Aldrich and Murray Personal Injury Questionnaire

The U.S. Bankruptcy Court for the Western District of North Carolina (the “Court”) has authorized Aldrich Pump LLC and Murray Boiler LLC (“Aldrich” and “Murray” or the “Debtors”), to issue this personal injury questionnaire (“Questionnaire”) to gather information relevant to the Debtors’ Chapter 11 bankruptcy proceeding, In re Aldrich Pump LLC, et al., Case No. 20-30608 (Bankr. W.D.N.C.). This Portal provides information regarding the Questionnaire and also allows for electronic completion and submission of the Questionnaire.

All Mesothelioma Claimants (or their counsel on their behalf) must complete and submit responses to this Questionnaire by December 16, 2022.

Who is a Mesothelioma Claimant?

What is a Mesothelioma Claim?

For further details concerning the Questionnaire, including concerning confidentiality protections for submitted Questionnaires, please consult the Court’s Order Approving Personal Injury Questionnaire and Granting Related Relief (Dkt. No. 1246) and the instructions within the Questionnaire, both downloadable below.


How do I Complete and Submit a Questionnaire?

Option 1:

Complete and Upload PDF

  1. Download fillable PDF. Read the instructions and fill out the Questionnaire
  2. Submit your Questionnaire using this online portal
Confirmation Code cannot be found
Important
  • Use the latest version of Adobe Reader.
  • Download and open the PDF on your computer.
  • Do not fill in the form on your browser, as your signature will not work.

Option 2:

Guide Me Through the Steps

  1. Using online guide to fill out Questionnaire
  2. Online guide will prepare a completed Questionnaire for your review
  3. Review and submit Questionnaire using this online portal

Option 3:

Submission via U.S. Mail



Submission via Electronic Portal

Claimants or their counsel may complete and submit the Questionnaire through this electronic Portal. The Portal offers two separate options to complete and submit the Questionnaire.

First, claimants or their counsel may download a copy of the blank Questionnaire and the accompanying instructions and complete the Questionnaire offline. The Questionnaire downloadable through this Portal is a fillable PDF where claimants or their counsel may type answers to the questions; alternatively, claimants or their counsel may write in answers. Claimants or their counsel may then upload the completed Questionnaire to the Portal and submit it electronically, along with the additional documents that must be provided with the Questionnaire response.

Second, claimants or their counsel may complete the Questionnaire by following the guided prompts on the Portal and typing responses. A claimant or counsel inputs information according to the Portal’s guided prompts, and the Portal then generates a completed Questionnaire based on the information provided. Claimants or counsel subsequently review the completed Questionnaire and submit it electronically, along with the additional documents that must be provided with the Questionnaire response.


Submission via U.S. Mail

If a claimant chooses to complete and submit a hard copy of the Questionnaire, the claimant should send the completed Questionnaire, along with the additional documents that must be provided with the Questionnaire response, postmarked no later than December 16, 2022 (or received by hand delivery or overnight courier by that date), addressed as follows:


If sent by U.S. Mail, send to:

Donlin, Recano & Company, Inc.
Re: Aldrich Pump LLC and Murray Boiler LLC
P.O. Box 2053
New York, NY 10272-2042


If sent by hand delivery or overnight courier, send to:

Donlin, Recano & Company, Inc.
C/O Equiniti
Re: Aldrich Pump LLC and Murray Boiler LLC
48 Wall Street, 22nd Floor
New York, NY 10005