HomeMy WebLinkAboutMarden vs. San Luis ObispoSTATE OF CALIFORNIA
Division of Workers' Compensation
Workers' Compensation Appeals Board
Case No(s). ADJ 104P 0 333
San Luis Obispo District Office
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ApZ licant,
vs.
ORDER APPROVING
COMPROMISE AND RELEASE
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Defendants.
Based upon a review of the medical file, the disability factors contained therein, and the reasons for settlement set
forth in the agreement, the Compromise and Release is deemed adequate.
In determining the adequacy of the Agreement, the following has been considered:
{ X ) The Court has considered release of applicant's dependents' rights to death benefits in determining
the adequacy of the Compromise and Release. The settlement of the Applicant's dependents' potential rights to
claim death benefits is hereby approved.
( ) In the light of the above issues and the substantial possibility that adverse findings as set forth in the
offer of proof could totally bar the applicant's entitlement to any benefits, the inclusion of release of rehabilitation
claim's is also reasonable and appropriate. Thomas v. Sports Chalet, Inc., 42 CCC 625 ,
( ). The release of benefits as enunciated under the principles of Rodgers v. WCAB, 50 CCC 299, has
been considered in determining the adequacy of the Compromise and Release. The settlement of those potential
benefits is hereby approved.
The parties to the above -entitled action having filed a Compromise and Release herein, on
-to lot jzotB_ settling this case for $ (no,cM.c)b in addition to all sums which may have been
paid previously, and requesting that it be approved, and this Board having considered the entire record, including
said Compromise and Release, now finds that it should be approved.
IT IS ORDERED that said Compromise and Release be approved. Award is made in favor of
in the amount of $
.(Applicant) LAW OFFICE OF 1rOWA¢i7 S $9dC�E4
0 Attorney fees in the amount of $ 15- 419 coo. 00 payable to
o Less permanent disability advance of
o Temporary disability advances of $ 0
o $ tte= t31 240- 01 payable to L.vwe tyk-690 {er eeIV s1Vn%"1S4c t9 fi*A
o Balance of $ Z9, 00-1Aq to applicant.
Date:
t ' ! J S M. ZERB ONI
WORKERS' COMPENSATION JUDGE
SERVED ON: x All Parties listed on the Official Address Record ❑ Applicant 0 Defense Counsel
who will serve All Parties listed on the Official Address Record.