Raytech Claim Form

Claimants may either file a paper copy claim form or electronically file the claim. Claimants or claimants' representatives must complete the standardized claim form in its entirety and sign the certification verifying the accuracy of the allegations or for a law firm to sign the Electronic Filer Agreement for electronic claim filing. Valid medical documentation supporting the alleged injury and documentation establishing exposure to Raytech asbestos-containing products must be submitted with the claim. Additionally, the claim must be submitted within the applicable deadline for filing a claim as set forth in the Raytech Claims Resolution and Trust Distribution Procedures Section 5.7.