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1 general conditions of employment - Department of Education and ...

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4 LEAVEAPPENDIX ATHE UNDERTAKINGUNDERTAKING RELATING TO INJURY OR ILLNESS NOT COVEREDBY WORKERS’ COMPENSATIONIn the event <strong>of</strong> any damages or compensation being recovered by me either in a contested action or byway <strong>of</strong> settlement <strong>of</strong> any claim other than under the Workers' Compensation Act, 1987, made in respect<strong>of</strong> an injury which occurred on ............................................................................................. (date) involvingmyself <strong>and</strong> ......................................................................................................………………… (defendant).............................................................................. , I undertake, in consideration <strong>of</strong> the granting to me <strong>of</strong>sick leave to refund to the <strong>Department</strong> <strong>of</strong> <strong>Education</strong> <strong>and</strong> Training the monetary value <strong>of</strong> sick leavegranted to me as a result <strong>of</strong> the abovementioned injury or illness.I underst<strong>and</strong> that, should any damages or compensation received by me represent a reduction from thosewhich would have been received but for my contributory negligence, the <strong>Department</strong> may, in itsdiscretion, reduce the amount <strong>of</strong> the monetary value <strong>of</strong> the sick leave required to be repaid as a result <strong>of</strong>this undertaking.I further underst<strong>and</strong> that this document is legally binding, <strong>and</strong> that, in claiming for compensation ordamages, I must include a claim for the monetary value <strong>of</strong> sick leave granted as a result <strong>of</strong> the injury orillness. Further, the monetary value <strong>of</strong> sick leave granted is to be included in any assessment <strong>of</strong>damages or compensation. The monetary value <strong>of</strong> the sick leave granted must then be repaid to the<strong>Department</strong> when the claim for compensation or damages has been paid.Dated this ...................... day <strong>of</strong> ......................, 20 ........................................................................................(Signature)..........................................................................(Witness)H<strong>and</strong>book for non teaching staff in schools 2007 Page 4 - 60

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