[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: 20CFR30.103]



[Page 90]

 

                      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.  30.103  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.



------------------------------------------------------------------------

            Form No.                              Title

------------------------------------------------------------------------

(1) EE-1.......................  Claim for Benefits Under the Energy

                                  Employees Occupational Illness

                                  Compensation Program Act.

(2) EE-2.......................  Claim for Survivor Benefits Under the

                                  Energy Employees Occupational Illness

                                  Compensation Program Act.

(3) EE-3.......................  Employment History for a Claim Under

                                  the Energy Employees Occupational

                                  Illness Compensation Program Act.

(4) EE-4.......................  Employment History Affidavit for a

                                  Claim Under the Energy Employees

                                  Occupational Illness Compensation

                                  Program Act.

------------------------------------------------------------------------



    (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, DC 20210. They may also be obtained from OWCP district 

offices and on the Internet at http://www.dol.gov/esa/regs/compliance/

owcp/eeoicp/main.htm.



                   Verification of Alleged Employment