The simplest traffic accident protocol

The simplest mode of traffic accident agreement (9 selected articles)

In today's society, agreement plays an increasingly important role, and the signing of agreement is the best norm of rights and obligations between two or more parties. Do you know the format of the agreement? The following is the simplest model of traffic accident agreement I compiled for you (9 selected articles), for reference only. Let's have a look.

The simplest traffic accident agreement 1 Party A:

Party B:

Agent entrusted by Party A:

Agent entrusted by Party B:

At 9 o'clock on February 26, 2000, Party A drove Henan AF- Volkswagen Santana from west to east, and when it was about to stop, it collided with its pedestrian neighbor Party B because of the slippery road in rainy days. After the accident, Party A sent Party B to Pingdingshan Hospital for treatment through 120. During hospitalization, * * * spent 28,000 yuan on medical and living expenses, and Party A, the main party responsible for the accident, shall bear all the expenses. Now Party B voluntarily leaves the hospital, and both parties voluntarily reach a one-time compensation agreement on future matters, which both parties must abide by.

1. Party A and Party B reached an agreement through mediation under the auspices of the county public security traffic police brigade and comrades, which is the true intention of both parties to negotiate on an equal footing, understand each other and make concessions. After the agreement is fulfilled, both parties shall not go back on their words. At the same time, the two sides solemnly promised to give up the right to bring lawsuits, arbitration and other relief measures to judicial organs and other administrative authorities.

2. Party A shall compensate Party B for the later operation expenses, labor expenses, lost time and nutrition expenses in one lump sum.

Three. This agreement is made in duplicate, one for each party. Both copies are originals of the agreement and have the same legal effect.

Signature of Party A (handprint): Signature of Party B (handprint):

Authorized Agent of Party A: Authorized Agent of Party B:

Signature time:

The simplest traffic accident agreement 2 Party A: _ _ _, male, Han nationality, from _ _ village, Dali Prefecture, Yunnan Province. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Party B: _ _ _, female, Han nationality, from _ _ village, Dali Prefecture, Yunnan Province. ID number _ _ _ _ and driver's license number _ _ _ _ are victims of traffic accidents.

On the evening of October, 20th, Party A drove a white van and injured Party B walking on the roadside in _ _ _ _ _ _ _ town of Dali Prefecture, causing two left ribs of Party B to be broken. That night, Party A immediately sent Party B to _ _ county hospital for emergency treatment. During hospitalization, Party B's family always accompanied and cared for him. On, Party B was cured and discharged. After friendly consultation and agreement by the families of both parties, the two parties reached the following agreement on compensation related to traffic accidents:

1. All medical expenses and other necessary expenses during Party B's hospitalization shall be borne by Party A. ..

2. After leaving the hospital, Party A shall pay Party B _ _ _ _ _ _ _ _ _ _ yuan in one lump sum.

Three, the above fees paid in one lump sum. Since then, Party A's liability for compensation has been completely eliminated, and Party B voluntarily bears the risk of invisible injury that may be caused by the accident, and shall not ask Party A to bear any other liability for compensation related to traffic accidents again.

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): _ _ _ _ _ _

The simplest traffic accident agreement 3 Owner of Party A: _ _ _ _ _ _ ID number: _ _ _ _ _ _ _

Driver A: _ _ _ _ _ ID number: _ _ _ _ _ _

Owner of Party B: _ _ _ _ _ _ ID number: _ _ _ _ _ _

Driver of Party B: _ _ _ _ _ _ ID number: _ _ _ _ _ _

On _ _ _ _ _ _ _ night, two cars of Party A and Party B had traffic accidents. Party A is mainly responsible for the accident because of running a red light. Afterwards, the parties to the accident reached the following agreement:

1. This agreement is the true expression of mutual understanding and accommodation between Party A and Party B through equal consultation. After the agreement is fulfilled, both parties shall not go back on their words. At the same time, the two sides solemnly promised to give up the right to bring lawsuits, arbitration and other relief measures to judicial organs and other administrative authorities.

Two. Both parties have reached the following agreement:

1. Party A shall compensate Party B for the economic losses caused by the accident, such as vehicles and lost work * * *: _ _ _ _ _ _ _ _ (RMB _ _ _ _). Both parties promise that the above total compensation is voluntary and in line with national laws. Party B promises not to bring any lawsuit or arbitration related to this case, and waives the right to bring any lawsuit against this agreement to the judicial authorities. All expenses incurred thereafter have nothing to do with Party A, and Party A will no longer bear any legal responsibilities.

2. Party B proposes to handle the vehicle insurance claims of both parties, and the amount of the claims will be returned to Party A. ..

3. Party A is responsible for handling the fines of the accident, and Party A is responsible for extracting the expenses generated by the vehicle.

4. Party B is responsible for handling the expenses and matters of the injured in Party B's car. If the insurance claim amount is insufficient, Party A shall be responsible for making up the difference.

