Letter of Acknowledgement

 

 

Date                                                                           Case ID Number:     Case ID number

                                                                                    Employee:                 Employee Name

                                                                                    Claimant:                   Claimant Name

 

Name

Address

City, State  ZIP

 

Dear Mr./Ms. Claimant:

 

We have received your claim under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA).  We have entered your claim into our system and assigned it the above Case ID number.  You should refer to this number when calling our office and write it on the top right corner of any correspondence you submit in support of your claim. 

 

Your claim has been assigned to a Claims Examiner for review.  If additional information is required, the Claims Examiner will request it through a separate correspondence.  During the adjudication of your claim you may be assigned a new Claims Examiner due to unforeseen circumstances.  In these instances, the new Claims Examiner will review your file and handle your claim expeditiously so as to not cause delays.

 

All written correspondence should be submitted to our Central Mail Room at the address listed above, or for fast and secure internet service, you may electronically file documents through our Energy Document Portal (EDP).  The EDP allows you to submit documents directly to your case and will decrease mailing delays.  To access EDP go to https://eclaimant.dol-esa.gov.  You will need the following information to use EDP:

 

 

When submitting information to our office, do not send original documents such as certified copies of birth certificates, death certificates, marriage certificates, or any other official document with a raised seal.  Please only send copies as the originals will NOT be returned to you. 

 

In addition, the Division of Energy Employees Occupational Illness Compensation has an online web-based Claimant Status Page that makes information available online to claimants.  To access this site, go to:  http://www.dol.gov/owcp/energy/regs/compliance/Claimant_status.htm

 

You will need the following information to log into the Claimant Status Page:

 

·         Your unique Claimant ID number: Eight digit claimant ID number

·         Last 4 digits of Employee Name’s SSN

·         Your date of birth

 

Our Customer Service Representatives are available to answer many of your questions regarding the processing of your claim.  You may also obtain information through your local resource center or by visiting our website at: http://www.dol.gov/esa/regs/compliance/owcp/eeoicp/main.htm

 

Sincerely,

 

 

Name

 

 


If you have a disability (a substantially limiting physical or mental impairment), please contact our office for information about the kinds of help available, such as communication assistance (alternate formats or sign language interpretation), accommodations and modifications.