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Documents

The PCC Asbestos PI Trust website has readily accessible files for you to download. Simply click on the desired link below to open the document in Adobe Acrobat or, download the PDF files to your PC by right-clicking on the link and using the “Save Target As…” option.

Forms & Instructions

  • ACH Form-Updated 6/9/2022
  • ACH Payment Notification Form
  • E-filer Agreement Documents
  • Pro Se E-filer Agreement
  • PCC Claim Form
  • Instructions for Filing a PCC Claim
  • PCC Indirect Claim Form
  • Instructions for PCC Indirect Claims Filing
  • Deemed Withdrawn Eligibility Instructions

References

  • PCC Site List updated 10/28/2025
  • PCC Site List (State Sorted) 10/28/2025
  • Significant Occupational Exposure Rating
  • Trust Online User Manual – Revised October 2022
  • E-sign Manual

Trust Documents

  • Trust Distribution Procedures
  • Resolution Amending TDP Section 5.5-November 14, 2025
  • Notice to Claimants Re: Adjusted Payment Percentage
  • Alternative Dispute Resolution (ADR) Procedures
  • PCC Resolution with Exhibit A-ADR Procedures(Fully Executed 11-2025)
    • PCC Redline ADR Procedures (6-10-2019 to 10-30-2025)
    • PCC Amended ADR Procedures 10/30/2025

Trust Policy

  • Policy on Physicians and Medical Facilities

Recent Posts

  • Audit Notice-Cross Trust Audit Program December 11, 2025
  • Resolution Amending TDP Section 5.5 – November 14, 2025 December 3, 2025
  • Notice re: ADR Procedures December 3, 2025
  • PCC Approved Site List- Updated 10/28/2025 October 30, 2025
  • Notice re: Deemed Withdrawn Notice February 5, 2025

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