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 attached EE-1/EE-2 claim form. The claimant seeks benefits as a Radiation Exposure Compensation Act (RECA) uranium worker under the EEOICPA.
As the claimant seeks benefits for a medical condition not covered under the RECA, please provide DOL with a letter that includes a factual statement verifying dates and places of employment covered under Section 5 of the RECA and all employment, medical and identification records in DOJ’s possession regarding the employee. Please also include a copy of any DOJ decision in this matter if it has not been submitted.
DOL appreciates your cooperation so that we may fully adjudicate the above-referenced claim for benefits under the EEOICPA. Should you have any questions or concerns, please do not hesitate to contact me.
Sincerely,
Claims Examiner
Enclosures: EE-1 or EE-2