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1. Medical Treatment Provisions: Used when ongoing medical treatment is part of the settlement, detailing coverage and duration

2. Return to Work Terms: Included when the settlement includes provisions for the employee's return to work or modified duties

3. Future Medical Rights: Required when the employee retains rights to future medical treatment despite the settlement

4. Resignation Terms: Needed when the settlement includes termination of employment

5. Pension and Benefits: Used when the settlement affects pension rights or other employment benefits

6. Non-Disparagement: Optional clause preventing parties from making negative statements about each other

7. Legal Costs: Include when addressing payment of legal fees and costs

8. Vocational Rehabilitation: Required when settlement includes provisions for retraining or career transition

1. Schedule A - Medical Reports: Lists and summarizes all relevant medical reports and assessments

2. Schedule B - Calculation of Settlement Amount: Detailed breakdown of how the settlement amount was calculated

3. Schedule C - Payment Schedule: If payments are to be made in installments, details the payment dates and amounts

4. Schedule D - Medical Expenses: Itemized list of medical expenses covered by the settlement

5. Appendix 1 - Incident Report: Copy of the original workplace incident report and investigation findings

6. Appendix 2 - Medical Certificates: Copies of relevant medical certificates and disability assessments

7. Appendix 3 - Employee Compensation Commission Approval: If required, documentation of regulatory approval of the settlement