This article provides a template for a debt settlement proposal letter and explains what a debt settlement letter should contain. Submit this form, via fax to 1-866-336-8352, or send it to your local BWC customer service office.Settlement Agreement and Application for. Click on the link(s) for the forms you'd like to download. Read our Mutual Release and Settlement Agreement template to understand our law firm's procedure in most settlements. How do I fill out the claim form? These forms are being provided as a public service of the Butler County Probate Court and are intended as a guideline only. All forms are in Adobe PDF format, download Adobe Acrobat Reader. Enter all names complete without abbreviations or initials. Typically, you must complete and sign a Self-Insured Joint Settlement Agreement and Release (Form SI-42) and an acknowledgment form (Form S1-43).