Chapter 1-0300 Exhibit 1

Letter of Acknowledgement

 

Date                                                               Case ID Number:    

                                                                        Claimant ID Number:

                                                                        Energy Employee’s Last Name:

                                                                        Last 4 of Energy Employee’s SSN:

 

Name

Address

City, State Zip

 

Dear Mr./Ms. Claimant:

 

We have received your claim under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA).  We have entered your claim into our system and assigned it the above Case ID number.  You should refer to this number when calling our office and write it on the top right corner of any correspondence you submit in support of your claim. 

 

Your claim has been assigned to a Claims Examiner for review.  If additional information is required, the Claims Examiner will request it through a separate correspondence.  During the adjudication of your claim you may be assigned a new Claims Examiner due to unforeseen circumstances.  In these instances, the new Claims Examiner will review your file and handle your claim expeditiously so as to not cause delays.

 

Submission of Documents and Claimant Status Web Page:  All correspondence are to be mailed to our Central Mail Room in London, KY or uploaded electronically through our secure internet service called the Energy Document Portal (EDP).  Information about these two methods of document submission is included in the attached information sheet.  We also have an online web-based Claimant Status Web Page that makes information available online to claimants.  Instructions for accessing this website are also included in the attached information sheet.

 

To speak with someone directly, our Customer Service Representatives are available to answer many of your questions regarding the processing of your claim.  Our representatives are available Monday through Friday between 8:00 am and 4:30 pm.  You may also obtain information through your local resource center or by visiting our website at: http://www.dol.gov/owcp/energy/. I assure you every effort will be made to process your claim in a timely manner.  If you have any questions, please feel free to contact us, toll free, at 1-888-859-7211.

 

Sincerely,

 

 

 

 

District Director

District Office

 

cc: Authorized Representative Name, Authorized Representative

 

 

 

U.S. Department of Labor

Important Information about your EEOICPA claim

_________________________________________________

 

For Correspondence by Mail

 

Please write your Case ID Number on the top right hand corner of any correspondence and mail to:

 

Energy Employees Occupational

Illness Compensation Program

DOL DEEOIC Central Mail Room

P.O. Box 8306

London, KY  40742-8306

                                     

Do not send original documents such as certified copies of birth certificates, pictures, death certificates, medical films, or marriage certificates with a raised seal – These documents will NOT be returned to you.  

_________________________________________________

 

Energy Document Portal (EDP)

 

The Energy Document Portal allows you to electronically submit documents directly to your case and will decrease mailing delays.  You can access our EDP at https://eclaimant.dol-esa.gov and you will need the following information:

 

• your Case ID as indicated above;
• the Energy Employee’s last name; and
• the last 4 digits of the Energy Employee’s Social Security Number. 

_________________________________________________

 

Online Claimant Status Page

 

You may obtain a general status of your claim by visiting our Claimant Status Page website.  This website allows claimants access to limited claims information from the same electronic claims database that is used by DEEOIC claim examiners. Available information includes:  claimed medical conditions, worksite locations, most recent claim action, payment information, and current case location.

 

The website can be accessed at:

http://www.dol.gov/owcp/energy/regs/compliance/Claimant_status.htm

 

You will be asked to provide 3 pieces of data unique to your individual claim:

(1)     The last four digits of the Employee’s social security number;

(2)     Your full date of birth; and,

(3)     The unique 8-digit claimant identification number.  This is for internet access only.