This questionnaire is posed to an individual suffering with Diffuse Mesothelioma. If you are completing it on behalf of said individual, or as a dependant of said individual, please answer the questions as though you are the person suffering with Diffuse Mesothelioma.
If you have responded Yes to each question you may be eligible to apply to the scheme.
As the information contained therein will prove to be of use when completing your application form, we recommend that you read our ‘Application & Appeal Process’, ‘Glossary & Useful Links’, and ‘FAQ’ pages.
Once your application form is completed and all relevant supporting documents and information is available, please submit is to us via this website, by e-mail at DMPS@topmarkcms.com, or postal service.