Form

Mesothelioma payment claim form

Claim form for a payment for mesothelioma or another lung disease.

Documents

Mesothelioma and other lung diseases claim form

Welsh: Mesothelioma a chlefydaueraill yr ysgyfaint

Details

Use this form to claim a payment for mesothelioma or another lung disease.

Go to www.gov.uk/diffuse-mesothelioma-payment for information about eligibility and how to claim.

Published 1 October 2013