Learn How to Get a EEOICPA White Card
Filing for Benefits? We Can Help
What Is the EEOICPA Claim Process?
Claimant Responsibilities
How to File for Energy Worker Benefits
As a former energy worker applying for EEOICPA benefits, you’ll need to:
- Step 1: Complete the “Employee Claim for Benefits under the EEOICPA” form (EE-1)
- Step 2: Complete the “Employment History” form (EE-3)
- Step 3: File copies of supporting
documents for medical and employment, along with your application. (Don't send originals)
- Step 4: Submit the claim form either by mail, online, or to a DEEOIC Resource Center. Please send mailed claims to:
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U.S. Department of Labor OWCP/DEEOIC
P.O. Box 8306
London, KY 40742-8306
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How to File for Survivor Benefits
If you’re a surviving family member filing a claim for a deceased energy worker on their behalf, you’ll need to:
- Step 1: Complete the “Survivor Claim for Benefits under the EEOICPA” FORM (EE-2)
- Step 2: Complete the “Employment History” form (EE-3)
- Step 3: File copies of supporting medical, employment, and survivor documentation, along with your application. (Don’t send originals)
- Step 4: Submit the claim form either by mail, online, or to a DEEOIC Resource Center. Please send mailed claims to:
U.S. Department of Labor OWCP/DEEOIC
P.O. Box 8306
London, KY 40742-8306
Supporting Documentation You’ll Need to File
Evidence of Employment
As a claimant, you're required to submit documentation of employment to the Department of Energy, which can include:
- Employment records
- Pay stubs
- Tax returns
- Social Security records
- Written affidavits or declarations by the employee, survivor, or another person
Medical Evidence for Covered Conditions
Along with proof of employment, you must submit evidence of medical conditions covered under the EEOICPA/RECA to prove your or a loved one's health problem was related to employment at a nuclear power center. Documentation can include:
- A physician's report, including the results of a physical examination
- Laboratory reports
- Hospital records
- Death certificates
- X-ray results
- MRI results
- CAT scans
- Lymphocyte proliferation testing results
- Beryllium patch test results
- Pulmonary function test results
- Exercise test results
- Pathology reports
- Biopsy reports
- Other medical records
You may also need to submit additional evidence to the Division of Energy Employees Occupational Illness Compensation (DEEOIC), including a written medical report form a physician to prove the relationship between exposure to radiation and the developed disease.
Documentation for Beryllium Disease Before 1993
If you or a deceased loved one was diagnosed with beryllium disease before January 1, 1993, you’ll need to submit at least three of the following tests:
- A chest radiography or computed tomography;
- A restrictive or obstructive lung physiology test or diffusion lung capacity defect;
- Lung pathology;
- A clinical course; or
- An immunologic test.
Documentation for Beryllium Disease After 1993
For chronic Beryllium diseases after January 1, 1993, you’ll need to submit additional medical evidence, including a beryllium lymphocyte proliferation test (LPT) performed on blood or lung cells, as well as proof of one of the following:
- A lung biopsy
- A computerized axial tomography scan
- A pulmonary function study or exercise tolerance test
Documentation for Chronic Silicosis
If you’re filing a claim related to a diagnosis of chronic silicosis, you or the person you’re submitting on behalf of must have experienced a ten-year onset latency period and submit one of the following:
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A chest radiograph
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Results from a computer-assisted tomograph
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A lung biopsy
Previously Filed and Denied? You Still Have Options.
