                                       Illness Compensation Program Act
                                       (EEOICPA).
------------------------------------------------------------------------


[[Page 87]]

    (b) Copies of the forms listed in this section are available for 
public inspection at the Office of Workers' Compensation Programs, 
Employment Standards Administration, U.S. Department of Labor, 
Washington, D.C. 20210. They may also be obtained from OWCP district 
offices, from DOE, and on the Internet at www.dol.gov/esa/regs/ 
compliance/owcp/eeoicp/main.htm.

             Claims for Occupational Illness--Actions of DOE