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This document serves as a petition for the inclusion of a class of employees at the Mound Plant in Miamisburg, Ohio, into the Special Exposure Cohort under the Energy Employees Occupational Illness

How to fill out special exposure cohort petition

How to fill out Special Exposure Cohort Petition

1. Identify the correct form for the Special Exposure Cohort Petition.
2. Gather necessary documentation that supports your claim, such as service records or evidence of exposure.
3. Complete the application form with accurate and detailed information.
4. Clearly state the reasons for your petition, including specific exposures and medical conditions.
5. Review your petition to ensure all sections are filled out and all required documents are attached.
6. Submit your petition to the National Institute for Occupational Safety and Health (NIOSH) for review.

Who needs Special Exposure Cohort Petition?

1. Individuals who were exposed to toxic substances during their work in certain occupations, especially those involved in the atomic weapons program or who worked at specific facilities.
2. Workers who believe they have developed health issues due to hazardous exposures and wish to seek compensation.

People Also Ask about

What is special exposure cohort?

The Special Exposure Cohort (SEC) is a uniquely defined category of employees established under The Act. The SEC is comprised of classes of employees who: have at least one of the 22 SEC cancers and. have worked for a specific period of time at one of the SEC Work Sites.

What cancers are covered under EEOICPA?

EEOICPA: The 22 Specified Cancers Leukemia; Primary or secondary cancer of the lungs; Primary or secondary bone cancer; Primary or secondary renal cancer; Primary thyroid cancer; Primary cancer; Primary esophagus cancer; Primary stomach cancer;

What cancers are covered under EEOICPA?

EEOICPA: The 22 Specified Cancers Leukemia; Primary or secondary cancer of the lungs; Primary or secondary bone cancer; Primary or secondary renal cancer; Primary thyroid cancer; Primary cancer; Primary esophagus cancer; Primary stomach cancer;

What is an exposure based cohort?

Cohort studies are observational studies that follow groups of patients with different exposures forward in time and determine outcomes of interest in each exposure group or that investigate the effect of one or more participant characteristics on prognostic outcomes [1].

For pdfFiller’s FAQs

What is Special Exposure Cohort Petition?

The Special Exposure Cohort Petition is a formal request submitted by individuals or groups seeking recognition for a specific group of workers who were exposed to harmful substances, allowing them to qualify for compensation under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA).

Who is required to file Special Exposure Cohort Petition?

Individuals or groups of employees who worked at specific facilities during certain time periods and were exposed to radiation or other hazardous substances are required to file the Special Exposure Cohort Petition.

How to fill out Special Exposure Cohort Petition?

To fill out a Special Exposure Cohort Petition, individuals need to provide detailed information about the worker's job history, specific locations and periods of employment, types of exposure, and medical conditions linked to the exposure, typically using provided forms that guide the submission process.

What is the purpose of Special Exposure Cohort Petition?

The purpose of the Special Exposure Cohort Petition is to seek acknowledgment of the health risks faced by a group of workers due to occupational exposure to radioactive or toxic substances, facilitating access to appropriate medical compensation and benefits.

What information must be reported on Special Exposure Cohort Petition?

The information required on a Special Exposure Cohort Petition includes the claimant's full name, details about the workplace, duration of employment, job titles, specific locations of exposure, types of exposure experienced, and health conditions resulting from that exposure.