Filing a claim for benefits under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA)

Division of Energy Employees Occupational Illness Compensation (DEEOIC)

Medical, Employment, and Survivor Documentation

Your case file must contain evidence of covered employment, a diagnosed medical condition and causation. Causation means a demonstrated relationship between the employment, exposures and the diagnosed condition. If the employee is deceased, the file must contain evidence establishing that you are an eligible survivor.

Include Form EE-3 to verify covered employment. To help your claim, you can submit additional employment evidence including contracts, pay stubs, W2s, etc. Statements from co-workers supporting your employment during a covered time period may also be submitted. We may also attempt to verify the claimed employment with the Department of Energy, a corporate verifier, and the Social Security Administration.

If an employee eligible for EEOICPA benefits is deceased, one or more of the employee’s survivors may file a claim for compensation under the EEOICPA. The claimant documents his or her relationship to the covered employee. You will need to submit documentation establishing the employee’s death and then documentation linking you the employee, such as a marriage certificate, birth certificate, adoption records, etc.