[Code of Federal Regulations]
[Title 20, Volume 1]
[Revised as of April 1, 2007]
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 
 
     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