Print This Page
E-mail This PageDOL Form EEOICP EE-1
| Agency: | OWCP-EEOICP |
| Title: | EEOICP EE-1, Claim for Benefits under Energy Employees Occupational Illness Compensation Program Act |
| Form Description: | EEOICP EE-1, Claim for Benefits under Energy Employees Occupational Illness Compensation Program Act: Applicants use this form to submit a claim for Employee Benefits under the Energy Employees Occupational Illness Compensation Program Act. |
| OMB Control Number: | 1240-0002 |
 |
