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NO COOKIES USED ON THIS SITE

Resource Documents and Forms

English: Dr. John Howard, director of the Nati...English: Dr. John Howard, director of the National Institute for Occupational Safety and Health, 2002-2008 (Photo credit: Wikipedia)

Resource Documents and Forms
Forms


Cold War Energy Workers Intake Form
2 Pages 12 KB PDF - 2 Pages MS Word 44 KB
This form when completed will help us help you with your claim for compensation.


Sample Letters in Support of the CARE Act
4 Pages 44 KB PDF - 4 Pages MS Word 82 KB
8 Sample Letters in support of the
Compensation And Respect for Energy Workers (CARE) Act
Amends the Energy Employees Occupational Illness Compensation Program Act of 2000 to expand the category of individuals eligible for compensation, to improve the procedures for providing compensation, and to improve transparency.


Claim for Benefits Under EEOICPA
Form EE-1 (April 2005)
2 Pages 128 KB PDF
This is the form used to initiate a claim for benefits under the Energy Employees Occupational Illness Compensation Program.


Privacy Act Information Request
2 Pages 18 KB PDF
This form DOE F 1800.1 is used to request information under the privacy act such as your personal records. Be sure to get it notarized and include your social security number.


Interview Script for Part B
14 Pages 2.4 MB PDF
This is the suggested script that NIOSH uses when interviewing you over the telephone.


Interview Form for Part E
13 Pages 500 KB PDF
This is the form which contains the questions you will be asked by the Department of Labor when you are being interview via telephone for your claim under Part E of the "Act."
Pending Legislation - Charlie Wolf Act


Senate Bill 757 12 pages 52 KB PDF
This legislation needs our support write/call Senate committee members.
To amend the Energy Employees Occupational Illness Compensation Program Act of 2000 to expand the category of individuals eligible for compensation, to improve the procedures for providing compensation, and to improve transparency, and for
other purposes.


House Bill 1828 14 page 43 KB PDF
This legislation needs our support write/call House committee members
To amend the Energy Employees Occupational Illness Compensation Program Act of 2000 to expand the category of individuals eligible for compensation, to improve the procedures for providing compensation, and to improve transparency, and for other purposes..


Senate Committee on Health, Education, Labor, and Pensions
5 pages 160 KB Microsoft Word Document
This is the contact information for members of the Senate Committee on Health, Education, Labor and Pensions.
Resource Documents for Pinellas Plant


Claims Procedure Diagram 1 page 38 KB PDF
Department of Labor and NIOSH's Claim Processing Steps
This is from Appendix II on Page 34 of GAO report 04-958 "Energy Employees Compensation" dated September 2004. This report recommended that Health and Human Services direct the Center for Disease Control to establish time frames for completing site profiles.


Claims Procedure Diagram 1 page 38 KB PDF
Department of Labor and NIOSH's Claim Processing Steps
This is from Appendix II on Page 34 of GAO report 04-958 "Energy Employees Compensation" dated September 2004. This report recommended that Health and Human Services direct the Center for Disease Control to establish time frames for completing site profiles.


EEOICP Explained 13 Pages 193 KB PDF
This is an explanation of the EEOICPA program by Ken Silver, Dsc, SM
Dr. Silver is Assistant Professor, Department of Environmental Health, East Tennessee State University, Johnson City, TN.


EEOICPA Act
35 Pages 250 KB PDF
The "Act" Title 42 Chapter 84 Subchapter XVI Part A Established the Compensation Program and Compensation Fund.


Early History of the Pinellas Plant by Ad Persons
26 Pages 81 KB PDF
This description of the early history of the plant contains useful information about the Pinellas Plant from 1956 through 1977.


Pinellas Plant Environmental Baseline Report June 1997
363 Pages 3.2 MB PDF
Among other things, this document contains information on each area of the plant and chemicals used in those areas. The document also includes an overview of all building on the site including maps and a description of the building and operations in that building.


Pinellas Plant Facts and Sources for EEOICPA Claimants
162 Pages 19.6 MB PDF
This document contains a description of Pinellas Plant Products, processes and operations in 1990.


SC &A Audit/Review of NIOSH's Site Profile for Pinellas Plant
71 Pages 485 KB PDF
This report by S. Choen & Associates was produced following a review of the NIOSH Site Profile of the Pinellas Plant for the Advisory Board on Radiation and Worker Health. This report dated September 15, 2006 lists 11 findings.


Agent Z Construction Safety
32 Pages 76 KB PDF
Methylenedianiline. - 1926.60 Safety and Health Regulations for construction


Agent Z Occupational Safety
40 Pages 160 KB PDF
Methylenedianiline. - 1910.1050 Occupational Safety and Health Standards.


Historical Report of Radiation Protection at GEND
17 Pages 1 MB PDF
The information presented in this report was collected in response to a request by the GEND Plant Manager in November 1989. Included are a basic description of early operations, significant HP activities, unusual events, and a summary of environmental releases of radioactivity since plant start up in 1957. The bulk of this information was taken from microfilm records and personal recollection by John Holliday, GEND Health Physicist 1957 - 1985, under contract No. R-00162-X.a.


Site Profile



Site Profile - Introduction
7 Pages 24 KB PDF
Documentation of historical practices at the Pinellas Plant (Pinellas). Dose reconstructors can use this profile to evaluate internal and external dosimetry data for monitored workers and as a supplement to individual monitoring data. For unmonitored workers, this profile contains information that will enable estimations of internal and external doses.


Site Profile - Description
27 Pages 1MB PDF
Documentation of facilities and processes that manufactured neutron generators and other components for nuclear weapons.


Site Profile - Occupational External Dose
44 Pages 876 KB PDF
Documentation of external dosimetry historical practices at the Pinellas Plant. This external dose TBD can be used to evaluate external dosimetry data for monitored workers and can serve as a
supplement to individual monitoring data. For unmonitored workers, information is present in this document that will provide for estimations of external doses.


Site Profile - Occupational Internal Dose
31 Pages 231 KB PDF
The Pinellas Plant internal dosimetry program started with site operations in 1957. Tritium “(T)” and 238Pu and 239Pu were the isotopes of primary concern and the only radionuclides monitored routinely..


Site Profile - Occupational Environmental Dose
29 Pages 196 KB PDF
Historical environmental dose information for the Pinellas Plant workers about onsite exposure to the plant’s radiological releases to air and ambient conditions. The information is based on the available literature on the site, which consists primarily of environmental monitoring
reports and site environmental reports published between 1971 and 1995. No records could be found to demonstrate that environmental dose monitoring was conducted on the site, such as with environmental thermoluminescent dosimeters.


Site Profile - Occupational Medical Dose
23 Pages 179 KB PDF
Review of about 10% of the medical x-ray files for the Pinellas plant indicates that since the start-up of the plant to closure in 1997 PA chest x-rays were given up to an annual basis with infrequent LAT chest x-rays.

Special Exposure Cohort (SEC)
18 Pages 59 KB PDF
Procedures for Designating Classes of Employees as Members of The Special Exposure Cohort



Methods for Dose Reconstruction
17 Pages 55 KB PDF
Methods for Constructing Dose Reconstruction



Bonuses paid fm 2000 through 2007
38 Pages 1.5 MB PDF
Bonuses paid to DOL employees working with EEOICPAhttp://nuclearworkersflorida.org/documents/documents.html
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