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Federal regulations · Through 2026-08-25 · Newer source version available

20 CFR 30.103: How does a claimant make sure that OWCP has the evidence necessary to process the claim?

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Where this section sits in the code
  1. Title 20—Employees' Benefits
  2. CHAPTER I—OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR
  3. SUBCHAPTER C—ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM ACT OF 2000
  4. PART 30—CLAIMS FOR COMPENSATION UNDER THE ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM ACT OF 2000, AS AMENDED
  5. Subpart B—Filing Claims; Evidence and Burden of Proof; Special Procedures for Certain Cancer Claims

(a) Claims and certain required submissions should be made on forms prescribed by OWCP. Persons submitting forms shall not modify these forms or use substitute forms.

Form No. Title

(1) EE-1 Claim for Benefits Under the Energy Employees Occupational Illness Compensation Program Act.

(2) EE-2 Claim for Survivor Benefits Under the Energy Employees Occupational Illness Compensation Program Act.

(3) EE-3 Employment History for a Claim Under the Energy Employees Occupational Illness Compensation Program Act.

(4) EE-4 Employment History Affidavit for a Claim Under the Energy Employees Occupational Illness Compensation Program Act.

(b) Copies of the forms listed in this section are available for public inspection at the U.S. Department of Labor, Office of Workers' Compensation Programs, Washington, DC 20210. They may also be obtained from OWCP district offices and on the internet at http://www.dol.gov/owcp/energy/index.htm.

Collected 2026-08-27T02:24:45Z. Source file · JSON

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