Date
COVERED EMPLOYEE:
CLAIMANT:
FILE NUMBER:
Dear:
This letter is in reference to the claim you submitted on (Filing Date) under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA) for [insert covered diagnosis). We are in the process of verifying [insert your or employee name’s] employment at the [insert the claimed employer, employment periods, facility, and location]. To date, we have been [able or unable] to verify his/her [insert summary of the verified employment if any]. However, [The Department of Energy or Corporate Verifier] was unable to verify [your or employee’s name] employment at [insert the claimed employer, employment periods, facility, and location].
Because you indicated on the Employment History for Claim under EEOICPA- Form EE-3, an occupation or employer which normally performed work related to a construction or a building trade, we are referring your case to The Center to Protect Workers’ Rights (CPWR). The Department of Labor has contracted with CPWR to research and obtain employment records for those employees who may have worked or belonged to a union associated with the construction or building trades (i.e. laborer, teamster, plumbers). CPWR performs research and training for the Building and Construction Trades Department under the American Federation of Labor-Congress of Industrial Organizations (AFL-CIO), and therefore has direct access to union records across the country. It is possible a representative from CPWR may contact you to clarify questions they may have regarding (your/Employee’s Name) employment history. Please know they are not your assigned claims examiner and can not provide you with the status of your claim or collect any documentation related to your case. If you have any questions related to your claim or CPWR’s involvement please contact the {District Office at XXX-XXXXXXX}.
Sincerely,
Claims Examiner