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 :

J'ai réalisé une démarche administrative

Je donne mon avis sur Services Publics +. L'administration concernée me répondra.