ir-ClaimInformation

Claim Information

Claim information is as follows. The required information for any claim information to be processed by the SimpleBatch system is in bold. If the minimum required information is not provided, no claim data will be imported into eClaims. Please see the requirements for each section.

• AttorneyID

  • this is provided by CRMC

  • ContactID

  • this is provided by CRMC

• CopyDocs

• First Diagnosis Date

  • Alleged first diagnosis date

• Jurisdiction State/Country

  • Claimant's jurisdiction election (state codes), or if outside U.S. (country code)

• Jurisdiction Basis

  • Valid entries include:

    • Place of tort lawsuit

    • Place of exposure

    • Current Residence

• Valuation Option

  • possible valuation options, they include:

    • IR

      • individual review (note that claims may get a lower value in IR than in ER, applies to all IR options)

    • IRE

      • individual review - extraordinary

    • IRH

      • individual review - exigent hardship

    • IRX

      • individual review - exigent health

• Processing ElectionCD

  • possible elections include:

    • ACC

      • Annual contribution claim (most claims would fall into this election)

    • PEU

      • Pre-established Unliquidated

• AsbLawsuitQuestion

  • Yes or No answer to the question “Has an asbestos-related lawsuit or claim ever been filed on behalf of the injured party?”

  • If “Yes”, the claimant and the claimant's law firm must attach to this Claim Form: the file-stamped copy of the complaint, as amended, any standard disclosures or interrogatories and the answers thereto required by the applicable jurisdiction, and any affidavits or deposition testimony submitted by or on behalf of the injured party. In addition to the submission of all documentation required by this Part 4, Subpart A, you must submit an affirmation in which you or your attorney affirm to the best of your (or your attorney’s) knowledge, information and belief, formed after an inquiry reasonable under the circumstances, that all documents required by Part 4 of the IR claim form have been submitted to CRMC as part of the claim file for this claim.

  • To the extent that affidavits or depositions from a person other than the injured party include information that bears on an injured party’s exposure to a NARCO asbestos-containing product (whether or not the affidavits or depositions mentioned NARCO) and were submitted on behalf of the injured party to a court, an insurance company, or an asbestos defendant in the tort system in an effort to support an asbestos claim, those affidavits and depositions must also be submitted. Such affidavits and depositions must be submitted regardless of whether they tend to support the claim of exposure to a NARCO asbestos-containing product. Affidavits and depositions that do not relate to the time period of the injured party’s exposure to a NARCO asbestos-containing product do not have to be submitted to the NARCO Trust, unless the affidavit or deposition: (1) names the injured party; and (2) contradicts the evidence of the injured party’s exposure to a NARCO asbestos-containing product. Affidavits that were submitted to other asbestos trusts only do not have to be submitted to the NARCO Trust.

  • Please see Part 4 of the IR Claim Form and the Part 4, Subpart A: Litigation History section of the Instructions for Completing the NARCO Asbestos Trust Proof of Claim Form for Unliquidated Claims to be Processed under Individual Review for more detail regarding these MANDATORY documentation requirements.

• AffirmPOCReview

  • Yes or No response to the following statement: "I affirm I have reviewed and understood the Instructions for Completing the NARCO Asbestos Trust Proof of Claim Form for Unliquidated Claims to be Processed under Individual Review. I further certify that I am authorized by the Claimant to submit a claim, and that the information and materials with respect to this claim filed through the e-Claims system with the NARCO Trust, submitted now or in the future, including any supplemental documentation or information, changes and corrections are and will be submitted pursuant to and subject to the provisions of Rule 11 of the Federal Rules of Civil Procedure and the Hybrid Filer Agreement. In addition, by submitting this claim through e-Claims, I certify and warrant that if the claim is filed on behalf of the injured party and/or the injured party's estate, the person filing the claim is authorized by law to file the claim on behalf of the injured party, the injured party's heirs, representatives, successors, assigns and estate."

• Litigation Information

  • see about Litigation Information here

• AllegedDiseaseCD

  • more about AllegedDisease here

  • Alleged Disease Other

  • If 'No Disease Level' is used for AllegedDiseaseCD then specify the alleged disease in this field

• Alleged Bilateral Diag Date

  • Date of diagnosis of underlying bilateral asbestos related nonmalignant disease

• IR Smoking Information

  • see about IR Smoking Information here

• IR Econ Loss Information

  • see about IR Econ Loss Information here

  • IR Marital Status

  • Married

  • Single

  • Divorced

  • Widowed

• IR Marriage Union Date

• IR Marriage Partner FirstName

• IR Marriage Partner LastName

  • IR Asbestos Claim Filed Question

  • Has a claim ever been filed on behalf of the injured party with any asbestos-related bankruptcy entity, asbestos-related trust, or asbestos-related claims resolution organization?

  • Valid entries include

    • Yes/No/DeclineToAnswer

  • If yes you must include entries in the ClaimHistory Section in the NarIR-ClaimHistory worksheet.

• Extraordinary Claim Question

  • If you are claiming an Extraordinary Claim, did the injured party's asbestos exposure occur primarily from working at one or more manufacturing facilities of NARCO or its predecessors?

  • Valid entries include

    • Yes/No

• Extraordinary NARCO Percentage

  • If you are claiming an Extraordinary Claim, identify the percentage of the injured party's total asbestos exposure that arises from NARCO asbestos-containing products.

• IR Substance Exposure Question

  • Answer yes/no to question (required when alleging levels III-VI):

  • "To the best of your knowledge, was the injured party ever exposed to any of the following substances during the course of any employment that may have contributed to the injured party’s Disease Level?

  • arsenic, beryllium, cadmium, chromium, coal dust, coal tar, fiberglass, lead, nickel, radiation, silica, talc, welding fumes)"

  • If yes you must include entries in the SubstanceExposure section in the NarIR-SubstanceExposure worksheet.

• IR Other Factors

  • In this field please explain any other factors which should be considered.