| U.S. Department of Labor | Office of Workers’ Compensation Programs Division of Energy Employees Occupational Illness Compensation Washington, DC 20210 |
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EEOICPA CIRCULAR NO. 16-02 December 23, 2015
SUBJECT: Form SSA-581 (Authorization to Obtain Earnings Data from the Social Security Administration)
This Circular notifies Division of Energy Employees Occupational Illness Compensation (DEEOIC) staff that the Social Security Administration (SSA) has updated their Form SSA-581. The district offices and Final Adjudication Branch (FAB) offices are to use the new updated Form SSA-581 (see Attachment) to request earnings data from the SSA. DEEOIC’s process and procedures for completing the updated Form SSA-581 and obtaining earnings data from the SSA has not changed and can be found in EEOICPA Procedure Manual Chapter 2-1400, Wage-Loss Determinations.
RACHEL P. LEITON
Director, Division of Energy Employees
Occupational Illness Compensation
Distribution List No. 1: Claims Examiners, Supervisory Claims Examiners, Technical Assistants, Customer Service Representatives, Fiscal Officers, FAB District Managers, Operation Chiefs, Hearing Representatives, District Office Mail & File Section