Road Traffic Accident Damage Compensation Agreement Party A (the victim or his relatives): Party B (the driver or his relatives) Party B (the driver or his relatives): Party C (name of the vehicle affiliated unit): Year At around 12:00 a.m., Party B accidentally had a traffic accident with Party A while driving a car with license plate number near a residential area on a county road, causing corresponding losses to people and property on the spot. Regarding the compensation matters for Party A, B, and C, the matter has been reviewed. The following agreement has been voluntarily reached through negotiation: Party A, B, and C voluntarily compensate Party A for various legal personal injury compensation items and property loss items totaling 10,000 yuan (lowercase: yuan) in one lump sum. Party A agrees to accept the above compensation, and It waives all other rights against Party B and Party C, and no longer requires Party B and Party C to make any form of compensation or assume any other liability. If Party A and other interested parties of Party A make further claims against Party B, Party A will be responsible for handling it. After signing this agreement, in order to facilitate Party B and Party C's insurance claims, Party A, Party B and Party C agree to cooperate with each other to resolve accident compensation matters through non-litigation or litigation methods, such as court judgment or mediation. If the determined compensation amount is inconsistent with this Agreement, the three parties still guarantee to fulfill the compensation amount agreed in this Agreement. Party B and Party C shall pay the compensation to Party A on the effective date of this Agreement. The remaining compensation shall be paid in full in RMB by Party B on the date the court makes the judgment. Party C shall provide guarantee for Party B. If Party B fails to pay the above compensation on time, Party C shall pay the compensation on behalf of Party B. After the payment is made, Party A has the right to seek compensation from Party B. 6. Party A expresses its understanding for Party B’s illegal behavior, promises not to require the judicial authorities to pursue any administrative or criminal liability of Party A’s friends, and promises to cooperate with Party B’s judicial authorities and others when necessary. The relevant departments will explain the situation of this agreement and issue relevant documents or certificates. Party A guarantees that it will no longer require Party B, Party C or the insurance company to compensate for any compensation exceeding the amount stipulated in this agreement. If the accident occurs, Party B and Party C will make the compensation themselves. All insurance compensation shall belong to Party B and Party C. Party A guarantees that this agreement is legal and valid. Other rights holders shall not claim rights against Party B and Party C. If this agreement is deemed invalid, Party A shall return all compensation received. To Party B, if Party B or Party C suffers other losses, Party A shall bear all responsibilities. IX. If any party violates this agreement, the breaching party shall pay liquidated damages of RMB 50,000 to the other party. 10. This incident shall be settled in one lump sum, with no other liability. Dispute. 11. This agreement is made in quadruplicate and becomes effective upon signature by three parties. Party A, Party B and Party C each hold one copy, and the traffic police department retains one copy. It has the same legal effect. Party A: Party B: Party C: More than 1 month. A relatively common model, but due to the diversity of traffic accidents, this model also has some changes. The following are two sample traffic accident compensation agreements (work-related injuries). Party A: XXX, male, from XX Village, XX Town. Party B: XXX, female, from XX Village, XX Town. On the evening of XX, XX, 20XX, Party A drove a white van and injured Party B while walking on the roadside of XX Village, XX Town, causing two rib fractures on Party B's left side. That night, Party A immediately sent Party B to XX County Hospital for emergency treatment. As determined by the XX City Traffic Police Brigade, Party A bears full responsibility and Party B has no responsibility. During the hospitalization, Party A's wife has been taking care of him. On X month XX, 20XX, Party B was discharged from hospital. According to the forensic identification of the city hospital, Party A has a fifth-level disability. After friendly negotiation and with the consent of the families of both parties, without any objection, the two parties agreed on the relevant compensation matters as follows: 1. Party B’s medical expenses during hospitalization shall be borne by Party A; 2. Party A’s wife will always accompany and take care of Party B after discharge. After discharge from hospital, Party A will pay a one-time payment of XXXX yuan for level 1.5 disability compensation. 2. Party B’s nutrition fee is XXXXX yuan, 3. Lost work fee is XX yuan, 4. Follow-up treatment fee is XXXXX yuan, 5. Disability supplies fee is XXXXX yuan, 6. Nursing fee is XXXXX yuan, totaling XXXXX yuan. Party B shall pay compensation in RMB to Party A on the effective date of this agreement, and the remaining RMB shall be paid by Party B on After the above fees are paid in one lump sum, Party A will no longer bear any responsibility. 4. This agreement is made in triplicate, with each party holding one copy and the traffic police brigade filing one copy. Party A (Signature): Party B (Signature) Party B (Signature):: Sample Traffic Accident Compensation Agreement on XX, 2XXX (Death) Party A: XXX, male, from XX Village, XX Town. Party B: XXX, female, XX Town People from XX village.
On the evening of XX, XX, 20XX, Party A drove a white van and injured Party B while walking on the roadside in XX Village, XX Town, causing Party B to fall into coma. That night, Party A immediately sent Party B to XX County Hospital for emergency treatment. During the hospitalization, Party A's wife has been accompanying and taking care of him. On X month XX, 20XX, Party B died after treatment failed. As determined by the X City Traffic Police Brigade, Party A bears full responsibility and Party B has no responsibility. After friendly negotiation and with the consent of the families of both parties, without any objection, the two parties reached the following agreement on relevant compensation matters: 1. Party B’s medical expenses during hospitalization shall be borne by Party A. 2. After being discharged from the hospital, Party A will pay Party B a one-time payment of 1. Death compensation of XXXXX yuan, 2. Funeral expenses of XXXX yuan, 3. Alimony of XXXX yuan, 4. Support of XXXX yuan, 5. Funeral, transportation, food and lodging expenses of XXX yuan, totaling XXXXX yuan. 3. Party B shall pay the compensation in RMB to Party A on the effective date of this agreement, and the remaining RMB shall be paid by Party B on X, March. After the above fees are paid in one lump sum, Party A will no longer bear any responsibility. 4. Party A understands Party B’s illegal behavior and guarantees that it will no longer require the judicial department to pursue any administrative and criminal liability of Party A’s friends, and guarantees to cooperate with Party B to explain the situation of this agreement to the judicial and other relevant departments when necessary, and to issue relevant documents or Proof 5. This agreement is made in triplicate, with each party holding one copy and the traffic police brigade filing one copy. Party A (Signature): Party B (Signature) Party B (Signature):: 2XXX Year 2. The amount of compensation for each item needs to be written clearly in the yellow part, which can be divided into several small items. For details, please refer to the several templates provided in the relevant blog posts in this blog for your reference. For details, please refer to Baidu Viagra Sina Blog Traffic Accident Compensation
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