Settlement Agreement printable pdf download

Settlement Agreement

OAL DKT. NO. CSV ____________

AGENCY DKT. NO. 20__

SETTLEMENT AGREEMENT

IN THE MATTER OF

________________________________

AND

________________________________

The parties in this appeal have voluntarily resolved all disputed matters and enter

into the following settlement, which fully disposes of all issues in controversy between

them.

The Final Notice of Disciplinary Action dated _____________________

contained the following charges and proposed discipline:

Charge

Discipline

Dates Effective

1.___________________________________________________________________

2.___________________________________________________________________

3.___________________________________________________________________

4.___________________________________________________________________

5._________________________________________________________________ __

The Appellant _____________________________________ withdraws

his/her appeal and request for a hearing, and the Respondent Department of

_________________________________________________ agrees that the following

result will occur with regard to each charge:

Charge

Disposition

New Penalty

____________________________________________________________________

New Jersey Is An Equal Opportunity Employer

Settlement Agreement