20 C.F.R. § 30.103
(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. |
[71 FR 78534, Dec. 29, 2006, as amended at 84 FR 3047, Feb. 8, 2019]