Exhibit 10.20

SEVERANCE AND CHANGE OF CONTROL AGREEMENT

THIS SEVERANCE AND CHANGE OF CONTROL AGREEMENT (“Agreement”) is made by and
between Alpha Innotech Corp. (the “Company”) and
                    (“Executive”). This Agreement will become effective upon its
execution by both parties hereto.

RECITALS

WHEREAS, it is expected that another company may from time to time consider the
possibility of acquiring the Company or that a change in control may otherwise
occur, with or without the approval of the Company’s Board of Directors (the
“Board”). The Board recognizes that such consideration can be a distraction to
Executive and can cause Executive to consider alternative employment
opportunities. The Board has determined that it is in the best interests of the
Company and its stockholders to assure that the Company will have the continued
dedication and objectivity of the Executive, notwithstanding the possibility,
threat or occurrence of a Change of Control (as defined below) of the Company.

WHEREAS, the Company’s Board believes it is in the best interests of the Company
and its stockholders to retain Executive and provide incentives to Executive to
continue in the service of the Company.

WHEREAS, the Board further believes that it is imperative to provide Executive
with certain benefits upon termination of Executive’ employment, in connection
with a Change of Control and otherwise, which benefits are intended to provide
Executive with financial security and provide sufficient income and
encouragement to Executive to remain with the Company, notwithstanding the
possibility of a Change of Control.

WHEREAS, to accomplish the foregoing objectives, the Board has directed the
Company, upon execution of this Agreement by Executive, to agree to the terms
provided in this Agreement.

NOW, THEREFORE, in consideration of the foregoing, the mutual covenants
contained herein, and other good and valuable consideration, the parties hereto
hereby agree as follows:

1. TERMINATION OF EMPLOYMENT.

(a) At-Will Employment. Executive’s employment is at-will, which means that the
Company may terminate Executive’s employment at any time, with or without
advance notice, and with or without Cause. Similarly, Executive may resign
his/her employment at any time, with or without advance notice or Good Reason.
Executive shall not receive any compensation of any kind, including, without
limitation, severance benefits, following Executive’s last day of employment
with the Company (the “Termination Date”), except as expressly provided herein,
or as provided in any plan documents governing the Stock Awards. Executive shall
devote all reasonable efforts to the performance of Executive’s duties, and
shall perform such duties in good faith.

(b) Termination Related to a Change of Control. If Executive’s employment is
terminated without Cause (and other than as a result of death or disability as
disability is defined for purposes of the Company’s long-term disability
policies) or Executive resigns for Good Reason within ninety (90) days prior to
or twelve (12) months after a Change of Control, and provided (1) such
termination constitutes a “separation from service” (within the meaning of
Treasury Regulation Section 1.409A-1(h)), (2) Executive signs and allows to
become effective a release substantially in the form attached hereto as Exhibit
A (the “Release”) pursuant to Section 2(a) of this Agreement and (3) if
requested by the Company in connection with the closing of the Change of
Control, Executive agrees to a fair and reasonable transition plan, including
continued employment or consultancy for a period of up to [ninety (90) days with
the Company or the successor entity at a compensation rate equivalent to the
rate at which Executive was being compensated by the Company immediately prior
to the Change of Control, then the Company shall provide Executive with the
following severance benefits (the “Severance Benefits”):

(i) The Company shall make severance payments to Executive in the form of
continuation of Executive’s base salary (at the rate in effect on the
Termination Date, or if higher, the rate in effect immediately prior to the
Change of Control) for six (6) months following the Termination Date (the
“Severance Period”). These payments will be made on the Company’s ordinary
payroll dates and will be subject to standard payroll deductions and
withholdings.

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(1) The Company will pay Executive an amount equal to the Executive’s Target
Annual Bonus (provided the Executive is under a non-commission, Company bonus
plan). For purposes of this Agreement, the “Target Annual Bonus” shall mean the
Executive’s target bonus amount as most recently determined for the year of
termination by the Company, calculated as if both Executive and the Company
achieved one hundred percent (100%) of their specified performance objectives.
This amount will be paid over the entire Severance Period on the Company’s
ordinary payroll dates, in equal installments, and will be subject to standard
payroll deductions and withholdings.

(ii) Provided that Executive elects continued coverage under COBRA, the Company
will pay the premiums necessary to continue Executive’s health insurance during
the Severance Period. No premium payments will be made by the Company pursuant
to this paragraph following the effective date of Executive’s coverage by a
health insurance plan of a subsequent employer or such other date on which
Executive (and Executive’s dependents, as applicable) cease to be eligible for
COBRA coverage.

(iii) The Company will accelerate the vesting of all outstanding options to
purchase the Company’s common stock and all unvested shares subject to
restricted stock grants (collectively, the “Stock Awards”) such that within ten
(10) days after the date Executive signs the Release, 100% of unvested shares as
of the Termination Date subject to the Stock Awards shall vest. Except as
expressly set forth herein, the Stock Awards shall continue to be governed by
the terms of the applicable restricted stock agreement(s), stock option
agreements and equity incentive plan documents.

(c) Termination For Cause Procedure. The Company may not terminate Executive’s
employment for Cause unless and until Executive receives a copy of a resolution
duly adopted by the affirmative vote of at least a majority of the Board finding
that in the good faith opinion of the Board, Executive was guilty of the conduct
constituting “Cause” and specifying the particulars thereof in detail. The
Company shall provide Executive with reasonable notice of the Board vote and an
opportunity for Executive, together with Executive’s counsel, to be heard before
the Board.

2. LIMITATIONS AND CONDITIONS ON BENEFITS

(a) Release Prior to Payment of Benefits. Upon the occurrence of a termination
of employment pursuant to Section 1(b), and prior to the payment of any
Severance Benefits, Executive shall execute, and allow to become effective, the
Release not later than forty-five (45) days following Executive’s “separation
from service” (as defined above) (such latest permitted date, the “Separation
Agreement Deadline”). Unless the Release is timely signed by Executive,
delivered to the Company, and becomes effective within the required period (the
date on which the Release becomes effective, the “Release Date”), Executive will
receive none of the Severance Benefits. If the Severance Benefits are not
covered by one or more exemptions from the application of Section 409A of the
Internal Revenue Code of 1986, as amended (the “Code”) and the regulations and
other guidance thereunder and any state law of similar effect (collectively
“Section 409A”) and the Release Date could occur in the calendar year following
the calendar year in which Executive’s separation from service occurs, the
payment of the Severance Benefits will commence no earlier than the Separation
Agreement Deadline

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(b) Compliance with Section 409A. It is intended that each installment of the
payments and benefits provided for in this Agreement is a separate “payment” for
purposes of Treasury Regulation Section 1.409A-2(b)(2)(i). For the avoidance of
doubt, it is intended that payments of the amounts set forth in this Agreement
satisfy, to the greatest extent possible, the exemptions from the application of
Section 409A of the Code provided under Treasury Regulations 1.409A-1(b)(4),
1.409A-1(b)(5) and 1.409A-1(b)(9). However, if the Company (or, if applicable,
the successor entity thereto) determines that the severance payments and
benefits provided under this Agreement (the “Agreement Payments”) constitute
“deferred compensation” under Section 409A and Executive is, on the Termination
Date, a “specified employee” of the Company or any successor entity thereto, as
such term is defined in Section 409A(a)(2)(B)(i) of the Code (a “Specified
Employee”), then, solely to the extent necessary to avoid the incurrence of the
adverse personal tax consequences under Section 409A, the timing of the
Agreement Payments shall be delayed as follows: on the earlier to occur of
(i) the date that is six (6) months and one (1) day after Executive’s
“separation from service” (as defined above) or (ii) the date of Executive’s
death (such earlier date, the “Delayed Initial Payment Date”), the Company (or
the successor entity thereto, as applicable) shall (A) pay to Executive a lump
sum amount equal to the sum of the Agreement Payments that Executive would
otherwise have received through the Delayed Initial Payment Date if the
commencement of the payment of the Agreement Payments had not been so delayed
pursuant to this Section 2(b) and (B) commence paying the balance of the
Agreement Payments in accordance with the applicable payment schedules set forth
in this Agreement.

3. DEFINITIONS.

(a) Definition of Cause. For purposes of this Agreement, “Cause” shall mean that
Executive has committed, or there has occurred, one or more of the following
events: (1) conviction of any felony or misdemeanor involving moral turpitude,
fraud or act of dishonesty against the Company; (2) a finding by the Board,
after a good faith and reasonable factual investigation, that Executive has
engaged in gross misconduct; or (3) material violation or material breach of any
Company policy or statutory, fiduciary, or contractual duty of Executive to the
Company; provided, however, that in the event that any of the foregoing events
occurs, the Company shall provide notice to Executive describing the nature of
such event and Executive shall thereafter have thirty (30) days to cure such
event if such event is capable of being cured.

