Documents

The DII Silica Trust website has readily accessible files for you to download. Simply click on the desired link below to open the document in Adobe Acrobat or, download the PDF files to your PC by right-clicking on the link and using the “Save Target As…” option.

Forms & Instructions

• DII Silica Trust Claim Form – Updated 3/9/2023
• Instructions for Filing a Claim – Updated 3/9/2023
• Instructions for Completing Part 5 of Claim Form
• Electronic Filer Agreement
• Pro Se Electronic Filer Agreement
• Exposure Affidavit – Deceased (Union Work/Multiple Jobsites)
• Exposure Affidavit – Halliburton’s Silica Products
• Exposure Affidavit – Harbison Walker’s Silica Products
• Exposure Affidavit – Living (Union Work/Multiple Jobsites)
• DII Silica Trust Supplemental Exigent Hardship Claim Form
• Instructions for DII Silica Indirect Claims Filing
• DII Silica Trust Supplement for Indirect Claimants
• W-9 Form

References

• Halliburton Silica Job Site List
• Harbison-Walker Silica Job Site List
• Halliburton Silica Product List
• Harbison-Walker Silica Product List
• DII Silica Entities

Trust Documents

• DII Silica Alternative Dispute Resolution (ADR) Procedures
• Trust Distribution Procedures – Updated 3/9/2023

Trust Policy

• Notice of Revision of Administrative Hold of November 8, 2005
• Notice of Additional Payments to Level I Claims
• Deficient Claims Notice Disallowance Rule June 17, 2013