UNR Trust Claim Form

All claimants suffering from an asbestos injury resulting from exposure to UNR asbestos containing products must complete the standardized UNR claim form in its entirety. Only Individualized Review (previously referred to as Option 2) is available. Individualized Review is an in-depth individualized review of the claim using basic tort system principles to review the claim. Payment of valid claims requires the execution of a full release.

All claims must be accompanied by a $150.00 non-refundable filing fee. Checks should be made payable to the UNR Asbestos-Disease Claims Trust.

To file a claim, please follow these steps:

  1. Complete the standardized UNR claim form in its entirety and sign the certification of accuracy and completeness at the end of the form.
  2. Attach all required documentation supporting both medical and exposure allegations.  Refer to the claim form checklist before filing.
  3. Enclose the $150.00 non-refundable filing fee.
  4. Return the completed form and required documentation along with the filing fee to the CPF.

Failure to complete the entire form in detail and submit the required documentation or filing fee will delay the processing of the claim. Claims must be timely filed with the CPF within the applicable statute of limitations. Filing in the tort system does not toll the statute of limitations as to the Trust filing.

Click here to download the UNR Claim Form.