1. Future Medical Treatment: Section addressing any ongoing or future medical treatment needs and coverage

2. Return to Work Provisions: Terms regarding the worker's return to work, if applicable

3. Medicare/Healthcare Implications: Section addressing any implications for public healthcare benefits

4. Tax Treatment: Section specifying the tax treatment of the settlement amount

5. Non-Disparagement: Mutual agreement not to make negative statements about other parties

6. Resignation: Terms of employment resignation if the settlement includes termination of employment

7. Translation Clause: Acknowledgment that the document has been translated for non-English speakers

1. Schedule A - Medical Records: List of relevant medical records and reports considered in the settlement

2. Schedule B - Payment Schedule: Detailed breakdown of payment terms if the settlement involves multiple payments

3. Schedule C - Benefits Summary: Summary of any ongoing benefits or entitlements retained by the worker

4. Appendix 1 - Incident Report: Copy of the original workplace incident report

5. Appendix 2 - Medical Assessment: Summary of final medical assessment and disability rating if applicable