DOL Form EEOICP EE-1

View OWCP-EEOICP's Form EEOICP EE-1 Online htm

Agency:

OWCP-EEOICP

Title:

EEOICP EE-1, Claim for Benefits under Energy Employees Occupational Illness Compensation Program Act

Form Description:

EEOICP EE-1, Claim for Benefits under Energy Employees Occupational Illness Compensation Program Act: Applicants use this form to submit a claim for Employee Benefits under the Energy Employees Occupational Illness Compensation Program Act.

OMB Control Number:

1215-0197