U.S. DEPARTMENT OF LABOR |
Employment Standards Administration Energy Employees’ Occupational Illness Compensation 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:
- Copy of any RECA section 4 award or denial notice
- If a RECA section 4 award was granted, but the claimant has elected to reject payment, provide DOL with a copy of the Acceptance of Payment form, indicating such election.
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