This page will serve as our central repository for all primary source documents concerning the EEOICPA, as well as quick links to other useful information concerning the Act on this site. The documents are organized into five categories.

The Act, Procedures, and Decisions:

The Act (42 U.S.C. § 7384 et seq.)

Electronic Code of Federal Regulations

Procedure Manual **

Bulletins *

Circulars *

Final Decisions of the Final Adjudication Branch (FAB) *

Very large (16.4MB, 3123 page) document containing all of the above, in the above order *

* Current as of February, 2015 (02/15)

** Current as of August, 2013 (08/13)

 

DEEOIC and Special Exposure Cohort Sites:

Energy Employees Occupational Illness Compensation Program Facility List (pdf)

List of Special Exposure Cohort (SEC) sites, also separated into Atomic Weapons Employer (AWE), Department of Energy (DOE), and Beryllium Employer (BE) categories

U.S. Department of Labor Special Exposure Cohort (SEC) brochure

Dose Reconstruction:

External Dose Reconstruction Implementation Guideline (OCAS)

External Dose Reconstruction Implementation Guideline Presentation (OCAS) -Report from the Procedures Review Subcommittee Presented to the ABRWH Full Board Meeting Augusta, Georgia March 12, 2013

Dose Reconstruction Process Overview (presentation slides)

Dose Reconstruction Examples (presentation slides)

Objection Letter with Exhibits

DEEOIC Claims Forms:

EE-1 – Employee’s Claim form

EE-2 – Survivor’s Claim Form

EE-3 – Employment History

EE-4 – Employment History Affadavit

EE-7 – Medical requirements

EE-8 – Smoking History Request Form

EE/EN-9 – Racial/Ethnic Identification

EE-10 – Claim for Additional Wage-Loss and/or Impairment Benefits

EE-11a – Impairment Benefits Response Form

EE-11b – Wage-Loss Benefits Response Form

EE/EN-12 – Medical Benefits Eligibility Questionnaire

EE/EN-16 – Tort suits against Beryllium Vendors, Third Party Settlements, State Workers’ Compensation, and Fraud Questionnaire

OCAS-1 Claimant Statement that NIOSH has been provided with All Information That Claimant Possesses

OWCP-1500 – Physician/Provider Billing Form

OWCP-915 – Reimbursement for out-of-pocket medical expenses

OWCP-04 – Uniform Billing Form for Medical Services

OWCP-957 – Medical Travel Refund Request

Other Documents:

Breast Impairment Letter – Procedure Manual Chapter 2-1300 Exhibit 2

Breast Cancer – Letter to Physician