Special Payment (Dependent Spouses) Regulations, S-56.01 Reg 1

1 SPECIAL PAYMENT (DEPENDENT SPOUSES) S-56.01 REG 1 The Special Payment (Dependent Spouses) Regulations being Chapter S-56.01 Reg 1 (effective May 13, 1999). NOTE: This consolidation is not official. Amendments have been incorporated for convenience of reference and the original statutes and regulations should be consulted for all purposes of interpretation and application of the law. In order to preserve the integrity of the original statutes and regulations, errors that may have appeared are reproduced in this consolidation. 2 SPECIAL PAYMENT S-56.01 REG 1 (DEPENDENT SPOUSES) Table of Contents 1 Title 2 Interpretation 3 Forms prescribed Appendix FORMS Form A Release Form B Release 3 SPECIAL PAYMENT (DEPENDENT SPOUSES) S-56.01 REG 1 CHAPTER S-56.01 REG 1 The Special Payment (Dependent Spouses) Act Title 1 These regulations may be cited as The Special Payment (Dependent Spouses) Regulations. Interpretation 2 In these regulations, “Act” means The Special Payment (Dependent Spouses) Act. 21 May 99 cS-56.01 Reg 1 s2. Forms prescribed 3 For the purposes of section 3 of the Act: (a) Form A of the Appendix is prescribed as the form of release to be signed by persons who are eligible for a special payment pursuant to the Act but are not eligible for reinstatement of compensation pursuant to section 16.1 of The Workers’ Compensation General Regulations, 1985; and (b) Form B of the Appendix is prescribed as the form of release to be signed by persons who are eligible for a special payment pursuant to the Act and for reinstatement of compensation pursuant to section 16.1 of The Workers’ Compensation General Regulations, 1985. 21 May 99 cS-56.01 Reg 1 s3. 4 SPECIAL PAYMENT S-56.01 REG 1 (DEPENDENT SPOUSES) Appendix FORM A Release In this release, “released parties” means: (a) the Government of Saskatchewan and each of its past and present ministers, officials, servants, agents and representatives; and (b) The Workers’ Compensation Board continued pursuant to The Workers’ Compensation Act, 1979 and each of its past and present officials, servants, agents and representatives. I, ________________________________________ , of _______________________________ , [name] [place of residence] in consideration of the sum of $80,000, release the released parties of and from all actions, causes of action, claims and demands of every nature and kind whatever, including, without restricting the generality of the foregoing, any claim I may have pursuant to The Saskatchewan Human Rights Code, the Canadian Charter of Rights and Freedoms and all rights to past and future compensation or benefits payable pursuant to The Workers’ Compensation Act, 1979 or any former Workers’ Compensation Act that I ever had, that I now have or that my heirs, executors, administrators or assigns or any of them may have arising out of the suspension, discontinuance or termination of compensation or benefits payable pursuant to The Workers’ Compensation Act, 1979 or any former Workers’ Compensation Act to me as a dependent spouse or common law spouse of a worker who died prior to September 1, 1985 as a result of an injury. I also agree to immediately discontinue any action, suit or proceeding of any kind in any court or before any administrative body, including The Workers’ Compensation Board and the Saskatchewan Human Rights Commission, directly or indirectly against the released parties and will not now or at any time hereafter institute, commence, maintain or assign any action, suit or proceeding of any kind in any court or before any administrative body with respect to the matters released. IN WITNESS WHEREOF this RELEASE has been executed on ___________________ . [date] SIGNED, SEALED AND DELIVERED in the presence of: ____________________________________ _____________________________________ [signature of witness] [signature of releasing party] ____________________________________ _____________________________________ [print name] [print name] ____________________________________ _____________________________________ [print address] [print address] 21 May 99 cS-56.01 Reg 1. 5 SPECIAL PAYMENT (DEPENDENT SPOUSES) S-56.01 REG 1 FORM B Release In this release, “released parties” means: (a) the Government of Saskatchewan and each of its past and present ministers, officials, servants, agents and representatives; and (b) The Workers’ Compensation Board continued pursuant to The Workers’ Compensation Act, 1979 and each of its past and present officials, servants, agents and representatives. I, ________________________________________ , of _______________________________ , [name] [place of residence] in consideration of the sum of $80,000, release the released parties of and from all actions, causes of action, claims and demands of every nature and kind whatever, including, without restricting the generality of the foregoing, any claim I may have pursuant to The Saskatchewan Human Rights Code, the Canadian Charter of Rights and Freedoms and all rights to past compensation or benefits payable pursuant to The Workers’ Compensation Act, 1979 or any former Workers’ Compensation Act that I ever had, that I now have or that my heirs, executors, administrators or assigns or any of them may have arising out of the suspension, discontinuance or termination of compensation or benefits payable pursuant to The Workers’ Compensation Act, 1979 or any former Workers’ Compensation Act to me as a dependent spouse or common law spouse of a worker who died prior to September 1, 1985 as a result of an injury. I also agree to immediately discontinue any action, suit or proceeding of any kind in any court or before any administrative body, including The Workers’ Compensation Board and the Saskatchewan Human Rights Commission, directly or indirectly against the released parties and will not now or at any time hereafter institute, commence, maintain or assign any action, suit or proceeding of any kind in any court or before any administrative body with respect to the matters released. IN WITNESS WHEREOF this RELEASE has been executed on ___________________ . [date] SIGNED, SEALED AND DELIVERED in the presence of: ____________________________________ _____________________________________ [signature of witness] [signature of releasing party] ____________________________________ _____________________________________ [print name] [print name] ____________________________________ _____________________________________ [print address] [print address] 21 May 99 cS-56.01 Reg 1. 6 SPECIAL PAYMENT S-56.01 REG 1 (DEPENDENT SPOUSES) REGINA, SASKATCHEWAN Printed by the authority of THE QUEEN’S PRINTER Copyright©1999