(a) Claims and certain required submissions should be made on forms prescribed by OWCP. Persons submitting forms shall not modify these forms or use substitute forms. ------------------------------------------------------------------------
Form No. Title------------------------------------------------------------------------(1) EE-1.................................. Claim for Benefits Under the
Energy Employees
Occupational Illness
Compensation Program Act.(2) EE-2.................................. Claim for Survivor Benefits
Under the Energy Employees
Occupational Illness
Compensation Program Act.(3) EE-3.................................. Employment History for a
Claim Under the Energy
Employees Occupational
Illness Compensation
Program Act.(4) EE-4.................................. Employment History Affidavit
for a Claim Under the
Energy Employees
Occupational Illness
Compensation Program Act.------------------------------------------------------------------------
(b) Copies of the forms listed in this section are available for public inspection at the Office of Workers' Compensation Programs, Employment Standards Administration, U.S. Department of Labor, Washington, DC 20210. They may also be obtained from OWCP district offices and on the Internet at http://www.dol.gov/esa/regs/compliance/owcp/eeoicp/main.htm.
Verification of Alleged Employment