EE-22 (General Medical Authorization Request)

Division of Energy Employees Occupational Illnesses Compensation (DEEOIC) Authorization Request Forms

Documents and Forms

Document Name Document Type
Form EE-22 EE-22 (General Medical Authorization Request) Form and Instruction
EE-22 General Medical Authorization Request EE-22 (General Medical Authorization Request) (11).docx owcpmed.dol.gov/ Form and Instruction

Information Collection (IC) Details