How to Fill Out DOL Form EE-1 (w/Examples) + FAQs

Yes, you can fill out DOL Form EE-1 yourself by entering your personal data, your covered illness, and your employment at a Department of Energy (DOE) facility, then signing under penalty of perjury and mailing or delivering the form to the nearest Resource Center or District Office of the Office of Workers’ Compensation Programs (OWCP). Form EE-1 is the Claim for Benefits Under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA), and the form opens the door to a $150,000 lump sum and lifetime medical benefits under Part B, and up to $250,000 in impairment and wage-loss benefits under Part E.

The legal engine behind Form EE-1 is the Energy Employees Occupational Illness Compensation Program Act of 2000, codified at 42 U.S.C. §§ 7384–7385, and the procedural rules at 20 C.F.R. Part 30. If you skip a field, miss a date, or pick the wrong illness category, the OWCP claims examiner can issue a Recommended Decision to deny, and you may lose months waiting on a Final Decision from the Final Adjudication Branch (FAB).

Through May 2026, the DOL has paid more than $25 billion in EEOICPA benefits to nuclear weapons workers and their survivors, with average Part B approval rates hovering near 50% — meaning half of all filers get denied on the first try, often because of avoidable Form EE-1 mistakes.

  • 📝 How to complete every line on Form EE-1 with the correct entries
  • ⚖️ Which statutes, regulations, and rulings drive each answer you give
  • 🏭 Real worker examples from Hanford, Oak Ridge, Rocky Flats, and the Nevada Test Site
  • 🚫 The seven costliest mistakes that trigger denials and how to dodge them
  • 💵 What benefits flow once OWCP accepts your EE-1, plus survivor handoff rules

What Form EE-1 Is and Why It Exists

Form EE-1 is the official Claim for Benefits document used by living workers who believe a covered occupational illness came from their work at a Department of Energy facility, an Atomic Weapons Employer (AWE) site, or a Beryllium Vendor. The form is published by the Office of Workers’ Compensation Programs within the U.S. Department of Labor and is the gateway document for both Part B and Part E claims.

The form exists because Congress, in passing EEOICPA in 2000, recognized that workers who built the nation’s nuclear arsenal during the Cold War were exposed to radiation, beryllium, silica, and toxic chemicals without adequate warnings. The plain-English purpose is simple: give sick workers a faster path to money and medical care than tort lawsuits ever offered. The consequence of not filing Form EE-1 is that the worker remains bound by state workers’ compensation caps, which often exclude latent illnesses like cancer with 20-year lag times.

A real example helps. Carlos, a former Y-12 machinist in Oak Ridge with bladder cancer, filed Form EE-1 in 2024 and received a $150,000 lump sum plus a medical benefits identification card within 11 months. Without the form, Carlos would have been stuck with Tennessee’s state workers’ comp system, which would not have covered his out-of-state oncology care.

A common misconception is that Form EE-1 is only for radiation cancers. In truth, the form also covers chronic beryllium disease, beryllium sensitivity, chronic silicosis, and — under Part E — any illness “at least as likely as not” caused by toxic exposure at a covered DOE facility, per the standard in 20 C.F.R. § 30.213.

Who Files EE-1 vs. EE-2

The living worker files Form EE-1, while a surviving spouse, child, parent, or grandchild files Form EE-2. The split matters because survivor benefits under Part B are capped at $150,000 split among eligible survivors, and Part E survivor awards depend on wage-loss years before death.

If a worker files Form EE-1 and dies before payment, the claim does not vanish. Under 20 C.F.R. § 30.5(ee), the survivor steps in by filing Form EE-2 and continuing the claim. The consequence of confusing the two forms is automatic rejection, since the OWCP system routes filings by form number, not by narrative.

Maria, the widow of a Rocky Flats plutonium worker, mistakenly filed Form EE-1 after her husband’s death and lost four months before refiling Form EE-2. The lesson is that the form number drives the docket, so the right form must match the filer’s status on the day of signature.

