Date:

 

Claudia Gangi

U.S. Department of Justice

1425 New York Ave., NW, Room 3148

Washington, DC 20005

 

Re:  New RECA-4 Claim

     Employee Name:

     EEOICPA Claim Number:

 

Dear Ms. Gangi:

 

The U.S. Department of Labor (DOL) has received a claim for benefits under the Energy Employees Occupational Illness Compensation Act (EEOICPA) regarding the above-referenced employee.  Please see the attached EE-1 or EE-2 claim form.  The employee (or a beneficiary on their behalf), has indicated that they are seeking benefits under the Radiation Exposure Compensation Act (RECA) section 4. 

 

To make a determination of eligibility under the EEOICPA, the Department of Labor requires information on the status of the RECA section 4 claim.  Please provide the following:

 

           

 

 

DOL appreciates your assistance. Please mail any correspondence or other documentation to the address listed above.  Should you have any questions or concerns, please do not hesitate to contact me.

 

Sincerely,

 

 

 

Claims Examiner

 

Enclosures: EE-1 or EE-2