Register your Exposure


National asbestos, dust, fumes and chemicals register

It’s a good idea to document any asbestos and or/dust, fumes and chemical exposure in case you do develop an asbestos-related or occupational lung disease later in life. Maurice Blackburn’s free National Asbestos, Dust, Fumes and Chemicals Register is a convenient way to do this. Recording the details of your exposure, regardless of how recent or long ago it was, can help any future claims for compensation you may need to make. Registration is free, and obligation-free as well. The register has helped a number of clients prove their exposure through workmate statements.

Find out more about our Asbestos-related disease and Occupational Lung Disease services at:

DURATION

This form should not take more than 5 minutes to complete.

If you have any problems completing the form, please contact:

Maurice Blackburn
 1800 072 464

Registrant Details



Have you previously been known by another name? Add your previous name

Other Type Other Names Option

Contact Person


Exposure Details


* Please enter your exposure details.

Place Of Exposure Others Length of Exposure How were you Exposed Name of Employer Occupation
Add your exposure details

If possible, please provide the names of two witnesses who can confirm exposure