Part B vs. Part E in One Glance

Feature Part B
Lump sum $150,000
Medical Lifetime, federal card
Causation Dose reconstruction or SEC presumption
Covered illnesses Radiogenic cancers, CBD, beryllium sensitivity, chronic silicosis
Feature Part E
Maximum award $250,000 (impairment + wage loss)
Medical Lifetime, federal card
Causation “At least as likely as not” toxic exposure
Covered workers DOE employees, contractors, subcontractors (not AWE)

Before You Touch the Form: Gather These Documents

Walking up to Form EE-1 without paperwork is the fastest route to a denial. The OWCP claims examiner needs three evidentiary pillars: identity, employment, and medical diagnosis. Each pillar maps to a federal regulation, and missing pillars trigger a development letter under 20 C.F.R. § 30.112.

For identity, gather a Social Security card, a government photo ID, and proof of any name change. For employment, pull together W-2s, DOE security badge records, union cards, and statements from co-workers; the DOE’s Center for Worker Advocacy can release historical employment files within 60 days. For medical diagnosis, you need pathology reports, biopsy slides for cancer claims, pulmonary function tests for beryllium and silicosis claims, and ICD-10 coded diagnosis letters.

A common mistake is to file Form EE-1 first and “fill in” evidence later. The consequence is that the one-year statute of limitations under 20 C.F.R. § 30.103 keeps running, and the claim sits in development limbo. James, a former Hanford pipefitter with lung cancer, filed bare in 2023 and waited 14 months for a Recommended Decision because his pathology was incomplete.

The smarter play is to file the moment you have a diagnosis letter and a sworn employment statement, even if other items are pending. OWCP accepts a “filed” claim on the date of receipt, which locks your priority date and triggers the development duty on the agency under 20 C.F.R. § 30.111.

Where to Send Form EE-1

You can submit Form EE-1 to any of the eleven EEOICPA Resource Centers, including offices in Oak Ridge, Hanford, Las Vegas, Denver, Paducah, and Espanola. Resource Centers act as front doors and forward filings to the four District Offices in Jacksonville, Cleveland, Denver, and Seattle.

The consequence of mailing to the wrong office is rarely fatal, but it adds two to four weeks of internal routing. The smarter move is to call the toll-free EEOICPA helpline at 1-866-888-3322 before mailing, confirm the right Resource Center for your worksite, and ask for a date-stamped receipt. Linda, a Nevada Test Site driller with chronic silicosis, hand-delivered her EE-1 to the Las Vegas Resource Center and walked out with a stamped copy that became her proof of timely filing.

A common misconception is that email or fax filings are second-class. Under current OWCP guidance, faxed and emailed EE-1 forms have the same legal effect as mailed originals, provided the signature is legible and the form is complete.

Section-by-Section Walkthrough of Form EE-1

The form is four pages, but only two pages collect data; the rest are instructions and the Privacy Act notice required by 5 U.S.C. § 552a. Every box matters, because OWCP scans the form into the Energy Compensation System (ECS), and blank fields generate automated development letters.

Section 1: Employee Identifying Information

This block asks for your full legal name, Social Security number, date of birth, sex, mailing address, telephone, and email. Use the name shown on your Social Security card, not a nickname, because OWCP cross-checks Social Security Administration records under 20 C.F.R. § 30.105.

The consequence of a name mismatch is a hold on payment. Carlos Reyes-Martinez filed as “Carlos Martinez” and watched his $150,000 sit in a suspense account for six weeks until he sent a corrected W-9. A real-world tip is to attach a copy of your Social Security card to Section 1 to short-circuit the verification loop.

A common misconception is that Section 1 is just contact info. In reality, the address you list becomes the service address for every Recommended Decision, Final Decision, and medical bill notice for the life of the claim, so use a stable address.

Section 2: Claimed Medical Condition(s)

Here you list every illness you believe is work-related, with dates of diagnosis. List the primary cancer site if you have a malignancy, because metastases are tracked separately under NIOSH-IREP dose-reconstruction software.

