1. Return to Work Provisions: Include when the settlement involves ongoing employment or return-to-work arrangements

2. Vocational Rehabilitation: Include when the settlement includes provisions for retraining or vocational assistance

3. Medicare Set-Aside: Include when future medical expenses need to be considered in relation to public healthcare benefits

4. Non-Disparagement: Include when parties agree not to make negative statements about each other

5. Union Acknowledgment: Include when the worker is unionized and union approval/acknowledgment is required

6. Resignation: Include when the settlement includes termination of employment

7. Benefits Continuation: Include when addressing ongoing benefit coverage post-settlement

1. Schedule A - Medical Reports: List and copies of relevant medical reports and assessments

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

3. Schedule C - Previous Benefits Paid: Summary of all benefits previously paid under the claim

4. Schedule D - Future Medical Expenses Projection: Estimate of future medical expenses related to the injury

5. Schedule E - Return to Work Plan: Detailed plan for return to work, if applicable

6. Appendix 1 - Board Approval: Workers' compensation board approval of the settlement

7. Appendix 2 - Independent Legal Advice Certificate: Confirmation that the worker received independent legal advice