Form EE-1 Worker's Claim for Benefits Under the Energy Employees Occupational Illness Compensation Program Act

What Is Form EE-1?

This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on November 1, 2016 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form EE-1?
A: Form EE-1 is the Worker's Claim for Benefits Under the Energy Employees Occupational Illness Compensation Program Act.

Q: Who can file a Form EE-1?
A: Workers who have developed illnesses or conditions from exposure to toxic substances while working in a Department of Energy facility or as a contractor can file a Form EE-1.

Q: What is the Energy Employees Occupational Illness Compensation Program Act?
A: The Energy Employees Occupational Illness Compensation Program Act is a federal program that provides compensation and benefits to workers who have developed illnesses or conditions due to exposure to toxic substances while working in the nuclear weapons industry.

Q: How do I file a Form EE-1?
A: To file a Form EE-1, you should complete the form and submit it to the appropriate district office of the Department of Labor.

Q: What benefits can I receive under the Energy Employees Occupational Illness Compensation Program?
A: You may be eligible to receive medical benefits, wage-loss compensation, impairment compensation, and survivor benefits under the Energy Employees Occupational Illness Compensation Program.

Q: Are there any time limits for filing a Form EE-1?
A: Yes, there are time limits for filing a Form EE-1. Generally, you must file within 3 years of the date you became aware, or should have been aware, of the connection between your illness and your employment.