(b) Definition of Good Reason. For purposes of this Agreement, “Good Reason”
shall mean that any one of the following events occurs during the Executive’s
employment with the Company without Executive’s consent: (i) any material
reduction of Executive’s annual base salary (including bonus) as of the time
period immediately preceding the Change of Control; (ii) any change in
Executive’s authority, duties or responsibilities (including the person or
persons to whom Executive has reporting responsibilities) that represents a
material adverse change from Executive’s authority, duties or responsibilities
as in effect at any time within ninety (90) days preceding the date of the
Change of Control or at any time thereafter, excluding for this purpose an
isolated, insubstantial and inadvertent action not taken in bad faith that is
remedied by the Company promptly after notice thereof is given by Executive;
(iii) the Company’s requiring Executive to relocate to any place outside of a
twenty (20) mile driving distance of Executive’s current work site, except for
reasonably required travel on the business of the Company or its affiliates that
is not materially greater than such travel requirements prior to the Change in
Control or unless Executive accepts such relocation opportunity; or (iv) the
Company materially breaches its obligations under this Agreement or any other
then-effective employment agreement with Executive. Executive may terminate his
or her employment for Good Reason so long as Executive tenders his resignation
to the Company within thirty (30) days after the occurrence of the event which
forms the basis for his resignation for Good Reason. Executive shall provide
written notice to the Company describing the nature of the event which forms the
basis for Executive’s resignation for Good Reason, and the Company shall
thereafter have thirty (30) days to cure such event. Executive’s resignation
must be effective not later than sixty (60) days after the expiration of such
thirty (30) day cure period.

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(c) Definition of Change of Control. For purposes of this Agreement, a “Change
of Control” means: (i) a dissolution, liquidation or sale of all or
substantially all of the assets of the Company; (ii) a merger or consolidation
in which the Company is not the surviving corporation; (iii) a reverse merger in
which the Company is the surviving corporation but the shares of the Company’s
common stock outstanding immediately preceding the merger are converted by
virtue of the merger into other property, whether in the form of securities,
cash or otherwise; (iv) the acquisition by any person, entity or group within
the meaning of Section 13(d) or 14(d) of the Securities Exchange Act of 1934, as
amended (the “Exchange Act”), or any comparable successor provisions (excluding
any employee benefit plan, or related trust, sponsored or maintained by the
Company or any Affiliate of the Company) of the beneficial ownership (within the
meaning of Rule 13d-3 promulgated under the Exchange Act, or comparable
successor rule) of securities of the Company representing at least fifty percent
(50%) of the combined voting power entitled to vote in the election of
directors.

4. BEST AFTER TAX.

(a) If any payment or benefit (including payments and benefits pursuant to this
Agreement) that the Executive would receive in connection with a Change of
Control from the Company or otherwise (“Payment”) would (i) constitute a
“parachute payment” within the meaning of Section 280G of the Code, and (ii) but
for this sentence, be subject to the excise tax imposed by Section 4999 of the
Code (the “Excise Tax”), then the Company shall cause to be determined, before
any amounts of the Payment are paid to the Executive, which of the following two
alternative forms of payment would maximize the Executive’s after-tax proceeds:
(i) payment in full of the entire amount of the Payment (a “Full Payment”), or
(ii) payment of only a part of the Payment so that the Executive receives the
largest payment possible without the imposition of the Excise Tax (a “Reduced
Payment”), whichever amount results in the Executive’s receipt, on an after-tax
basis, of the greater amount of the Payment notwithstanding that all or some
portion of the Payment may be subject to the Excise Tax. For purposes of
determining whether to make a Full Payment or a Reduced Payment, the Company
shall cause to be taken into account all applicable federal, state and local
income and employment taxes and the Excise Tax (all computed at the highest
applicable marginal rate, net of the maximum reduction in federal income taxes
which could be obtained from a deduction of such state and local taxes). If a
Reduced Payment is made, (i) the Payment shall be paid only to the extent
permitted under the Reduced Payment alternative, and the Executive shall have no
rights to any additional payments and/or benefits constituting the Payment, and
(ii) reduction in payments and/or benefits shall occur in the following order:
(1) reduction of cash payments; (2) cancellation of accelerated vesting of
equity awards other than stock options; (3) cancellation of accelerated vesting
of stock options; and (4) reduction of other benefits paid to the Executive. In
the event that acceleration of compensation from the Executive’s equity awards
is to be reduced, such acceleration of vesting shall be canceled in the reverse
order of the date of grant.

