Claim form for a payment for mesothelioma or another lung disease.
PDF, 87.6KB, 12 pages
PDF, 74.9KB, 12 pages
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.
1 October 2013
Department for Work and Pensions
Don’t include personal or financial information like your National Insurance number or credit card details.