Del. Code Ann. tit. 19, § 2344
(b) (1) At the time of agreement, the employer shall obtain from the employee an agreement as to compensation, signed by the parties in interest, in such detail and form as the Department prescribes, stating the eligibility for workers’ compensation benefits pursuant to §§ 2324 and 2325 of this title. The agreement as to compensation shall require the employee to indicate any change in employment status which may affect benefits pursuant to §§ 2324 and 2325 of this title. The agreement as to compensation shall include a clear recitation of the legal requirements for eligibility for benefits and shall require the claimant’s acknowledgment of and agreement to abide by such requirements. This form, which shall bear a notarized signature of the employee or the signature of a witness, shall accompany the agreement and shall be filed with the Department of Labor for approval.
(2) An insurance carrier or self-insured may pay total or partial disability to claimants under this chapter by check or with mutual consent by direct deposit. Claimants may opt in to authorize payment by direct deposit by electronically signing and dating an electronic authorization form or by physically signing and dating a printed authorization form. The insurance carrier or self-insured shall cause to be printed upon the reverse side of the check, above the endorsement, or upon the form authorizing the direct deposit the following language:
“Your acceptance of total or partial disability payments is a representation by you that you are legally entitled to such payment and a false representation is punishable under federal and state laws.”
The negotiation of a check for total or partial disability by an attorney or an agent of the attorney on behalf of a client is a representation that the attorney has printed the language set forth in this subsection for printing on claimant checks on checks distributed by the attorney to the attorney’s clients. Direct deposit authorization forms must be dated and signed by the claimant. The provisions of this subsection are also applicable to payments made by the Workers’ Compensation Fund pursuant to § 2347 of this title.
Code 1915, § 3193n; 29 Del. Laws, c. 233; Code 1935, § 6084; 19 Del. C. 1953, § 2344; 63 Del. Laws, c. 250, § 3; 70 Del. Laws, c. 172, § 4; 70 Del. Laws, c. 186, § 1; 71 Del. Laws, c. 84, §§ 3, 13; 76 Del. Laws, c. 1, § 16; 85 Del. Laws, c. 58, § 1