Chapter3-0800 Exhibit11

SAMPLE LETTER TO NON-CLAIMANT REGARDING FEDERAL DEBT

Employee:

EEOICPA Case ID:

Name

Address

Dear :

This letter concerns the claim filed by {Claimant’s name}, under Part {B and/or E} of the Energy Employees Occupational Illness Compensation Program Act (EEOICPA).

A compensation payment in the amount of {$ } was paid to {Claimant’s name} on {date} by way of direct deposit into a joint bank account held by {Claimant’s name} and you at the {name of bank}. Subsequent to the payment, the district office became aware that {Claimant’s name} died on {date of death}, which is prior to the date of payment. Under the EEOICPA, a person is only eligible for benefits if that person is alive at time of payment. Since {Claimant’s name} died prior to the payment, the compensation should have been returned.

The Division of Energy Employees Occupational Illness Compensation (DEEOIC) contacted the {name of bank} requesting that the {$ } be returned to the U.S. Treasury. However, the bank stated that you had withdrawn the money and closed the account.

You must return the full amount of the compensation. To resolve this matter, please send a check or money order made payable to the U.S. Dept. of Labor, OWCP/DEEOIC. Please notate the EEOICPA case ID on the check and indicate that it is a return of benefits. Send the payment to:

U.S. Dept. of Labor

DEEOIC

P.O. Box 77247

Washington, DC 20013

If we do not receive payment within 30 days, this will be considered a delinquent debt. You should be aware that the DEEOIC will refer delinquent debts to the U.S. Department of the Treasury for collection. The Department of Treasury may recover this debt by administrative wage garnishment, offset from any federal payments that may be due you, and/or referral to private collection agencies. An administrative cost will be assessed to help defray the expense of this referral. Furthermore, information about the status and delinquency of your debt will be subject to credit reporting.

Interest began accruing as of the date of this letter at the current U.S. Treasury note rate of { %} annually. If you wish to repay the entire amount of the debt at this time, and thus avoid the payment of interest, please submit your full payment immediately.

Thank you for your prompt attention to this matter. If you have any questions about this letter, please feel free to contact this office at {Analyst’s phone number}.

Sincerely,

{PA name}

Policy Unit

DEEOIC

Notice to Customers Making Payment by Check

When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment.