Next of Kin Asbestos Compensation Claim Form

Employment details Employer name Employer address Start date End date Job description Do you have any objection to the Asbestos Claim Centre submitting your details to one of our expert lawyers with a view to assisting you with the potential claim for compensation? " No " Yes

This claim form is for relatives wishing to make an asbestos compensation claim on behalf of a deceased next of kin.

Your Details ...



Deceased Details ...





Employment Details for Deceased ...




Information Consent ...

Thank you for submitting your next of kin details for your asbestos compensation claim. We will assess your claim as soon as possible and then contact you to discuss the next steps.