Formulaire

Asbestos Exposure Questionnaire (Form)

This questionnaire must be completed only if the illness for which compensation is claimed has not been recognized as an occupational disease.

    Fill out the form

    To whom shall I send this form ?

    • Asbestos Victims Compensation Fund (Fiva)

      For a question concerning a claim for compensation or the status of a case under investigation

      By telephone

      081 90 24 94

      Toll-free number

      Monday to Friday from 9:30 am to 6 pm (Saturday from 9 am to 12 pm to submit a message and be called back on Monday morning)

      On the spot

      Fiva

      Altai Tower

      1, place Aimé Césaire

      93102 MONTREUIL CEDEX

      Attention: it is mandatory to make an appointment by telephone.

      By email

      contact@fiva.fr

    For details, please use the practical information sheets :

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    Émetteur du formulaire administratif : Asbestos Victims Compensation Fund (Fiva)

    Verified 17 May 2022 - Directorate for Legal and Administrative Information (Prime Minister)