Authorized Agent of Party A: _ _ _ _ _ _ _No.: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B:No. _ _ _ _ _ _ _
Authorized agent of Party B: _ _ _ _ _ _ _ _No.: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
On _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ According to the national laws and relevant regulations, the specific compensation matters and the rights and obligations of both parties are specified as follows, which both parties shall abide by:
1. Party A voluntarily compensates Party B for various losses of * * * RMB _ _ _ _ _ _ _ _ _ _.
2. Loss compensation includes Party B's transportation expenses, nursing expenses, lost time, accommodation expenses, follow-up treatment expenses, compensation for mental damage and other losses.
Three. When this agreement is signed, Party A shall pay RMB to Party B.. When collecting one-time compensation from Party B, Party A must deliver all medical bills, medical records and other bills to Party B at the same time, and ensure the authenticity of the bills. And issue a receipt.
Four. The compensation involved in this agreement is one-time termination compensation. After Party A pays Party B's expenses, Party B shall not claim any rights from Party A for any reason in the future, and Party A will no longer be liable for compensation.
Verb (abbreviation of verb) When signing this agreement, both parties signed it voluntarily, and there was no serious misunderstanding or unfairness. Party A and Party B shall not violate the agreement for any reason.
6. This agreement shall come into effect after being signed by both parties.
7. This agreement is made in triplicate, one for each party and one for the traffic police. All three agreements are original and have the same legal effect.
Party A's signature handprint _ _ _ _ _ _ Party B's signature handprint: _ _ _ _ _ _ _
Authorized Agent of Party A: _ _ _ _ _ _ _ Authorized Agent of Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Signing time: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Personal settlement agreement for injured person 2 Party A (victim) : _ _ _ _ _ _ _ ID number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Authorized agent of Party A: _ _ _ _ _ _ ID number. : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B (driver): _ _ _ _ _ _ ID number: _ _ _ _ _ _ _
Authorized agent of Party B: _ _ _ _ _ _ _ ID number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
On, when Party B was driving Carnot. It hit a pedestrian on the county street. After the accident, Party B will send Party A to the hospital for treatment. According to national laws and regulations on civil compensation, Party A and Party B voluntarily reach the following compensation agreement:
1. Party B shall bear all medical and treatment expenses during Party A's hospitalization.
2. Party B shall compensate Party A for the follow-up treatment fee, labor fee and mental damage compensation of four thousand yuan (4000 yuan).
Three. Party A shall be responsible for the abnormality of the body and fetus after being discharged from the hospital on the afternoon of.
Four. When this agreement is signed, Party B shall pay Party A RMB four thousand yuan (4,000 yuan) through the accident handling police officer, which shall be regarded as the immediate end of the dispute in this case, and Party A confirms that Party B has nothing to do with this case from now on.
5. Both parties agree on the above compensation, and Party A promises not to bring any lawsuit or arbitration related to this case. In the future, Party B will not bear any legal responsibility for Party A's injuries and any changes in pregnancy.
This agreement is made in triplicate, one for each party and one for the traffic police department. This agreement is made in triplicate and has the same legal effect. The original compensation receipt shall be collected by Party B, and the copy shall be filed by the traffic police department for future reference.
Signature of Party A (handprint): _ _ _ _ _ Signature of Party B (handprint): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Signature of Party A's entrusted agent (handprint): _ _ _ _ _ _ Signature of Party B's entrusted agent (handprint): _ _ _ _ _ _ _ _ _ _
Address of Party A: _ _ _ _ _ _ Address of Party B: _ _ _ _ _ _ _ _ _ _ _
Tel: _ _ _ _ _ Tel: _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Personal settlement agreement for the injured 3 Party A (the accident party): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B (the injured party): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
2. During Party B's hospitalization due to injury, Party A shall pay medical expenses, lost time, nursing expenses, food subsidies, transportation expenses and accommodation expenses of RMB * * * (in words: _ _ _ _ _ _ _ _ _ _). The follow-up treatment fee is _ _ _ _ _ _ _ (in words: _ _ _ _ _ _ _ _ _ _ _).
3. The compensation and settlement of the above fees shall be settled immediately from the date of signing this agreement.
4. Party B shall actively cooperate with Party A in handling insurance claims, and provide Party A with traffic accident certificates, medical expense invoices and other materials in time.
5. After the performance of this agreement, the compensation liabilities of both parties shall be calculated, and Party B shall not ask Party A for any additional compensation or other requirements for any reason.
