(INSERT LETTERHEAD)

Date                                                                 File Number: File Number

Name

Address

City, State  ZIP

Dear Mr./Ms. Claimant:

I am writing concerning the claim you filed under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA).  Your claim has been received in our office.  

We have entered your claim into our system and assigned it the above file number.  You should refer to this number when calling our office and write it on the top right corner of any correspondence you submit to us.  Your claim will be assigned to a Claims Examiner for review.  If additional information is required, the Claims Examiner will request it through separate correspondence. 

Our Customer Service Representatives are available to answer any of your questions regarding the processing of your claim.  You may also obtain information through your local resource center or by visiting our website at: /esa/owcp/energy/regs/compliance/main.htm

I assure you every effort is being made to process your claim in a timely manner.  If you have any questions, please feel free to contact us, toll free, at (Number).

Sincerely,

Printed Name

Title