EEOICP EE-4, Employment History Affidavit for Claim Under Energy Employees Occupational Illness Compensation Program Act
Form Description:
EEOICP EE-4, Employment History Affidavit for Claim Under Energy Employees Occupational Illness Compensation Program Act: Applicants use this form to submit an Employment History Affadavit for a claim under the EEOICPA.