Death compensation agreement

Model death compensation agreement (5 general rules)

In today's society, protocols are used more and more. After signing the agreement, there are laws to follow and evidence to check. So, have you mastered the format of the agreement? The following is a sample of death compensation agreement (5 in total) that I have compiled for you. Welcome to read, I hope you will like it.

Death compensation agreement 1 party a:

Party B:

Relatives of Party B work on the construction site of Party A, and they accidentally fall down and die during the work. Now both parties have reached an agreement on compensation as follows:

Zhang Baogen, who fell from a height in the process of making the steel structure tank of Changyi Iron Mine in Weifang, xx Province, died after being rescued by the hospital 120. Zhang Baogen was born in, and his original ID number is:

First, the situation of their dependent relatives is as follows:

Father:

Mother:

Wife:

Children:

2. Party A voluntarily compensates Party B for funeral expenses, death compensation, living expenses of dependents, transportation expenses, accommodation expenses, spiritual comfort and other expenses in one lump sum of RMB 1 ten thousand yuan.

Three. Time and method of payment: Party A will pay the above RMB10,000.00 Yuan to Party B in one lump sum after signing this Agreement, and Party B will issue a receipt to Party A. ..

4. After the above expenses are paid to Party B, Party B shall reasonably distribute them among the dependent relatives according to law. Any disputes arising from this shall be borne by Party B and have nothing to do with Party A. ..

5. After Party A fulfills the remittance obligation, Party B promises not to claim any other expenses for Zhang Baogen's death from Party A in any form or for any reason.

6. After Party A pays compensation to Party B, the matter is settled, and Party B shall not claim rights from Party A for any reason. In the future, the results derived from this matter will also be borne by Party B, and Party A will no longer bear any responsibility for it.

7. This agreement is the result of equal and voluntary consultation between both parties, and it is a true expression of both parties, fair and reasonable.

Eight. Both parties have read the full text of the agreement and understood it correctly. Both parties understand the consequences involved in this agreement and are completely satisfied with the results of this agreement.

Nine, this agreement is a one-time termination agreement, after the signing of the agreement, both parties have no other disputes, and neither party can go back on its word, and both parties will not pursue this matter in the future.

X this agreement is made in duplicate, one for each party, and shall come into force after being signed and sealed by both parties.

Party A:

Party B:

Date:

Death compensation agreement 2 Party A: _ _ _ _ _ _ _ _ _ _ _ _ _ _ (the victim's father)

ID number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

(Mother of the victim) ID number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

(The victim's son) ID number: _ _ _ _ _ _

Legal Agent: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

ID number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

(Victim's wife) ID number: _ _ _ _ _ _

Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ (the driver's father)

ID number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

(Driver's wife) ID number: _ _ _ _ _ _ _

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

1. Party B voluntarily compensates Party A for various personal injury compensation items (including funeral expenses, death compensation, living expenses of dependents, lost time for mental damage compensation and his family to handle accidents, transportation expenses, accommodation expenses, etc.). ) Pay RMB * * * in one lump sum (in figures: _ _ _ _ _ _ _).

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 interested parties of Party A make any demands on Party B again, Party A shall be responsible for it.

Three. After the signing of this agreement, in order to facilitate Party B's insurance claims, both parties agree to cooperate with each other to solve the insurance claims of this accident through non-litigation or litigation (such as providing death certificate, cremation certificate, household registration cancellation certificate, etc.). ). If the amount of compensation determined by the 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 handling fees shall be borne by Party B. ..

Four. Party B has paid _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ to Party A..

The compensation is _ _ _ _ _ _ _ yuan, and the unpaid amount of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ After the compensation is paid, Party A shall make internal distribution by itself, and Party B has nothing to do with any distribution dispute.

5. Party A understands Party B's illegal behavior, and promises not to ask the judicial department to investigate any administrative or criminal responsibilities of Party B, 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 promises not to require Party B or the insurance company insured by Party B's motor vehicles to compensate for any compensation other than this agreement. Insurance claims arising from the accident vehicle insurance shall be settled or claimed by Party B, and all insurance claims shall be owned by Party B. ..

7. Party A shall ensure that no other obligee claims rights from Party B due to the accident, and Party A shall compensate Party B for the losses suffered as a result; Party A guarantees that the information it provides is true and effective. If the information provided by Party A is untrue, Party B has the right to ask Party A to return the calculated part or make corresponding deduction. If this agreement is confirmed to be invalid, Party A shall return all the compensation received to Party B for negotiation or handling by the competent authority.

Eight. If either party breaches this agreement, the breaching party shall pay the other party 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 quadruplicate, which shall come into effect after being signed by both parties, each party holds one copy, the traffic police department keeps one copy, and the insurance company keeps one copy, all of which have the same legal effect.

Party A: (signature) _ _ _ _ _ _ _ Party B: (signature) _ _ _ _ _ _ _ _ _

Witness: (signature) _ _ _ _ _ _ _ _ _ _ _ _

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

Death compensation agreement 3 Party A:

Party B:

Party C:

Chen XX, the wife of Party A's Luo XX, was a worker of Party B. She had an accident on June 2, 20xx1day due to work reasons, and died on June 22, 20xx after medical treatment failed. In order to properly solve the aftermath of Chen Tianzhen's death, Party A, Party B and Party C reached the following agreement through consultation on the principle of equal consultation, mutual understanding and mutual accommodation:

First of all, funeral matters:

Party A, Party B and Party C cooperate with each other to handle the funeral of the deceased in time. The required funeral expenses shall be paid by Party B. (All treatment expenses have been paid by Party B.)

