The injured in the traffic accident died after being discharged from the hospital. The insurance company has negotiated compensation with the family of the deceased, but the traffic police brigade wants the owner.
Road traffic accident damage compensation agreement Party A (the victim or his relatives): Party B (the driver or his relatives): Party C (the name of the unit to which the vehicle belongs): Around 8: 00, when driving a car with license plate number near a residential area in Lu Xian, Party B had a traffic accident with Party A, causing personal injury and corresponding property losses. Party A, Party B and Party C voluntarily reach the following compensation agreement through consultation: 1. Party B and Party C voluntarily compensate Party A for all legal personal injury compensation items and property loss items at one time * * * ten thousand Yuan only. 2. Party A agrees to obtain the above compensation, and waives all other rights to Party B and Party C, and does not require Party B and Party C to make any compensation or undertake any other responsibilities. If Party A and other interested parties of Party A have any further requirements for Party B, Party A shall be responsible for solving them. Three. After the signing of this agreement, in order to facilitate Party B and Party C to make insurance claims, Party A, Party B and Party C agree to cooperate with each other to solve the compensation problem of this accident through non-litigation or litigation. If the settlement is made through litigation, and the amount of compensation determined by court judgment or mediation is inconsistent with this agreement, the three parties still guarantee to perform according to the amount of compensation agreed in this agreement. Relevant legal fees, attorney fees and handling fees shall be borne by Party B and Party C. Party B shall pay compensation of RMB Yuan to Party A on the effective date of this Agreement, and the remaining RMB Yuan shall be paid in full on the date of court judgment. V. Party C shall provide a guarantee to Party B.. If Party B fails to pay the above compensation on time, Party C will pay it on its behalf. After paying the compensation on behalf of Party B, Party C has the right to recover from Party B. Party A understands Party B's illegal behavior, and promises not to ask the judicial department to investigate any administrative or criminal responsibility of Lu Jiayou, and if necessary, cooperate with Party B to explain this agreement to the judicial department and other relevant departments and issue relevant documents or certificates. 7. Party A guarantees that it will not require Party B, Party C or the insurance company to pay any compensation beyond the compensation amount in this agreement. The vehicle insurance compensation caused by this accident shall be settled or claimed by Party B and Party C, and all insurance compensation shall be owned by Party B and Party C.. Party A guarantees that this Agreement is legal and valid, and no other obligee claims rights against Party B and Party C due to this accident. If this agreement is confirmed invalid, Party A shall return all the compensation received to Party B. If other losses are caused to Party B or Party C, Party A shall bear all the responsibilities. 9. If either party violates this agreement, the breaching party shall pay the other party a penalty of 50,000 yuan. Ten, the two sides of the accident one-time settlement, no other disputes. XI。 This agreement is made in quadruplicate, which shall come into effect after being signed by the three parties, with Party A, Party B and Party C holding one copy respectively, and the traffic police department holding one copy respectively, with the same legal effect. Party A: Party B: Party C: Years, months and days are more common modes, but due to the diversity of traffic accidents, this mode will definitely change. The following are two modes of traffic accident compensation Agreement (Collision). Party A: XXX, male, from XX village, XX town. Party B: XXX, female, from XX village, XX town. On the evening of XX, XX, XX, Party A drove a white van and injured Party B walking on the roadside in XX village, XX town, causing two left ribs of Party B to be broken. That night, Party A immediately sent Party B to XX County Hospital for emergency treatment. Confirmed by the traffic police brigade of X City, Party A is fully responsible and Party B is not responsible. During hospitalization, Party A's wife always accompanied and cared for her. On xx, xx, XX, Party B was cured and discharged. According to the forensic appraisal of the municipal hospital, Party A's disability is Grade 5. After friendly negotiation, with the consent of the families of both parties, and without objection, the following agreement is reached on the relevant compensation matters: 1. All medical expenses of Party B during hospitalization shall be borne by Party A. After discharge from hospital, Party A shall pay 1.5 level disability compensation XXXXX yuan in one lump sum. 2. The nutritional expenses of Party B are RMB XXXX. The lost time fee is RMB XXXX. The cost of follow-up treatment is RMB XXXX. The disability supplies fee is RMB XXXX. The nursing fee is RMB, totaling RMB. Three. Party B shall pay compensation of RMB Yuan to Party A on the effective date of this Agreement, and the remaining RMB Yuan shall be paid in full by Party B on X, and Party A will not be responsible for any subsequent payment. Four. This agreement is made in triplicate, one for each party and one for the record of the traffic police brigade. Party A (signature): Party B (signature): model text of compensation agreement for traffic accident (death) on XX, XX. Party A: 2XXX, male, from XX village, XX town. Party B: XXX, female, from XX village, XX town. On the evening of XX, XX, XX, Party A drove a white van and injured Party B walking on the roadside in XX village, XX town, causing Party B to be in a coma. That night, Party A immediately sent Party B to XX County Hospital for emergency treatment. During hospitalization, Party A's wife always accompanied and cared for her. On XX, XX, XX, Party B died after treatment. Confirmed by the traffic police brigade of X City, Party A is fully responsible and Party B is not responsible. After friendly negotiation, with the consent of the families of both parties, and without objection, the following agreement is reached on the relevant compensation matters: 1. All medical expenses of Party B during hospitalization shall be borne by Party A. 2. After discharge, Party A shall pay Party B 1. Death compensation XXXXXX yuan, 2. The funeral expenses are RMB XXXXX, 3. Alimony XXXXX yuan, 4. Alimony XXXXX yuan, 5. Funeral transportation and accommodation are XXX yuan, totaling XXXXX yuan. Three. Party B shall pay compensation of RMB Yuan to Party A on the effective date of this Agreement, and the remaining RMB Yuan shall be paid in full by Party B on X, and Party A will not be responsible for any subsequent payment. Four. Party A understands Party B's illegal behavior, and promises not to ask the judicial department to investigate any administrative or criminal responsibility of Lu Jiayou, and promises to cooperate with Party B to explain this agreement to the judicial department and other relevant departments when necessary, and to issue relevant documents or certificates. V. This Agreement is made in triplicate, one for each party and one for the traffic police brigade. Party a (signature): party b (signature): 2XXX year x XX day note: 1. The red part needs to write clearly the process of traffic accidents and the responsibilities of both parties. See traffic accident liability identification II for details. The yellow part needs to write clearly the amount of each compensation, which can be divided into several categories. Specific reference related blog provides several templates for your reference, specifically Baidu Viagra Sina blog traffic accident compensation.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.