I, the undersigned claimant, understandthat I do not have to settle this case, and if I choose to I will be waiving certain rights.<
Not settling this case would mean that thedisputed matter will be decided by the Worker’s Compensation Committee.<
If I were to dispute the decision made bythe Worker’s Compensation Committee, it is my understanding that I am entitled to an appeal.<
No matter what the committee’s decisionis, I would have the right to apply for additional benefits.<
I understand that if I choose to settlethis case, I waive all rights and cannot apply for any additional compensation or medical benefits apart from what was agreed to in the settlement. In this case, the Worker’s Compensation Committee will not assist me.<
Veronica Garcia , Claimant
Subscribedand sworn this 4< th day of June.
問いに答えましょう：
164.What is NOT mandatory for the claimant?<
(A) Waivingrights if the case is settled<
(B) Tosettle the case<
(C)Signing the affidavit<
(D)Taking an oath on the date signed<
165.What will happen if the case is not settled?<
(A) Theclaimant will have to settle it herself.<
(B) Theclaimant will not receive compensation.<
(C) TheWorker’s Compensation Committee will provide a lawyer.<
(D) TheWorker’s Compensation Committee will decide.<
