Describe Form.
Compromise And Release Form
State:
California
Control #:
CA-15-WC
Format:
PDF
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FAQ
A Compromise and Release Agreement is a settlement which usually permanently closes all aspects of a workers' compensation claim except for vocational rehabilitation benefits, including any provision for future medical care. The Compromise and Release is paid in one lump sum to you.
A Compromise and Release settlement is only available through workers' compensation. Because workers' compensation benefits are not taxable, C&R settlements are also not taxable.
Once you sign a compromise and release, your employer is released from all future liability. If the injury leads to a death in this case, your loved ones will not be able to collect benefits as a result of this release as well. Legally binding once a judge approves it.
In California, the parties have a right to negotiate a Compromise and Release to resolve their claim. These settlements are often effective for both parties. In fact, most workers' compensation claims are now settled through C&Rs. It is important to note that these agreements must be approved by a judge.
A compromise and release (C&R) is an agreement in which the insurance company pays the injured worker a lump sum check to settle the entire workers' compensation case. The value of the settlement is determined mainly by the present (and projected future) lost wages and medical care expenses.
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This was for good reason because the document was not yet complete. This is a complete listing of all Division of Workers' Compensation Forms.The forms are also available in individual listings. Consent Form for Release of Medical Information - This is an electronic format which may be completed on-line and printed for signatures.