Before You Begin

Completing this form may require a minimum of one hour. You may save your progress at any time by providing your email address, after which you will receive a secure, individualized link that will allow you to return and continue completeing the form.

Have these items ready to complete your claim:

Personal identification (SSN/SIN)
Date and place of birth
Current contact information
Medical diagnosis details and medical records.
Diagnosing physician names
Diagnosis dates
Death certificate, if applicable
Evidence and Supporting Documentation listed in Section 4 of the Instruction Letter to Claimants
Social Security printout and copy of union or employment records
1 Complete Form Online

Fill out your claim directly in your browser with our secure multi-step form. Your information is saved as you progress, and you can go back to make changes before final submission. You may save your progress at any time by providing your email address.


To complete a partially filled form, please click here:

2 Download, Print and Send the Claim Form to us

(i) Get the official claim form as a PDF using the button below:


(ii) After printing and signing the complete form, send it to us via FAX, Mail or e-Mail using the options below:

Send your completed form and documents via fax: 800-711-1070

Mail your completed form to the following address

USA:
Grant Thornton NYC
Attention: Asbestos Corporation Limited
757 Third Ave.
9th Floor
New York, NY 10017

CANADA:
Raymond Chabot Inc.
Attention: Asbestos Corporation Limited
National Bank Tower
600 De La Gauchetière West, suite 2000
Montreal, QC H3B 5A1

3 Call our support center

If you are unable to use the above options, please call our team and they will help you with your requests. Call us at: 1-877-788-0179

Need Help?

Phone Support

1-877-788-0179

Monday - Friday
7:00 AM - 8:00 PM EST

Email Support

asbestoscorp@rcgt.com

Mailing Address - USA

Grant Thornton NYC
Attention: Asbestos Corporation Limited
757 Third Ave.
9th Floor
New York, NY 10017

Mailing Address - CANADA

Raymond Chabot Inc.
Attention: Asbestos Corporation Limited
National Bank Tower
600 De La Gauchetière West, suite 2000
Montreal, QC H3B 5A1