Plain-English rule: list the primary tumor (e.g., “lung cancer, adenocarcinoma, diagnosed 03/14/2024”) rather than the metastasis. The consequence of listing a metastasis as primary is an inaccurate Probability of Causation calculation, which can drop you below the 50% threshold for compensability under 42 U.S.C. § 7384n.

David, a former Savannah River chemist, listed “brain mets” instead of his original “non-small cell lung cancer.” NIOSH ran the dose reconstruction on brain tissue, the Probability of Causation came back at 32%, and his Part B claim was denied. He had to file a reconsideration request under 20 C.F.R. § 30.319 and wait another nine months.

A common misconception is that you must list every doctor visit ever. You only list claimed covered conditions; non-covered illnesses can be added later under Part E if toxic-exposure causation is established.

Section 3: Covered Employment

This is the spine of the claim. List every DOE site, AWE site, or Beryllium Vendor where you worked, with employer names, job titles, and dates of employment. Use the DOE Covered Facility List to confirm site eligibility before writing.

The consequence of a site that is not on the covered list is an immediate denial under 20 C.F.R. § 30.205. Susan, a former Mound Plant chemist, accidentally listed her later employment at a private lab; OWCP only credited the Mound years, but she preserved her primary claim.

A real-world tip: if your employer was a subcontractor, list the prime contractor in the employer field and the subcontractor in a separate attachment. Subcontractor verification is the single biggest source of Part E development delays per the DOL Office of Inspector General.

A common misconception is that “covered” automatically equals “compensable.” Coverage merely opens the door — you still must prove illness causation by either dose reconstruction (Part B) or toxic-exposure linkage (Part E).

Section 4: Special Exposure Cohort (SEC) Election

If you worked at a Special Exposure Cohort site for at least 250 aggregated workdays during a covered period and have one of the 22 specified cancers, you can elect SEC status. SEC status creates a rebuttable presumption of causation, skipping NIOSH dose reconstruction entirely.

The consequence of not electing SEC when eligible is enormous: a worker forced through dose reconstruction may wait 18 to 24 months and still come up short of 50% Probability of Causation. Robert, a Paducah Gaseous Diffusion Plant worker with bone cancer, checked the SEC box, qualified under the Paducah SEC class, and got his Recommended Decision in five months.

A common misconception is that SEC covers all cancers. The list is finite, set by 42 U.S.C. § 7384l(17), and includes leukemia (other than CLL), bone cancer, renal cancer, and 19 other “specified” cancers; non-specified cancers still require dose reconstruction.

Section 5: Other Workers’ Compensation or Tort Recovery

You must disclose any state workers’ comp award, tort settlement, or insurance recovery related to the same illness. Under 42 U.S.C. § 7385, EEOICPA benefits are offset by prior tort recoveries from the same exposure.

The consequence of hiding a state award is benefit clawback plus possible criminal exposure under 18 U.S.C. § 1001 for false statements. Ellen, a Fernald uranium worker, forgot to list a $40,000 Ohio asbestos settlement; OWCP discovered it through a Treasury Offset Program match and recouped the offset from her Part E payment.

A common misconception is that Social Security Disability counts as “other workers’ compensation.” It does not. SSDI is unrelated to EEOICPA offsets, so do not list it in Section 5.

Section 6: Authorization and Signature

The signature block is governed by 20 C.F.R. § 30.100 and certifies, under penalty of perjury, that all answers are true. An unsigned form is a non-filing and does not lock your priority date.

The consequence of an undated or unsigned EE-1 is that the OWCP claims examiner returns the form, and the statute of limitations clock keeps ticking. Frank, a Kansas City Plant electrician, signed but did not date his form; OWCP returned it three weeks later and his “filing date” became the resubmission date, costing him a full month of medical bill reimbursement.

A common misconception is that a power-of-attorney can sign for the worker. POAs cannot sign Form EE-1 unless the worker is incompetent and a court-appointed guardian executes the form, with the guardianship order attached.

