Final Premium Payment Issue Attorneys Willing to Assist Registered Claimants with a Disease Claim Appeals to the 6th Circuit Canadian Settlement Information Claim Submission Issues Claim Forms - SF-DCT Claimant Confidentiality Claimant Information Guide & Questions & Answers Claimants' Advisory Committee Claim Data Totals Class 9, 10.1 and 10.2 Closing Info for SF-DCT Contact Us Court Orders Deadlines Disease Claim Guidelines Late Claims Lien Issues Links to Related Websites MDL 926 Claims Office - Revised Settlement Program MDL 926 Orders Motions in this Case Newsletters - CAC Notice of Intent, Rule 3005 Issues Opt-Out Information for Litigation Other Downloads / Forms Plan Documents (Final) Premium Payment Issue Product Identification SF-DCT Claims Assistance Program SF-DCT Newsletters SF-DCT Processing Timelines Translations Return Home	Dear Doctor Letter Disease and Disability Information New Protocol For Implants Implanted Prior to 1971 Sample Approved Disease Option 1, Disability A Level Claim Sample Approved Disease Option 1, Disability B Level Claim Self-Care Questionnaire -- Claimants may consider completing and providing this questionnaire to their treating doctor or Qualified Medical Doctor (QMD) to use for the disability statement. For the questionnaire to be considered by the SF-DCT, the disability statement must state that the doctor reviewed the questionnaire and relied on it in making his or her determination. Disease Compensation Review Summary and Worksheet -- This is a worksheet that we believe SF-DCT claims reviewers may use for disease claims. It was developed in the original global settlement in 1994 so there is a section on "Age of Onset." The Dow Corning Settlement Plan does not consider age of onset so please disregard this section. Requests for Re-Review, Error Correction and Appeal Request regarding Proof of Manufacturer Submission (file attached) Request regarding Rupture claim review (file attached) NOTE: The CAC is working to obtain and post additional sample claims that have been approved by the SF-DCT. © 2024 Claimants' Advisory Committee. All Rights Reserved.