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BASIC RECOVERY INFORMATION — Complete this section for all third-party settlements. 1. Total amount of third-party recovery. 1. 2.If an injured worker settles a third-party case, send us the following: Written notice of the worker's election. Signed settlement agreement or court order. By law, the settlement is void. Third Party Settlement Agreement Form. This is a Pennsylvania form and can be use in Workers Comp. Negotiation and settlement process with the third party. However, the claimant is barred from receiving a double recovery from the thirdparty action and workers' compensation carrier. Do you need to file a 3rd party petition?