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This document serves as a petition for inclusion into the Special Exposure Cohort for workers who may have been exposed to harmful substances while employed under the Energy Employees Occupational
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How to fill out special exposure cohort petition
How to fill out Special Exposure Cohort Petition
01
Gather necessary information about your exposure to radiation or other hazardous substances.
02
Obtain medical records and documentation relating to your health condition.
03
Complete the Special Exposure Cohort Petition form, ensuring all fields are accurately filled out.
04
Provide detailed descriptions of your employment history related to hazardous exposure.
05
Attach any supporting evidence such as job descriptions, radiation dose estimates, or medical reports.
06
Submit your petition to the Centers for Disease Control and Prevention (CDC) National Institute for Occupational Safety and Health (NIOSH).
07
Keep a copy of all documents submitted for your records and follow up on the status of your petition.
Who needs Special Exposure Cohort Petition?
01
Individuals who worked in specific occupations with potential exposure to radiation or hazardous substances.
02
Workers who have developed health issues related to their exposure in the workplace.
03
Survivors of individuals who were exposed and have since passed away due to related health conditions.
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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].
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What is Special Exposure Cohort Petition?
The Special Exposure Cohort Petition is a formal request submitted to the Department of Energy (DOE) or the National Institute for Occupational Safety and Health (NIOSH) to designate a group of workers as part of a cohort eligible for compensation due to exposure to radiation or other hazardous substances during their employment.
Who is required to file Special Exposure Cohort Petition?
Individuals or groups of workers who believe they have been exposed to harmful radiation or toxic substances while working at specific DOE facilities or other classified sites are eligible to file a Special Exposure Cohort Petition.
How to fill out Special Exposure Cohort Petition?
To fill out a Special Exposure Cohort Petition, you must obtain the official petition form, provide relevant employment and exposure history, include medical records if applicable, and submit the petition to the appropriate authorities, such as NIOSH or the DOE.
What is the purpose of Special Exposure Cohort Petition?
The purpose of the Special Exposure Cohort Petition is to evaluate and acknowledge the health risks faced by certain groups of workers due to occupational exposure to harmful substances, allowing them access to compensation and medical benefits.
What information must be reported on Special Exposure Cohort Petition?
Information that must be reported on the Special Exposure Cohort Petition includes the petitioner's name, contact information, employment history, details of the exposure incidents, and any supporting documentation or medical records related to health effects from the exposure.
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