I, the undersigned claimant, understand that 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 the disputed 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
Subscribed and sworn this 4th day of June.
問いに答えましょう:
164.What is NOT mandatory for the claimant?<
(A) Waiving rights if the case is settled<
(B) To settle 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) The claimant will have to settle it herself.<
(B) The claimant will not receive compensation.<
(C) The Worker’s Compensation Committee will provide a lawyer.<
(D) The Worker’s Compensation Committee will decide.<