Forms

Important Deadlines to File PIQ:

PIQ Response: Submit by August 28, 2023
Supporting Documentation: Submit by September 26, 2023

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To Print and Mail Personal Injury Questionnaires (“PIQ”) and Supporting Documentation:

Review the Order below regarding the PIQ filing process.

Revised Order Pursuant to Bankruptcy Rule 2004 Directing Submission of Personal Injury Questionnaires by Asbestos Claimants and Governing the Confidentiality of Responses [Docket No. 843]

Asbestos Claimants can also DOWNLOAD the Asbestos Claimant Personal Injury Questionnaire, Asbestos Trust Release, and Medical Record Release. Upon completion of a PIQ form (together with any supporting documentation you may have), please remit to the following address:

Should you wish to receive a date-stamped copy of your PIQ form, please include a photocopy of the form and a self-addressed, stamped envelope.