CFR > Title 20 - Employees' Benefits > CHAPTER I—OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR > SUBCHAPTER C—ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM ACT OF 2000 (parts 30 to 30) > PART 30—CLAIMS FOR COMPENSATION UNDER THE ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM ACT OF 2000, AS AMENDED > SUBPART B—Filing Claims; Evidence and Burden of Proof; Special Procedures for Certain Cancer Claims (§30.100 to §30.115) > 30.103—How does a claimant make sure that OWCP has the evidence necessary to process the claim?

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

(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 Office of Workers' Compensation Programs, Employment Standards Administration, U.S. Department of Labor, Washington, DC 20210. They may also be obtained from OWCP district offices and on the Internet at http://www.dol.gov/esa/regs/compliance/owcp/eeoicp/main.htm.