Three Real-World Filing Scenarios

Worker Profile Compensation Outcome
Hanford pipefitter, 1972–1995, lung cancer, SEC eligible Part B $150,000 + Part E $175,000 impairment, 7-month decision
Rocky Flats machinist, 1968–1989, chronic beryllium disease Part B $150,000 + Part E $250,000 max wage loss, 9-month decision
Oak Ridge Y-12 widow, husband died 2022 of bladder cancer Survivor Part B $150,000 (EE-2 filing), 11-month decision
Worker Profile Compensation Outcome
Nevada Test Site driller, silicosis, no SEC Part B $150,000 (chronic silicosis presumption) + Part E $80,000
Savannah River chemist, non-SEC kidney cancer, dose reconstruction Part B denied (PoC 38%), Part E approved $90,000
Mound Plant tritium worker, leukemia, SEC eligible Part B $150,000 in 5 months under SEC presumption
Worker Profile Compensation Outcome
Paducah uranium worker, bone cancer, SEC Part B $150,000 + Part E $200,000, 6-month decision
Fernald feed materials worker, lung cancer + asbestos settlement Part B $150,000 less $40,000 offset = $110,000 net
AWE Bethlehem Steel worker, chronic beryllium disease Part B $150,000 only (Part E excludes AWE workers)

How OWCP Reviews Your EE-1

Once received, OWCP enters the form into the Energy Compensation System and assigns a claims examiner at one of four District Offices. The examiner runs three checks: (1) identity verification, (2) covered employment verification through the DOE Office of Hearings and Appeals records, and (3) medical evidence sufficiency.

If the file passes initial review, the case goes to NIOSH for dose reconstruction (Part B radiogenic cancers) or the Industrial Hygienist (Part E toxic exposures). The plain-English consequence is that EE-1 is just step one; the average Part B claim involves 14 steps before payment per the DOL EEOICPA Procedure Manual.

A real example is William, a Y-12 welder, whose EE-1 triggered a NIOSH dose reconstruction that took 11 months because his radiation badge records were incomplete. NIOSH used “claimant-favorable” assumptions under 42 C.F.R. Part 82, and his PoC came back at 51%, just enough for compensability.

A common misconception is that filing the form starts the 60-day clock for a decision. There is no statutory decision deadline; OWCP averages 9 to 18 months per claim, and complex cases can stretch past two years.

Recommended Decision and Final Decision

After review, the District Office issues a Recommended Decision — accept, deny, or partial. You then have 60 days under 20 C.F.R. § 30.310 to object and request a hearing before the Final Adjudication Branch.

If you do nothing, FAB issues a Final Decision mirroring the Recommended Decision. The consequence of missing the 60-day window is that you must file a reconsideration request under 20 C.F.R. § 30.319 and prove a clear factual or legal error.

A common misconception is that FAB hearings require a lawyer. They do not — claimants can self-represent, and authorized representatives can also be a friend, union steward, or paralegal under 20 C.F.R. § 30.600.

Recap of Key ECAB Rulings

The Employees’ Compensation Appeals Board does not hear EEOICPA cases — those go to FAB and then federal district court. However, federal courts have shaped the program. In Wickre v. U.S. Department of Labor, the Tenth Circuit confirmed the limited judicial review standard. In Hicks v. Chao, the court held that EEOICPA decisions are reviewed under the Administrative Procedure Act’s “arbitrary and capricious” standard.

The plain-English takeaway is that courts rarely overturn FAB decisions, so getting Form EE-1 right the first time is critical. Thomas, a Pantex worker, lost in district court because his record on appeal was the same flawed EE-1 he filed five years earlier.

A common misconception is that you can introduce new medical evidence on judicial review. You cannot — the federal court is bound to the administrative record, so the EE-1 stage is the last full factual chance.

