Paragraph 2

An applicant within paragraph 1(a) or (b) may be required to provide, in relation to the person with diffuse mesothelioma—

(a)

the person’s name and national insurance number;

(b)

the person’s date of birth;

(c)

the date the person was first diagnosed with diffuse mesothelioma;

(d)

the name of all employers of the person;

(e)

a description of the arrangements under which the person was engaged by each employer;

(f)

a statement of the kind of activities carried on by the person whilst working for each employer and the place where those activities were carried on;

(g)

an indication as to whether the application relies on the person with diffuse mesothelioma having been exposed to asbestos as a result of the relevant employer’s negligence or breach of statutory duty (or both);

(h)

an explanation of why the application relies on the relevant employer’s negligence or breach of statutory duty (or both);

(i)

a statement that no action for damages has been brought against the relevant employer or any insurer with whom the relevant employer maintained employers liability insurance at the time of the person’s exposure to asbestos, in respect of the disease;

(j)

an explanation of why it is alleged the applicant is unable to bring an action against any employer or any insurer with whom such an employer maintained employers’ liability insurance;

(k)

a statement that the person has not received damages or a specified payment in respect of the disease;

(l)

a statement that the person is not eligible to receive a specified payment.