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

What Is Form EE-3?

This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on September 1, 2021 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form EE-3?
A: Form EE-3 is the Employment History form used for filing a claim under the Energy Employees Occupational IllnessCompensation Program Act.

Q: Who needs to fill out Form EE-3?
A: Individuals who are filing a claim under the Energy Employees Occupational Illness Compensation Program Act need to fill out Form EE-3.

Q: What is the purpose of Form EE-3?
A: The purpose of Form EE-3 is to provide a detailed employment history for the claimant, which is required for the evaluation of the claim.

Q: Is Form EE-3 specific to any particular state?
A: No, Form EE-3 is used for filing claims under the Energy Employees Occupational Illness Compensation Program Act nationwide.

Q: Are there any filing fees associated with Form EE-3?
A: No, there are no filing fees for submitting Form EE-3.

Q: What should I include in the Employment History section of Form EE-3?
A: You should include detailed information about your past employment, such as the name of the employer, dates of employment, job title, and a description of the work you performed.

Q: Is it necessary to include all past employment on Form EE-3?
A: Yes, it is important to provide a complete employment history on Form EE-3, including all relevant past jobs.

Q: Who can I contact if I have questions about filling out Form EE-3?
A: You can contact the Department of Labor or a Department of Labor district office for assistance with filling out Form EE-3.