Claimant Relations | (800) 708-8925

Websupport | (866) 665-5790

Home | Contact | Log In to Trust Online
  • About the Trust
  • About Trust Online
    • Log On Information
    • Bulk Upload Tool
    • Trust Online Training Manual
  • Filing a Claim
    • Evaluating & Initiating a Claim
      • Medical and Exposure Requirements
      • Unacceptable Doctors and Facilities
      • Affidavit Guidelines
      • Exposure Criteria
      • Statute of Limitations
      • Choosing A Claim Option
      • Submitting a Claim
      • Claim Filing Documents
    • Claims Processing
      • Allowance Letters & Releases
      • ER Claim Value
      • IR Claim Value
      • Claim Payment
  • Resources
    • FAQs
    • Glossary of Terms
    • Understanding Claim Deficiencies
    • Trust Documents
    • Best Practices
  • ADR
    • Alternative Dispute Resolution Procedures
    • ADR Forms
  • Contact Us

Claim Filing Documents

Claim Form – New 2011 Claim Form effective 9/26/11

Exhibit “A” Site List and Codes (PDF)

Exhibit “A” Site List and Codes (Excel)

Exhibit “B” Occupation List and Codes (PDF)

Exhibit “B” Occupation List and Codes (Excel)

Exhibit “C” Industry list and Codes

Exhibit “D” Entity List and Codes

SOL Definition

SOE Ratings – Updated 12/19/11

 

Recent Posts

  • Trust Update September 21, 2021
  • Trust Update June 24, 2021
  • Trust Update March 19, 2021
  • Trust Update February 8, 2021
  • Trust Update December 7, 2020

Quick Links

  • About the Trust
  • Trust Updates
  • About Trust Online
  • Filing A Claim
  • Resources
  • Understanding Claim Deficiencies
  • Contact Us

Contact Us

  1. Name *
    * Please enter your name
  2. Email *
    * Please enter a valid email address
  3. Message *
    * Please enter message

Calendar

February 2023
M T W T F S S
 12345
6789101112
13141516171819
20212223242526
2728  
« Sep