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 the attached EE-1 or EE-2 claim form.  The employee (or a beneficiary of the employee), 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,

 

 

 

 

Name

Claims Examiner

 

Enclosures: EE-1 or EE-2