Three. All the terms of this agreement are agreed by both parties through consultation, and are not formulated by one party as stipulated in the contract law. Both parties shall sign at the bottom of each page of the agreement and press the fingerprint of the right index finger. This agreement will come into effect immediately after both parties sign and press their handprints, and the dispute in this case will end immediately. Both parties promise and confirm that this agreement is a legal, true, irrevocable and irrevocable civil contract, which is protected by law. Any unilateral violation of the commitments made by both parties in this agreement is invalid.

4. This agreement is made in duplicate, one for each party, which is the original agreement and has the same legal effect.

Signature of Party A: Signature of Party B: Signature of Party B:

_ _ _ _ _ _ _ _ _ _ _

The simplest traffic accident agreement 4 Indemnitee (Party A): Zhang _ _,

ID number: _ _ _ _ _ _

Right holder of compensation (Party B): Li _ _,

ID number: _ _ _ _ _ _

Authorized Agent: _ _ _ _ _ _, ID number: _ _ _ _ _ (lineal relatives with Party B).

In _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Party A and Party B have reached the following agreement on traffic accident compensation through equal consultation:

1. Party A shall compensate Party B for medical expenses, nursing expenses, lost time, transportation expenses, accident car compensation, follow-up treatment expenses, mental damage compensation, disability compensation and other compensation expenses at one time, totaling RMB _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Rmb yuan only.

2. For compulsory insurance and commercial third party liability insurance insured by Party B, Party A entrusts an agent ad litem to claim compensation from the insurance company, and the compensation obtained shall be owned by Party B. ..

Three. After the signing of this agreement, the civil, criminal and administrative responsibilities caused by this traffic accident will be terminated at one time, and Party B shall not claim any rights from Party A for any reason.

Four. After this agreement comes into effect, Party B shall issue a letter of understanding to the relevant judicial authorities.

Verb (abbreviation of verb) This agreement shall come into effect after being signed by both parties.

6. This Agreement is made in triplicate, one for each party and one for the public security organ.

Indemnitee (Party A): _ _ _ _ _ _ Indemnitee (Party B): _ _ _ _ _ _

Witness: _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _

The simplest traffic accident agreement 5 Party A: Party B:

After the accident:

At about 20 1_ _ _ _ _ _, Wang _ _ was driving a black _ _ _ _ _ _ _ _ medium-sized ordinary van, and when he was driving from north to south on the _ _ provincial highway to the _ _ bridge, he failed to ensure the safe speed due to overload, resulting in rollover. A major road traffic accident that caused the victim Zhang _ _ in the car to be injured and died after being rescued by the hospital, and the vehicle was damaged. The above facts were confirmed by the Letter of Confirmation of Road Traffic Accidents [2]No. _ _ _ issued by the Traffic Police Brigade of the Municipal Public Security Bureau, and it was determined that Wang _ _ was fully responsible for the accident and the victim Zhang _ _ was not at fault.

Party A and Party B have reached the following settlement agreement through full consultation:

1. On the date of signing this agreement, Party A shall first compensate Party B for all economic losses of RMB 100000 Yuan only (in words: one hundred thousand Yuan only) in one lump sum, and Party A shall remit the money to the account designated by Party B (bank: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _). The balance of10,000.00 yuan shall be paid by Party A within 5 years, and Party B shall be paid RMB in one lump sum before the month of each year.

2. After this agreement is signed and fully performed, Party B recognizes that Party A has compensated the victims for all economic losses, and there are no other disputes between Party A and Party B, and Party B promises not to claim any rights from Party A for this traffic accident.

3. After receiving the above money, Party B shall issue a receipt to Party A or its agent. For the injuries caused by Party A in this accident, Party B agrees to issue a letter of understanding to Party A after receiving the above payment.

4. Before the above money is paid in full, Party A shall not transfer the property or evade execution, otherwise Party B shall have the right to request the court for compulsory execution and investigate the criminal responsibility of Party A. ..

5. Liability for breach of contract: After signing this agreement, both parties must perform it according to the agreement. In case of breach of contract, the breaching party shall pay the observant party a penalty of RMB 65,438+000,000 (in words: one hundred thousand yuan).

6. This agreement is made in triplicate, one for each party and one for the people's court, all of which have the same legal effect.

Party A: Party B:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

The simplest traffic accident agreement 6 Party A: Xie Shi _ (Xie Bao _), male, 36 years old, from _ _ _ _ village.

Party B: Qin Hao _ (Qin _), male, 22 years old, a student of _ _ _ _ _ _ _ _ _ _ _ _ (originally from _ _ _ village of Honghua Township).

Basic facts of traffic accidents and responsibilities of both parties:

On February 25th, 2000 18: 30, the tractor driven by Party A's Lu 13/23425 collided with a two-wheeled motorcycle driven by Party B's Qin Su's C350 at the north of Honghua Village 100 meters, causing traffic accidents, and Party B's Qin was injured and the motorcycle was damaged. According to the traffic accident certificate. 2702 123, Tancheng Brigade, Traffic Police Detachment of Linyi Public Security Bureau, both parties bear equal responsibilities.