(b) The independent professional firm engaged by the Company for general tax
audit purposes as of the day prior to the effective date of the Change of
Control shall make all determinations required to be made under this
Section 4(b). If the firm so engaged by the Company is serving as accountant or
auditor for the individual, entity or group effecting the Change of Control, the
Company shall appoint a nationally recognized independent professional firm to
make the determinations required hereunder. The Company shall bear all expenses
with respect to the determinations by such firm required to be made hereunder.

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(c) The firm engaged to make the determinations hereunder shall provide its
calculations, together with detailed supporting documentation, to the Company
and the Executive within fifteen (15) calendar days after the date on which the
Executive’s right to a Payment is triggered (if requested at that time by the
Company or the Executive) or such other time as requested by the Company or the
Executive. If the firm determines that no Excise Tax is payable with respect to
a Payment, either before or after the application of the Reduced Amount, it
shall furnish the Company and the Executive with an opinion reasonably
acceptable to the Executive that no Excise Tax will be imposed with respect to
such Payment. Any good faith determinations of the firm made hereunder shall be
final, binding and conclusive upon the Company and the Executive.

5. OTHER EMPLOYMENT TERMS AND CONDITIONS. The employment relationship between
the parties shall be governed by the general employment policies and procedures
of the Company, including those relating to the protection of confidential
information and assignment of inventions; provided, however, that when the terms
of this Agreement differ from or are in conflict with the Company’s general
employment policies or procedures, this Agreement shall control.

6. GENERAL PROVISIONS.

(a) This Agreement, including all exhibits hereto, constitutes the complete,
final and exclusive embodiment of the entire agreement between the parties with
regard to the subject matter hereof. It is entered into without reliance on any
promise or representation, written or oral, other than those expressly contained
herein, and it supersedes any other such promises or representations.
Notwithstanding the foregoing, nothing in this Agreement shall affect the
parties’ obligations under any other applicable restricted stock or stock option
agreements entered into prior to or after the effective date of this Agreement
or the Executive’s Employee Proprietary Information and Inventions Agreement.
This Agreement cannot be modified except in a writing signed by the Executive
and a duly-authorized member of the Board.

(b) Whenever possible, each provision of this Agreement will be interpreted in
such a manner as to be effective under applicable law. The invalidity or
unenforceability of any provision of this Agreement shall not affect the
validity or enforceability of any other provision of this Agreement. Any invalid
or unenforceable provision shall be modified so as to be rendered valid and
enforceable in a manner consistent with the intent of the parties insofar as
possible.

(c) The Executive’s or the Company’s failure to insist upon strict compliance
with any provision of this Agreement or the failure to assert any right the
Executive or the Company may have hereunder shall not be deemed to be a waiver
of such provision or right or any other provision or right of this Agreement.

(d) This Agreement may be executed in several counterparts, each of which shall
be deemed to be an original but all of which together will constitute one and
the same instrument. Facsimile signatures shall be deemed as effective as
originals.

(e) This Agreement is intended to bind and inure to the benefit of and be
enforceable by Executive, the Company and their respective successors, assigns,
heirs, executives and administrators, except that Executive may not assign any
of his duties hereunder and he may not assign any of his rights hereunder
without the written consent of the Company. This Agreement shall be interpreted
and enforced in accordance with the laws of the State of California.

(f) If either party hereto brings any action to enforce such party’s rights
hereunder, the prevailing party in any such action shall be entitled to recover
such party’s reasonable attorneys’ fees and costs incurred in connection with
such action.

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(g) For purposes of construction, this Agreement shall be deemed to have been
drafted by the Company, and the rule of construction of contracts that
ambiguities are construed against the drafting party shall be applied against
the Company.

