File A Claim

Cancer Benefit Compensation Application

Do you or a deceased family member qualify for compensation under RECA? Complete the form below or call (877) 819-0336 for more information.
Option #1

Download Only: Radiation Exposure Forms (Uploads Not Currently Accepted): Forms will need to be returned via mail delivery.

File Upload

Upload and submit your completed packet.

Option #2

Submit an Inquiry or Question regarding the RECA program. NOTE: THIS IS NOT A CLAIM FORM.

Please Note: Any information submitted using this form is transmitted securely and held in the strictest of confidence, protecting your privacy.

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