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Home
Programs
File A Claim
RECA
About
- Media
Contact

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) 570-0500 for more information.

Option #1

Complete the Compensation for Radiation Exposure Form

"*" indicates required fields

Name*

First Last

Address*

Street Address City State ZIP Code

Phone (mobile)*

Phone (home)*

Email*

Which claim do you wish to file?*

Downwinders

On-Site Participants

Uranium Workers

Relationship to the person diagnosed with cancer?*

Self

Spouce

Child

Grandchild

Parent

Types of cancer?*

Bile Duct

Bladder

Brain

Breast (male or female)

Colon

Esophagus

Gallbladder

Leukemia (other than CLL)

Liver (if no evidence of cirrhosis or hepatitis B)

Lung

Lymphoma (except for Hodgkin’s disease)

Multiple Myeloma

Nasal Pharynx

Ovarian

Pancreas

Rectal

Salivary Gland

Small Intestine

Stomach

Thyroid

List all counties/states lived in between 1951 and 1962:*

Has anyone in your family received compensation for a RECA claim in the past?*

Yes

If yes, list your relation to the family member?*

Relationship to the person diagnosed with cancer?*

Self

Spouce

Child

Grandchild

Parent

Types of cancer?*

Bile Duct

Bladder

Brain

Breast (male or female)

Colon

Esophagus

Gallbladder

Leukemia (other than CLL)

Liver (if no evidence of cirrhosis or hepatitis B)

Lung

Lymphoma (except for Hodgkin’s disease)

Multiple Myeloma

Nasal Pharynx

Ovarian

Pancreas

Rectal

Salivary Gland

Small Intestine

Stomach

Thyroid

Location of participation in on-site testing?*

Dates of participation in on-site testing?*

Has anyone in your family received compensation for a RECA claim in the past?*

Yes

If yes, list your relation to the family member?*

Type of claim?*

Uranium Miller

Uranium Miner

Ore Transporter

Type of illness?*

Cor Pulmonale

Fibrosis

Lung Cancer

Pneumoconiosis

Silicosis

Type of illness?*

Cor Pulmonale

Fibrosis

Kidney Cancer

Kidney Disease (chronic)

Lung Cancer

Pneumoconiosis

Silicosis

Location of employment?*

Message

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This field is for validation purposes and should be left unchanged.

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

Option #2

Download & Upload the Radiation Exposure Forms

Downwinders

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Parent Packet
Self Packet
Spouse Packet

On-Site Participants

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Parent Packet
Self Packet
Spouse Packet

Uranium Workers

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Parent Packet
Self Packet
Spouse Packet

File Upload

Upload and submit your completed packet.

First Name

Last Name

File Upload

Subscribe For RECA Updates

Stay informed and up to date. Subscribe to receive the latest news and information about RECA. No Spam, we promise!

First Name

Email Address

As a RECA advocate since 2002, Ms. Laura Taylor Turner has helped thousands of people receive compensation for cancer from government created radiation exposure.

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Contact

Address

Law Offices of Laura J. Taylor, P.L.L.C. 325 West Gurley Street, Suite 201 Prescott, AZ 86301

Phone

(877) 819-0336

Fax

(928) 445-2228

info@downwindersprogram.com

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File A Claim

Cancer Benefit Compensation Application

Complete the Compensation for Radiation Exposure Form

Download & Upload the Radiation Exposure Forms

Downwinders

On-Site Participants

Uranium Workers

File Upload

Subscribe For RECA Updates

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