If you file electronically, you may upload photocopies of the required records and need not submit certified or original records unless they are requested by the RECA Program.
Documents: this form must be accompanied by certified or original supporting documentation.
Documentation: failure to submit the required documentation will delay the processing of your claim.
Who became ill: if YOU are the person who became ill, you may proceed to Part 3 and are NOT required to fill out Part 2.
Self-filers: if you are a SELF-FILER, please continue to Part 8 of the claim form.
Surviving spouse: the individual who was married to the person who became ill for at least one year prior to his or her death.
Questions: if you have any questions, you may visit the RECA website or call 1-800-729-7327.
| Question | Answer |
|---|---|
| Form Name | Downwinder Claim Form |
| Form Length | 24 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 60+ min |
| Edition | Revised July 2025 |
| Matches the agency's file | Yes, checked October 4, 2026 |
| Other names | Downwinder Claim Form, downwinders claim form, RECA downwinder claim form, Radiation Exposure Compensation Program Downwinder Claim Form |
| Official source | Downwinder Claim Form (Rev July 2025), U.S. Department of Justice |
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