After full consultation, Party A and Party B reach the following agreement:

1. Party A Xie Shi voluntarily compensates Party B for all losses * * * totaling RMB 10000 (including the paid RMB 7,000).

Two, the first loss compensation includes vehicle loss compensation.

Three. When signing this agreement, Party A must pay the remaining 3,000 yuan to Party B. ..

Four. The compensation involved in this agreement is one-time termination compensation.

Verb (abbreviation of verb) This agreement shall come into effect after being signed by both parties.

This agreement is made in duplicate, one for each party.

Agreement: Party A: Party B:

_ _ _ _ _ _ _ _ _ _ _

The simplest traffic accident agreement 7 Party A: Lin Moumou, ID number: address:

Party B: Party A, ID number: Address:

After the accident:

At a certain time in a certain month, a certain year, Lin drove a motorcycle (brand) along a certain route to a certain place. When he arrived somewhere, the road was slippery because of the rain. Lin tried to avoid pedestrian A, but the brakes were not good, so he scraped off. Lin immediately sent someone to a hospital for examination and treatment. After a detailed examination in a hospital, the diagnosis of A is not serious, but (the description of the injury is subject to the inspection report of the hospital). After a series of necessary treatments in the hospital, A decided to leave the hospital.

After full consultation, Xianlin and Party A voluntarily reached the following settlement agreement:

1. Lin paid a certain amount of RMB _ _ _ yuan (in words) in addition to the medical expenses of Party A from a certain month to a certain month (subject to the charging documents issued by the hospital).

2. On the date of signing this agreement, Lin shall pay all compensation to Party A in one lump sum.

3. After the signing of this agreement, there is no other dispute between Lin and A, and A and its agent shall not claim any rights against Lin for the damage caused by this accident.

4. On the date of signing this Agreement, Party B shall provide Party A with the following original materials:

(1) Outpatient cases 1 case; Hospitalization and discharge records.

(2) receipt of medical expenses (* * * in total, the amount is RMB).

This agreement is made in duplicate, one for each party.

This agreement shall come into force as of the date of signing and have the same legal effect.

Party A: Party B:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

The simplest traffic accident agreement 8 Party A: _ _

Party B: _ _

After the accident:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Party A and Party B have reached the following settlement agreement through full consultation:

1. After deducting part of the medical expenses paid in the early stage, Party A shall also compensate Party B for medical expenses, nursing expenses, nutrition expenses, hospital food subsidies, lost time, disability compensation, mental damage compensation, transportation expenses, clothing loss expenses, denture replacement expenses, appraisal fees and other expenses, totaling RMB _ _ _.

2. On the date of signing this agreement, Party A shall pay all the compensation of RMB 10,000.00 Yuan to Party B in one lump sum, otherwise it shall voluntarily bear the penalty of RMB 30,000.00 Yuan.

3. After the signing of this agreement, there are no other disputes between Party A and Party B, and Party B shall not claim any rights against Party A and _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

4. On the date of signing this Agreement, Party B shall provide Party A with the following original materials:

(1)__: outpatient cases 1 case; A copy of the certificate; Three discharge records.

(2) There is a receipt of 15 medical expenses and an invoice of appraisal expenses, with the amount of11kloc-0/2 yuan.

This agreement is made in quadruplicate, one for each party, one for the traffic police department and one for the law firm, all of which have the same legal effect.

Party A: Party B:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

The simplest traffic accident agreement 9 Party A (the victim or his relatives):

Party B (driver or his relatives):

About _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

1. Party B voluntarily compensates all legal personal injury compensation items of Party A in one lump sum of RMB 10,000 (in figures: RMB).

2. Party A agrees to obtain the above compensation, and waives all other rights to Party B, and no longer requires Party B to make any form of compensation or assume any other responsibilities. If Party A and other relevant parties of Party A put forward any requirements to Party B again, Party A shall be responsible for solving them.

Three. After the signing of this agreement, in order to facilitate Party B's insurance claim, both parties 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, both 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. ..

Four. On the effective date of this agreement, Party B shall pay compensation of RMB to Party A..

Verb (abbreviation of verb) Party A understands Party B's illegal behavior, and promises not to ask the judicial department to investigate any administrative or criminal responsibility of Party A, and 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.

6. Party A guarantees that it will not require Party B 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 all insurance compensation shall be owned by Party B. ..

7. Party A guarantees that this agreement is legal and valid, and no other obligee claims rights from Party B due to this accident. If this agreement is confirmed to be invalid, Party A shall return all the compensation received to Party B. If other losses are caused to Party B, Party A shall bear all the responsibilities.

Eight. If either party violates this agreement, the breaching party shall pay RMB to the other party as liquidated damages.

Nine, the accident was settled once and for all by both parties, and there were no other disputes.

X this agreement is made in triplicate, and shall come into effect after being signed or sealed by both parties, with each party holding one copy and the traffic police department keeping one copy, all of which have the same legal effect.

Party A: Party B:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

;