U.S. DEPARTMENT OF LABOR

Employment Standards Administration

Energy Employees’ Occupational Illness Compensation
1999 Broadway, Suite 1120

Denver, CO 80202-5711

 

Date:

 

US DEPARTMENT OF JUSTICE

RECA PROGRAM

1425 NEW YORK AVE. NW, ROOM 3148

WASHINGTON, DC  20005 [All letters to this address must be grouped together and sent via an overnight carrier]

 

Re:  Employee:

     Employee SSN:

 

Dear:

 

The U.S. Department of Labor (DOL) has received a claim for benefits under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA) regarding the above-referenced employee.  Please see attached EE-1/EE-2 claim form.  The claimant seeks benefits as a Radiation Exposure Compensation Act (RECA) uranium worker under the EEOICPA.

 

As the claimant seeks benefits for a medical condition not covered under the RECA, please provide DOL with a letter that includes a factual statement verifying dates and places of employment covered under Section 5 of the RECA and all employment, medical and identification records in DOJ’s possession regarding the employee. Please also include a copy of any DOJ decision in this matter if it has not been submitted.

 

DOL appreciates your cooperation so that we may fully adjudicate the above-referenced claim for benefits under the EEOICPA. Should you have any questions or concerns, please do not hesitate to contact me.

 

Sincerely,

 

 

 

Claims Examiner

Enclosures: EE-1 or EE-2