Mistakes to Avoid on Form EE-1

  • Listing a metastasis instead of the primary cancer site, which corrupts the NIOSH dose reconstruction and tanks your Probability of Causation.
  • Forgetting to check the SEC election box when eligible, forcing a needless dose reconstruction that adds 12 to 18 months to the claim.
  • Using a nickname or maiden name that does not match Social Security Administration records, which freezes payment in a suspense account.
  • Listing a non-covered facility (private contractor work) and omitting the actual covered DOE site, which triggers an automatic denial under 20 C.F.R. § 30.205.
  • Hiding a prior tort settlement or state workers’ comp award, which leads to clawback plus potential criminal liability under 18 U.S.C. § 1001.
  • Signing the form without dating it, which voids the filing date and restarts the statute of limitations clock.
  • Mailing the form to a generic DOL address rather than a Resource Center, costing two to four weeks of routing time.
  • Filing a Form EE-1 after the worker has died, when Form EE-2 is the only correct survivor vehicle.
  • Omitting subcontractor employment, which Part E claims rely on heavily for toxic-exposure linkage.
  • Failing to attach a pathology report or pulmonary function test, which guarantees a development letter under 20 C.F.R. § 30.112.

Do’s and Don’ts for Form EE-1

Do’s

  • Do file the moment you have a diagnosis letter, because your priority date is the date of receipt and locks the statute of limitations.
  • Do keep a date-stamped photocopy of every page you submit, since OWCP loses files and the burden of proof is on the claimant.
  • Do call the EEOICPA Resource Center before mailing, because they will pre-screen for missing items and save development cycles.
  • Do list every covered facility — even short stints — because cumulative exposure boosts Part E impairment ratings under 20 C.F.R. § 30.901.
  • Do elect SEC status if you qualify, because it skips NIOSH dose reconstruction and shaves over a year off the timeline.

Don’ts

  • Don’t sign blank pages or future-date your signature, which can be charged as fraud under 18 U.S.C. § 1920.
  • Don’t rely on memory for dates of employment; pull DOE security badge records first, because OWCP cross-checks against the employer’s records.
  • Don’t file Form EE-1 if you are a survivor; use Form EE-2 instead, because the form number drives the docket.
  • Don’t ignore the 60-day objection window after a Recommended Decision, because silence becomes a Final Decision binding under 20 C.F.R. § 30.316.
  • Don’t assume a denied Part B claim kills your Part E claim — they are independent tracks under 42 U.S.C. § 7385s.

Pros and Cons of Filing Form EE-1 Yourself

Pros

  • No fee cap risk because you keep the full $150,000 Part B award without a 2% representation fee deduction allowed under 20 C.F.R. § 30.603.
  • Direct control over the timeline, since Resource Center staff will guide you through development letters at no cost.
  • Free help from the Former Worker Medical Screening Program, which provides medical evidence at no cost.
  • Simple forms for SEC-eligible cancers, where the presumption does most of the heavy lifting.
  • Clear statute of limitations rules under 20 C.F.R. § 30.103, which protect timely filers from late discovery defenses.

Cons

  • Complex causation rules in Part E require an Industrial Hygienist analysis that is hard to challenge without expert representation.
  • Dose reconstruction under 42 C.F.R. Part 82 is opaque, and self-represented claimants rarely catch errors in NIOSH inputs.
  • Impairment ratings under the AMA Guides 5th Edition are technical, and self-represented workers often under-claim percentage impairment.
  • FAB hearings allow no cross-examination, so untrained claimants may miss key evidentiary openings.
  • Federal court review is limited to the administrative record, so a weak EE-1 file haunts you all the way through judicial review.

Survivor Handoff Rules

If a worker files Form EE-1 and dies before payment, the case does not die with them. Under 20 C.F.R. § 30.501, a surviving spouse, child, parent, or grandchild may “step into the shoes” of the deceased by filing Form EE-2 within one year of learning of the death.

The plain-English rule is that medical benefits end at death, but lump-sum entitlements survive. The consequence of missing the survivor filing window is forfeiture of the worker’s accrued Part E impairment award, which can exceed $200,000.

A real example is Patricia, whose husband died of mesothelioma at Hanford in 2024 with a pending EE-1; she filed Form EE-2 in March 2025 and received the $150,000 Part B award plus $90,000 in Part E impairment that had accrued before death. A common misconception is that adult children always inherit; under 42 U.S.C. § 7384s, adult children inherit only if they are under 23 and a full-time student or permanently disabled.

