Keene Trust - Claim Form

Claimants may either file a paper copy claim form or electronically file the claim. Claimants must complete the standardized claim form in its entirety and sign the certification verifying the accuracy of the allegations or sign the e-File Agreement for electronic claim filing. Valid medical documentation supporting the alleged injury and documentation establishing exposure to Keene asbestos-containing products must be submitted with the claim. Additionally, the claim must be submitted within the applicable statute of limitations period as set forth in the First Amended Keene Claims Resolution and Trust Distribution Procedures Section 5.1(e).

Click here to download the Keene Claim Form.