Manville Trust — Documents

Documents for the Manville Personal Injury Settlement Trust. If you need more information about the Trust you may visit the Trust’s website.

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• A
• B
• C
• D
• E
• F
• G
• H
• I
• J
• K
• L
• M
• N
• O
• P
• Q
• R
• S
• T
• U
• V
• W
• X
• Y
• Z

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• A
  • Alternative Dispute Resolution Procedure (ADR)
  • Asbestos Claims Research Facility (ACRF)
  • Template Authorization to Obtain Claim Records

• B
  • Bulk Upload
    • SimpleBatch
  • Bystander Verfication Form

• C
  • Cat Scan
  • Claim Deferral Form
  • CRP Factors
• D
  • Deficiency Codes
• E
  • e-Claims Status Descriptions
  • Agreement for Electronic Funds Transfer
  • End Claim Deferral Form
  • Exigent Health Status Request Form

• F
  • FAQs
  • File Copy Request “OriFile Copy Request” Original Filing Firm
  • Foreign Claim Evaluation & Process
  • What constitutes a Foreign Claim?
  • Overview of filing with the Manville Trust

• G
  • Glossary

• H
  • Hardship Application Form
  • Hybrid Filer Agreement

• I
  • 1995 Industry/Occupation Chart
  • Interstitial Lung Disease

• L
  • Level 6 Claim policy

• M
  • Offers Placed on Temporary Hold — Dr. R. Michael Kelly Medical Reports
  • Suspension of Acceptance of Medical Records (September 24, 2002)
  • Suspension of Acceptance of Medical Records (September 12, 2005)

• P
  • 2002 Manville Trust POC Form – Version 8
  • Certification of Physical Examination
  • Instructions for Completing the 2002 TDP Manville Trust POC Form – Version 5
  • Manville Trust Pro Rata Announcement 2020
  • Pathological Evidence of Asbestosis
  • PFT Tests
  • Pleural Disease
  • PACOR Claim Form
  • Unacceptable PFT Lab Reports

• R
  • 2002 Manville Trust Distribution Process Release Form (4.3% payment) [Sample Only]
  • 2002 Manville Trust Distribution Process Release Form (5.1% payment) [Sample Only]
  • 2002 Manville Trust Distribution Process Release Form (6.25% payment) [Sample Only]
  • 2002 Manville Trust Distribution Process Release Form (7.5% payment) [Sample Only]
  • 2002 TDP Level I Release for Other Asbestos Disease Claims (Cash Discount Payment) [Sample Only]
  • Rules for Updating Claimant Information

• S
  • SOE
    • Affidavit SOE for Deceased Claimant – Rev.1
    • Affidavit SOE Living Claimant Rev.1
    • Affidavit Unsworn Declaration Under Penalty of Perjury of SOE for Living Claimant Rev.1
    • Affidavit Unsworn Declaration Under Penalty of Perjury of SOE for Deceased Claimant Rev.1
    • Significant Occupational Exposure (SOE) Requirements
    • SOE Occupation and Industry Chart
  • SimpleBatch
  • Statute of Limitations (“SOL”) Policy – Adopted January 2010

• T
  • Taxpayer Identification Number and Certification – W9
  • Third Party Discovery – FAQs on Response to Subpoenas of Claimant Information
  • 1995 Trust Distribution Process (TDP)
  • 2002 Trust Distribution Process (TDP) (Revised May 2021)

• U
  • User Administration Authorization Letter (UA)
  • User Guide