(h) Any notice required to be given or delivered to the Company under the terms
of this Agreement shall be in writing and addressed to the Corporate Secretary
of the Company at its principal corporate offices. Any notice required to be
given or delivered to Executive shall be in writing and addressed to Executive
at the address indicated herein or to the last known address provided by
Executive to the Company. All notices shall be deemed to have been given or
delivered upon: personal delivery; three (3) days after deposit in the United
States mail by certified or registered mail (return receipt requested); one
(1) business day after deposit with any return receipt express courier
(prepaid); or one (1) business day after transmission by facsimile.

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IN WITNESS WHEREOF, the parties have executed this Agreement as of the day and
year written below.

 

 

Executive Address:  

 

 

 

Date:  

 

ALPHA INNOTECH CORP.

 

Name:   Title:   Date:  

 

Exhibit A – Release Agreements

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EXHIBIT A

RELEASE AGREEMENT FOR EMPLOYEES UNDER 40 YEARS OF AGE

I understand and agree completely to the terms set forth in my Severance and
Change of Control Agreement (the “Agreement”).

I understand that this Release, together with the Agreement, constitutes the
complete, final and exclusive embodiment of the entire agreement between Alpha
Innotech Corp. (the “Company”) and me with regard to the subject matter hereof.
I am not relying on any promise or representation by the Company that is not
expressly stated therein.

I hereby confirm my obligations under my Proprietary Information and Inventions
Agreement.

Except as otherwise set forth in this Release, I hereby generally and completely
release the Company and its current and former directors, officers, employees,
shareholders, partners, agents, attorneys, predecessors, successors, parent and
subsidiary entities, insurers, affiliates, and assigns (collectively, the
“Released Parties”) from any and all claims, liabilities and obligations, both
known and unknown, that arise out of or are in any way related to events, acts,
conduct, or omissions occurring prior to my signing this Agreement
(collectively, the “Released Claims”). The Released Claims include, but are not
limited to: (1) all claims arising out of or in any way related to my employment
with the Company, or the termination of that employment; (2) all claims related
to my compensation or benefits from the Company, including salary, bonuses,
commissions, vacation pay, expense reimbursements, severance pay, fringe
benefits, stock, stock options, or any other ownership interests in the Company;
(3) all claims for breach of contract, wrongful termination, and breach of the
implied covenant of good faith and fair dealing; (4) all tort claims, including
claims for fraud, defamation, emotional distress, and discharge in violation of
public policy; and (5) all federal, state, and local statutory claims, including
claims for discrimination, harassment, retaliation, attorneys’ fees, or other
claims arising under the federal Civil Rights Act of 1964 (as amended), the
federal Americans with Disabilities Act of 1990, the federal Age Discrimination
in Employment Act of 1967 (as amended) (“ADEA”), and the California Fair
Employment and Housing Act (as amended). Notwithstanding the foregoing, the
following are not included in the Released Claims (the “Excluded Claims”):
(1) any rights or claims for indemnification I may have pursuant to any written
indemnification agreement with the Company to which I am a party, the charter,
bylaws, or operating agreements of the Company, or under applicable law; or
(2) any rights which are not waivable as a matter of law. In addition, nothing
in this Release prevents me from filing, cooperating with, or participating in
any proceeding before the Equal Employment Opportunity Commission, the
Department of Labor, or the California Department of Fair Employment and
Housing, except that I hereby waive my right to any monetary benefits in
connection with any such claim, charge or proceeding. I hereby represent and
warrant that, other than the Excluded Claims, I am not aware of any claims I
have or might have against any of the Released Parties that are not included in
the Released Claims.

I acknowledge that I have read and understand Section 1542 of the California
Civil Code which reads as follows: “A general release does not extend to claims
which the creditor does not know or suspect to exist in his or her favor at the
time of executing the release, which if known by him or her must have materially
affected his or her settlement with the debtor.” I hereby expressly waive and
relinquish all rights and benefits under that section and any law of any
jurisdiction of similar effect with respect to my release of any claims
hereunder, including but not limited to any unknown claims.

I hereby represent that I have been paid all compensation owed and for all hours
worked, I have received all the leave and leave benefits and protections for
which I am eligible, and I have not suffered any on-the-job injury for which I
have not already filed a workers’ compensation claim.

 

DATED:  

 

    AGREED:  

 

        [Employee’s Name]

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RELEASE AGREEMENT FOR EMPLOYEES 40 YEARS OF AGE OR OLDER

I understand and agree completely to the terms set forth in my Severance and
Change of Control Agreement (the “Agreement”).

