This document is a waiver, release, and quitclaim signed by an individual relinquishing any claims against their former employer. It states that [1] the individual was employed from April 2011 to January 2012, [2] they have received all salaries and wages owed, and [3] they are receiving an additional PHP 21,900.50 as full and final settlement for any benefits or claims. The document declares [2] the individual has no further claims against the employer, its staff, or any person associated with the company. It agrees [3] this waiver can be used to prevent any future legal action and the payment is not an admission of liability by the employer.
This document is a waiver, release, and quitclaim signed by an individual relinquishing any claims against their former employer. It states that [1] the individual was employed from April 2011 to January 2012, [2] they have received all salaries and wages owed, and [3] they are receiving an additional PHP 21,900.50 as full and final settlement for any benefits or claims. The document declares [2] the individual has no further claims against the employer, its staff, or any person associated with the company. It agrees [3] this waiver can be used to prevent any future legal action and the payment is not an admission of liability by the employer.
This document is a waiver, release, and quitclaim signed by an individual relinquishing any claims against their former employer. It states that [1] the individual was employed from April 2011 to January 2012, [2] they have received all salaries and wages owed, and [3] they are receiving an additional PHP 21,900.50 as full and final settlement for any benefits or claims. The document declares [2] the individual has no further claims against the employer, its staff, or any person associated with the company. It agrees [3] this waiver can be used to prevent any future legal action and the payment is not an admission of liability by the employer.
City of _____________) SS x-----------------------x
WAIVER, RELEASE AND QUITCLAIM
I, , Filipino, of legal age, married, and a resident of
_________Philippines, after being sworn to in accordance with law, depose and state:
1. That by these presents, I hereby state that I was engaged as
___ on _______ by _________ from April 17, 2011 to January 15, 2012;
2. That I was disembarked due to End of Contract;
3. That I hereby acknowledge that I have received all salaries
and balance of wages onboard and upon return to Manila;
2. That in addition to the salaries and balance of wages
previously received, I hereby acknowledge to have received from my employer the sum of Twenty-One Thousand, Nine Hundred and 50/100 (Php 21,900.50) which is in full and final satisfaction of my claims for provident fund and other benefits that may be due me for the service which I have rendered for the latter employer;
3. That I hereby declare that I have no further claims whatsoever
against my employer, its President, members of the Board, officers or any of its staff and that I hereby release and forever discharge all of them from any and all claims, demands, cause of action of whatever nature arising out of my employment with the latter;
4. I further agree that this WAIVER, RELEASE AND
QUITCLAIM may be pleaded in bar to any suit or proceeding to which either I, or my heirs and assigns, may have against my employer in connection with my employment with the latter and that the payment which I have received as provided herein should not in any way be construed as an admission of liability on the part of my employer and is voluntarily accepted by me and will, if need be, serve as full and final settlement of any amount(s) due me or any claims or cause of action, either past, present, future, which I may have in connection with my employment with my employer; 5. As such, I finally make manifest that I have no further claim(s) or cause of action against my employer nor against any person(s) connected with the administration and operation of the latter and forever release the latter from any and all liability.
IN WITNESS WHEREOF, I have hereunto set my hand this
_____________ at _____________, Philippines.
(NAME)
SUBSCRIBED AND SWORN to before me, this _____________, by
the Affiant whom I have identified through competent evidence of identity) and who exhibited his ____________ No. _____________ issued at _____________ on _____________.
NOTARY PUBLIC
Doc. No. ______;
Page No. ______; Book No.______; Series of 20____.
In Re: Us Bancorp Litigation, Also Known as U.S. Bank National Association Litigation James D. Koenig, on Behalf of Himself, and the Class of Similarly Situated Consumers Phillippa Saunders, on Behalf of Herself and Others Similarly Situated Barbara A. Mans Michael J. Mans, Individually, and on Behalf of a Class of All Others Similarly Situated Chris Somers, Individually, and on Behalf of a Class of All Others Similarly Situated Anne Bergman Kathryn Rosebear, on Their Own Behalf and on Behalf of All Others Similarly Situated Jane Korn Robert Madoff, on Their Own Behalf and on Behalf of All Others Similarly Situated Brent Johnson Bill Rooney, Individually, and on Behalf of a Class of All Others Similarly Situated Daniel P. Mallove Timothy Gaillard Cynthia Gaillard Mary Scalise, - N. Peter Knoll, Intervenor Anne Knoll, Intervenor William J. Lorence, Intervenor v. U.S. Bank National Association, Nd, Formerly Known as First Bank of South Dakota, N.A. Us Bancorp Insurance Services, Inc. Us