Issue Date: November 3, 2003



Effective Date: October 31, 2003



Expiration Date: November 3, 2004



Subject: Processing Electronic Applications


Background: The Government Paperwork Elimination Act (GPEA) requires agencies to allow customers the option to submit information to the government electronically. Effective October 21, 2003, the Division of Energy Employees Occupational Illness Compensation (DEEOIC) has the ability to accept claim forms and affidavits electronically. The following forms are included: Claim for Benefits Under The Energy Employees Occupational Illness Compensation Program Act (EE-1); Claim for Survivor Benefits Under The Energy Employees Occupational Illness Compensation Program Act (EE-2); Employment History for Claim Under The Energy Employees Occupational Illness Compensation Program Act (EE-3); and Employment History Affidavit for Claim Under The Energy Employees Occupational Illness Compensation Program Act Claim (EE-4). Claimants or affiants will be able to complete forms through the Department of Labors, Office of Workers Compensation Programs (OWCP) web site and then electronically submit the completed form directly to the DEEOIC. Mailed forms will be sent directly from the individual to the appropriate District Office (DO).


In order for a claimant or affiant to submit a form electronically, he/she is required to submit the form with his/her electronic signature. The digital signature must be Access Certificates for Electronic Services (ACES) compliant. DOL has contracted with the Digital Signature Trust (DST) to establish digital signatures for DOL forms submission. When a person opens an EEOICP form on the DOL website, a dialogue box is displayed that asks if the user wants to get an electronic signature.  The person is routed to the DST website if they want to obtain an electronic signature.  The certification process takes approximately one week.  Upon certification, the claimant or affiant may transmit the form electronically.  Forms submitted electronically will be received by the DEEOIC National Office and then forwarded via e-mail to the designated point of contact (POC) and back-up in the respective District Office for processing. 

Purpose: To provide procedures for processing electronic DEEOIC claim forms.


Applicability: Claims Examiners, Senior Claims Examiners, All Supervisors, and Technical Assistants.




1.         When a form is electronically submitted, it is automatically sent via email to the DEEOIC Form Mailbox at  If the claimant or affiant has technical problems or questions, he/she may request assistance via the DEEOIC Assistance Mailbox at DEEOIC-FormsAssistance@dol.govThe Branch of Outreach and Technical Assistance (BOTA) will be responsible for managing and responding to all emails submitted to both mailboxes on a daily basis.


2. When DEEOIC receives claim forms in the DEEOIC Form Mailbox, BOTA reviews the forms to determine the appropriate DEEOIC Office (i.e. DO, FAB, NO).


3. Once BOTA determines the appropriate DEEOIC Office, a Branch member forwards the electronic file to the person designated in each DO as the point of contact and back-up.


When the point of contact receives the form, he/she must print the form and e-mail and forward immediately to the mailroom to be processed and incorporated into a new or existing case file according to procedures outlined in EEOICP PM Chapter 1, 200-500. The e-mail from BOTA must be treated as a postmark envelope; therefore it must be incorporated into the case file.


In the event the point of contact is out of the office, the designated back-up must process the claim form according to procedure.


4. When processing the form, the following ECMS guidelines must be followed:


(1)         Standard operating procedure for determining the filing date is to use the postmark date indicated on the envelope or the received date stamped on the claim form by a DEEOIC office or Resource Center.


Since the claim form is transmitted electronically, the filing date for an electronically submitted form is the date the claimant electronically sends the claim form to the DEEOIC-Form Receipt Mailbox. This is the same date that the e-mail is received in the DEEOIC-Form Receipt Mailbox. The POC must refer to the sent line on the e-mail forwarded by BOTA to determine the filing date (refer to illustration 1).


(2) The receipt date is the date the National Office, DEEOIC-Form Receipt Mailbox receives the claim form. The POC must refer to the sent line on the e-mail forwarded by BOTA to determine the receipt date. The DO must not use the date the point of contact received the e-mail from BOTA (refer to illustration 1).


Note: The filing date and DEEOIC receipt date will be the same date.


    Illustration 1




Text Box:   Filing/Receipt Date 





5. All questions submitted via the DEEOIC Assistance Mailbox ( must reviewed by BOTA. BOTA refers technical or troubleshooting questions to Energy Technical Support. All other questions are answered by BOTA.



Disposition: Retain until the indicated expiration date.





Peter M. Turcic

Director, Division of Energy Employees

Occupational Illness Compensation





Distribution List No. 1: Claims Examiners, Supervisory Claims Examiners, Technical Assistants, Customer Service Representatives, Fiscal Officers, FAB District Managers, Operation Chiefs, Hearing Representatives, District Office Mail & File Sections;