State Nuances on Top of Federal Law

EEOICPA is a fully federal program, so state law generally does not affect the EE-1 filing. However, three state-level wrinkles matter. First, state workers’ compensation offsets under 42 U.S.C. § 7385 vary by state, because each state calculates “comparable” benefits differently.

Second, state probate law governs survivor eligibility when there is no surviving spouse — the order of children, parents, and grandchildren tracks federal rules, but proof of relationship draws on state vital records. Third, state tax treatment of EEOICPA benefits is uniform — payments are exempt from federal and state income tax under 26 U.S.C. § 104(a) — but some states tax interest earned on the lump sum.

A common misconception is that community property states divide EEOICPA awards 50/50 in divorce. Federal preemption under EEOICPA means the award is the worker’s separate property in most jurisdictions, though equitable distribution states may consider it as a factor.

Key Entities You Will Meet During Your EE-1 Claim

  • OWCP (Office of Workers’ Compensation Programs) runs the program and assigns your claims examiner.
  • NIOSH performs dose reconstructions for Part B radiogenic cancer claims under 42 C.F.R. Part 82.
  • Final Adjudication Branch (FAB) issues Final Decisions and conducts hearings.
  • Resource Centers are the local intake offices for all EEOICPA paperwork.
  • Department of Energy (DOE) verifies covered employment through its Office of Hearings and Appeals.
  • Advisory Board on Radiation and Worker Health votes on SEC petitions that expand presumption coverage.
  • Treasury’s Bureau of the Fiscal Service issues the lump-sum payment after FAB approval.

Frequently Asked Questions

Is Form EE-1 free to file?

Yes, the form is free, downloadable from the DOL Forms page, and OWCP charges no filing fee at any stage of the EEOICPA claims process.

Can I file Form EE-1 if my employer was a subcontractor at a DOE site?

Yes, subcontractor employment counts as covered employment under 42 U.S.C. § 7384l(11), provided you can document the work at a covered DOE facility during a covered period.

Does filing Form EE-1 affect my Social Security or Medicare benefits?

No, EEOICPA benefits are not counted as income for Social Security or Medicare eligibility, and the lump sum is exempt from federal income tax under 26 U.S.C. § 104(a).

Can I file Form EE-1 if I worked at an Atomic Weapons Employer site?

Yes, but only Part B benefits apply to AWE workers; Part E is reserved for DOE employees and contractors per 42 U.S.C. § 7385s.

Is there a deadline to file Form EE-1?

Yes, claimants must file within one year of learning of the illness and its likely connection to covered employment, under 20 C.F.R. § 30.103, though OWCP applies the rule liberally.

Can I appeal a denied Form EE-1 claim?

Yes, you have 60 days from the Recommended Decision to object under 20 C.F.R. § 30.310, and you may also pursue federal district court review after a Final Decision.

Does Form EE-1 cover both physical and mental illnesses?

Yes, Part E covers any illness — including some mental health conditions — that is at least as likely as not caused by toxic exposure at a covered DOE facility under 20 C.F.R. § 30.213.

Can a survivor file Form EE-1?

No, survivors must file Form EE-2 instead; filing the wrong form delays the claim and risks rejection on routing grounds.

Is medical marijuana a covered treatment after an EE-1 approval?

No, medical marijuana is not reimbursable under EEOICPA because federal law still classifies it as Schedule I under the Controlled Substances Act.

Can I hire a lawyer to fill out Form EE-1?

Yes, but representative fees are capped at 2% of the initial award and 10% of any objection-driven increase under 20 C.F.R. § 30.603.

Does filing Form EE-1 waive my right to sue the DOE contractor?

Yes, EEOICPA acceptance generally bars further tort claims against contractors for the same exposure under 42 U.S.C. § 7385d, making the program an exclusive remedy.

Can I add a new illness to an existing EE-1 claim?

Yes, you may amend the claim at any time by filing a supplemental EE-1 listing the new condition, and OWCP will treat the amendment as a new filing date for the added illness.