NIOSH Referral Letter to Claimant
Dear Claimant Name:
*If the employee also had another primary cancer besides what is shown above, please send this District Office written medical records documenting an explicit diagnosis of the other cancer, the type of cancer, and the date of its first diagnosis as a cancer. Likewise, if the employee had other covered employment, either before or after the dates shown above, or at another covered facility, please send this District Office evidence to establish the additional employment.
Once NIOSH receives your claim packet, they will send you a letter to let you know they have received your information. The letter will contain information on dose reconstruction and what to expect from NIOSH in regard to your claim. NIOSH has informed us that the process of dose reconstruction can be time consuming because it relies on information that must be collected from a number of sources. NIOSH’s primary concern will be to ensure the collected information is valid and that the assumptions used to estimate doses are fair, consistent, and well grounded in the best available science.
When NIOSH finishes its dose reconstruction and sends us the results, we will apply a formula using the data to determine whether the claimed cancer was at least as likely as not (50% or greater chance) related to the covered employment. We will then notify you in writing regarding the status of your claim.
If you have specific questions regarding the status of the dose reconstruction, you may contact the NIOSH office by calling toll free at 1-877-222-7570. Any other questions should still be addressed to this district office.