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E-mail This PageDOL Form EEOICP EE-2
| Agency: | OWCP-EEOICP |
| Title: | EEOICP EE-2, Claim for Survivor Benefits under Energy Employees Occupational Illness Compensation Program Act |
| Form Description: | EEOICP EE-2, Claim for Survivor Benefits under Energy Employees Occupational Illness Compensation Program Act: Applicants use this form to submit a Survivor Claim under the Energy Employees Occupational Illness Compensation Program Act. |
| OMB Control Number: | 1240-0002 |
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