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Workers Comp Waiver Template for Netherlands

This document represents a Workers Compensation Waiver agreement governed by Dutch law, designed to establish clear terms regarding the waiver of specific workers' compensation rights while maintaining compliance with mandatory Dutch employment regulations and EU directives. The document carefully outlines which compensation rights can be legally waived, preserves mandatory statutory protections, and includes necessary acknowledgments and disclosures required under Dutch employment law. It incorporates specific provisions addressing workplace safety, risk acknowledgment, and alternative compensation arrangements where applicable, while ensuring alignment with the Dutch Civil Code and Working Conditions Act.

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What is a Workers Comp Waiver?

This Workers Comp Waiver is designed for use in employment relationships under Dutch jurisdiction where specific workplace compensation arrangements need to be modified or clarified. The document is particularly relevant in situations involving high-risk industries, specialized work environments, or where alternative compensation arrangements are being implemented. It carefully balances the employer's need for liability management with the employee's rights under Dutch law, ensuring compliance with mandatory provisions of the Dutch Civil Code, Working Conditions Act, and relevant EU regulations. The waiver specifically addresses what compensation rights can be legally waived while explicitly preserving those rights that cannot be waived under Dutch law. This document should be used in conjunction with proper legal advice and often forms part of a broader employment agreement or workplace safety protocol.

What sections should be included in a Workers Comp Waiver?

1. Parties: Identification of the employer and employee, including full legal names, addresses, and relevant registration numbers

2. Background: Context of the employment relationship and circumstances leading to this waiver

3. Definitions: Clear definitions of key terms including 'Compensation', 'Work-Related Injury', 'Occupational Disease', and other relevant terms

4. Scope of Waiver: Detailed description of exactly which compensation rights are being waived, with explicit mention of what cannot be waived under Dutch law

5. Preserved Rights: Clear statement of rights that are preserved and cannot be waived under Dutch law

6. Consideration: Description of what the employee receives in exchange for the waiver, if applicable

7. Acknowledgment: Employee's acknowledgment of understanding the waiver's implications and having had the opportunity to seek legal advice

8. Effective Date and Duration: When the waiver takes effect and how long it remains valid

9. Governing Law: Explicit statement that Dutch law governs the waiver and its interpretation

10. Signatures: Execution block with date and signature lines for all parties

What sections are optional to include in a Workers Comp Waiver?

1. Alternative Dispute Resolution: Optional section specifying mediation or arbitration procedures for disputes, used when parties wish to avoid court proceedings

2. Severability: Clause stating that if any provision is found invalid, the remainder stays in effect - used in more comprehensive versions

3. Language: Where document is bilingual, specifies which language version prevails - used when employee's primary language isn't Dutch

4. Insurance Coverage: Details of any private insurance arrangements - used when alternative coverage is being provided

5. Revocation Period: Provides a period during which the employee can revoke the waiver - used for additional employee protection

What schedules should be included in a Workers Comp Waiver?

1. Schedule A - Specific Claims Waived: Detailed list of specific types of claims being waived

2. Schedule B - Statutory Rights Summary: Summary of relevant Dutch statutory rights that cannot be waived

3. Appendix 1 - Risk Acknowledgment: Detailed description of workplace risks relevant to the waiver

4. Appendix 2 - Alternative Benefits: If applicable, description of alternative compensation or insurance arrangements

5. Appendix 3 - Legal Rights Notice: Mandatory notice explaining employee's legal rights in Dutch and/or other relevant languages

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Netherlands

Publisher

Genie AI

Document Type

Insurance Form

Sector

Insurance

Cost

Free to use

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