Selecting a language will automatically trigger the translation of the page content.

Asbestos Exposure Questionnaire (Form)

Asbestos Victims Compensation Fund (Fiva)

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

Go to the online administrative form

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

To whom shall I send this form ?

For details, please use the practical information sheets :