Second, the amount of compensation:

Party B shall pay compensation of RMB 1 10,000 Yuan to Party A's Ni XX; Pay compensation of RMB 86,000.00 Yuan to Party A's Luo XX and Luo XX ... Party A shall not charge any fees from Party B except the above fees. ..

Three. Payment terms:

20XX shall pay Ni XX all compensation 1 10,000 yuan and Luo XX part compensation of 50,000 yuan before June 30; 20XX shall pay all the remaining compensation to Luo XX and Luo XX before 2 1, totaling RMB 36,000.

Four. Liability for breach of contract:

1. If Party B fails to pay in time, Party A has the right to ask Party B to pay the balance in one lump sum, and has the right to ask Party B to pay interest at twice the interest of the bank loan in the same period.

2. In case of litigation, arbitration or application for enforcement due to any party's breach of contract, it shall pay the other party the expenses for realizing the creditor's rights, including but not limited to investigation and evidence collection fees, transportation and communication fees, lost time (50 yuan every day), notary fees, attorney fees, etc.

Verb (abbreviation of verb) guarantee clause:

Party C shall provide Party A with a guarantee to ensure that Party B will fully and effectively fulfill its compensation obligations.

Signature of Party A: signature and seal of Party B: signature of Party C:

Time: time: time:

Death compensation agreement 4 Party A:

Party B:

Xx had an accident at work and died after full rescue. Born on _ _ _ _ _ _ _ _ _ _ _

Wife:

Home address: _ _ _ _ _ _

ID number: _ _ _ _ _ _

In order to properly handle the aftermath of Li Yuanhao's death, Party A and Party B have reached the following agreement through consultation on the basis of equal consultation and the principle of mutual understanding and mutual accommodation, in accordance with the Regulations of People's Republic of China (PRC) on Industrial Injury Insurance and other relevant laws and regulations:

1. Party A is willing to compensate Party B for the funeral allowance in one lump sum, RMB;

2. Party A is willing to compensate Party B RMB as a subsidy at one time;

Three. After Party B puts forward the difficulties in life, Party A can help Li Yuanhao's eldest daughter finish her studies.

4. Party B promises to cremate Li Yuanhao's body before August 20th.

Verb (abbreviation of verb) After Party A performs its obligations, Party B promises not to claim any other expenses for Li Yuanhao's death from Party A in any form or for any reason.

6. After Party A performs the remittance obligation, the handling of this matter will be terminated, and Party B shall not claim rights from Party A for any reason. In the future, the results derived from this matter will also be borne by Party B, and Party A will no longer bear any responsibility for it.

7. This agreement is the result of equal and voluntary consultation between both parties, and it is a true expression of both parties, fair and reasonable.

Eight. Both parties have read the full text of the agreement and understood it correctly. Both parties understand the consequences involved in this agreement and are completely satisfied with the results of this agreement.

Nine. This agreement is a one-time termination agreement. After the signing of the agreement, there is no other dispute between the two parties.

X this agreement is made in duplicate, one for each party, and shall come into force after being signed and sealed by both parties.

Party A: Limited Company (Seal)

Party B: (Seal)

Entrusted agent:

Date: Date:

Death Compensation Agreement 5 Party A: Name: Gender: Age: Address: Current Address:

Party B: Name, gender, age, domicile and current address:

Event summary: On, the driving car (license plate number) collided with the normal driving car (license plate number) in front while driving between roads, and died on the spot. Now, based on the principles of equality, voluntariness and fairness, Party A and Party B have reached the following agreement through friendly negotiation:

1. Party A shall pay Party B death compensation, funeral expenses, transportation expenses, lost time expenses, etc. One-time payment of RMB ten thousand Yuan only (in words).

2. Party A shall pay the above-mentioned10,000.00 Yuan to Party B the day after the signing of this Agreement, and the remaining10,000.00 Yuan shall be paid to Party B in one lump sum years ago.

3. After the above expenses are paid to Party B, Party B shall distribute and handle them internally, and the way and consequences of distribution and handling have nothing to do with Party A. ..

4. After Party A performs the payment obligation, either party of Party B guarantees that it will not demand any other death expenses from Party A in any form or for any reason.

Verb (abbreviation of verb) After Party A performs the second (last) payment obligation, the handling of this matter will be terminated, and both parties will no longer have any rights and obligations ... The results derived from this matter will also be borne by the first proposer, and the other party will no longer bear any responsibility for it.

6. This agreement is the result of equal and voluntary consultation between both parties, and it is a true expression of both parties, fair and reasonable.

Seven. Party A and Party B have read the full text of the agreement and understood it correctly. Both parties understand the consequences involved in this agreement and are completely satisfied with the results of this agreement. Party A and Party B have witnesses present, and both parties are satisfied with the contents of the agreement.

Eight. This agreement is a one-time termination processing agreement.

Nine. This agreement shall come into effect as of the date of signature by seven people from both parties. This agreement is made in seven copies, one for each party.

Party A: Party B:

date month year

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