I understand that this Release, together with the Agreement, constitutes the
complete, final and exclusive embodiment of the entire agreement between Alpha
Innotech Corp. (the “Company”) and me with regard to the subject matter hereof.
I am not relying on any promise or representation by the Company that is not
expressly stated therein.

I hereby confirm my obligations under my Proprietary Information and Inventions
Agreement.

Except as otherwise set forth in this Release, I hereby generally and completely
release the Company and its current and former directors, officers, employees,
shareholders, partners, agents, attorneys, predecessors, successors, parent and
subsidiary entities, insurers, affiliates, and assigns (collectively, the
“Released Parties”) from any and all claims, liabilities and obligations, both
known and unknown, that arise out of or are in any way related to events, acts,
conduct, or omissions occurring prior to my signing this Agreement
(collectively, the “Released Claims”). The Released Claims include, but are not
limited to: (1) all claims arising out of or in any way related to my employment
with the Company, or the termination of that employment; (2) all claims related
to my compensation or benefits from the Company, including salary, bonuses,
commissions, vacation pay, expense reimbursements, severance pay, fringe
benefits, stock, stock options, or any other ownership interests in the Company;
(3) all claims for breach of contract, wrongful termination, and breach of the
implied covenant of good faith and fair dealing; (4) all tort claims, including
claims for fraud, defamation, emotional distress, and discharge in violation of
public policy; and (5) all federal, state, and local statutory claims, including
claims for discrimination, harassment, retaliation, attorneys’ fees, or other
claims arising under the federal Civil Rights Act of 1964 (as amended), the
federal Americans with Disabilities Act of 1990, the federal Age Discrimination
in Employment Act of 1967 (as amended) (“ADEA”), and the California Fair
Employment and Housing Act (as amended). Notwithstanding the foregoing, the
following are not included in the Released Claims (the “Excluded Claims”):
(1) any rights or claims for indemnification I may have pursuant to any written
indemnification agreement with the Company to which I am a party, the charter,
bylaws, or operating agreements of the Company, or under applicable law; or
(2) any rights which are not waivable as a matter of law. In addition, nothing
in this Release prevents me from filing, cooperating with, or participating in
any proceeding before the Equal Employment Opportunity Commission, the
Department of Labor, or the California Department of Fair Employment and
Housing, except that I hereby waive my right to any monetary benefits in
connection with any such claim, charge or proceeding. I hereby represent and
warrant that, other than the Excluded Claims, I am not aware of any claims I
have or might have against any of the Released Parties that are not included in
the Released Claims.

I acknowledge that I am knowingly and voluntarily waiving and releasing any
rights I may have under the ADEA. I also acknowledge that the consideration
given for the Released Claims is in addition to anything of value to which I was
already entitled. I further acknowledge that I have been advised by this
writing, as required by the ADEA, that: (a) the Released Claims do not apply to
any rights or claims that arise after the date I sign this Release; (b) I should
consult with an attorney prior to signing this Release (although I may choose
voluntarily not to do so); (c) I have twenty-one (21) days to consider this
Release (although I may choose to voluntarily sign it sooner); (d) I have seven
(7) days following the date I sign this Release to revoke the Release by
providing written notice to an officer of the Company; and (e) the Release will
not be effective until the date upon which the revocation period has expired
unexercised, which will be the eighth day after I sign this Release provided
that I do not revoke it.

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I acknowledge that I have read and understand Section 1542 of the California
Civil Code which reads as follows: “A general release does not extend to claims
which the creditor does not know or suspect to exist in his or her favor at the
time of executing the release, which if known by him or her must have materially
affected his or her settlement with the debtor.” I hereby expressly waive and
relinquish all rights and benefits under that section and any law of any
jurisdiction of similar effect with respect to my release of any claims
hereunder, including but not limited to any unknown claims.

I hereby represent that I have been paid all compensation owed and for all hours
worked, I have received all the leave and leave benefits and protections for
which I am eligible, and I have not suffered any on-the-job injury for which I
have not already filed a workers’ compensation claim.

I acknowledge that to become effective, I must sign and return this Release to
the Company so that it is received not later than twenty-one (21) days following
the date it is provided to me, and I must not revoke it thereafter.

 

DATED:  

 

    AGREED:  

 

        [Employee’s Name]