6. This model traffic accident agreement is made in triplicate, one for Party A and Party B, and one for _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party A:
Party B:
Date:
Date:
Personal Settlement Agreement for the Injured 4 Indemnitee (Party A): xx
ID number: _ _ _ _ _ _
Right holder of compensation (Party B): xx
ID number: _ _ _ _ _ _
Authorized Agent: _ _ _ _ _ _, ID number: _ _ _ _ _ (lineal relatives with Party B).
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ For this traffic accident, the Traffic Accident Confirmation of the Traffic Police Brigade of xx County Public Security Bureau determined that xxx was mainly responsible for the wrong behavior, and xxx was less responsible for the wrong facts. 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 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2. For the compulsory insurance and commercial third party liability insurance insured by Party B, Party A entrusts an agent ad litem to claim the rights from the owner xxx of the insurance company, and all 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: _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Personal settlement agreement for the injured 5 Party A: _ _ _ _ _ _, now living in _ _ _ _ _ _ _ _, ID number: _ _ _ _ _ _.
Party B: _ _ _ _ _ _ _, now living in _ _, with the ID number of _ _ _ _ _.
On the night of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
During hospitalization, Party A's wife always accompanied and cared for her. Party B was cured and discharged on _ _ _ _ _ _ _ _ _ _ _ _. Through friendly negotiation between both parties and with the consent of their families, both parties have reached the following agreement on relevant compensation matters without objection:
1. All medical expenses of Party B during hospitalization shall be borne by Party A. ..
2. After discharge from hospital, Party A shall pay Party B RMB _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Three. After the above expenses are paid in one lump sum, Party A will no longer undertake any responsibilities.
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):
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Personal settlement agreement for the injured 6 Party A: Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B: Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Accident facts
Party A travels from _ _ _ to _ _ _ _, and Party B travels from _ _ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
In accordance with the relevant provisions of the existing laws and judicial interpretations, the two parties reached the following settlement plan based on the principles of mutual understanding, mutual accommodation and equal consultation:
1. Party B chooses to pay the accident compensation to Party A according to the following _ _ _ _ _ _ _ _:
1. Party B shall pay _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2. Party B shall pay the accident compensation to Party A in _ _ _ _ _ _ _ installments, totaling RMB _ _ _ _ _ _ _ _.
2. After Party B pays the compensation according to the above scheme, Party A shall issue a written commitment to ensure that no lawsuit will be brought against this part.
3. If Party B fails to fulfill its payment obligations under this Agreement, it shall pay the overdue payment interest to Party A at the loan interest rate for the same period; Party A reserves the right to obtain judicial relief for traffic accident damages through litigation, and Party B shall bear the reasonable attorney fees paid by Party A for recovery.
4. If Party B needs to change the repayment date, it shall communicate with Party A in advance and sign a written agreement to change the repayment date.
Verb (abbreviation of verb) and other matters not covered shall be negotiated on an equal footing by both parties on the principle of mutual understanding and mutual accommodation, and a written supplementary agreement shall be signed. The supplementary agreement has the same effect as this settlement agreement.
During the performance of this agreement, if any dispute between the two parties cannot be resolved through consultation, either party may bring a lawsuit to the people's court with jurisdiction.
Seven. This agreement shall come into force as of the date of signing.
Party A (signature): Party B (signature):
Signing time: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Signing place:
Personal settlement agreement for the injured 7 Party A: (name, gender, date of birth, ID number, residential address, contact information, etc. )
Party B: (name, gender, date of birth, ID number, residential address, contact information, etc. )
(Briefly describe the accident, vehicle information, damage to articles and other losses, etc. )
Party A and Party B reached a one-time compensation agreement for Party B's losses through equal consultation in accordance with national laws and relevant regulations. The specific compensation matters and the rights and obligations of both parties are agreed as follows, which both parties shall abide by:
1. Party A voluntarily compensates Party B for various losses * * * totaling RMB.
2. Compensation for Party B's transportation expenses, nursing expenses, funeral expenses, room and board expenses, follow-up treatment expenses, mental damages and other losses.
3. When collecting one-time compensation from Party A, Party B must deliver all medical bills, medical records and other bills to Party A at the same time, and ensure the authenticity of the bills. And issue a receipt.
4. The compensation involved in this agreement is one-time termination compensation. After Party A pays Party B's expenses, Party B shall not claim any rights from Party A for any reason in the future, and Party A will no longer be liable for compensation.
5. This agreement shall come into effect after being signed by both parties.
6. This Agreement is made in quadruplicate, each with two pages, one for each party and one for the customer. This agreement is made in quadruplicate, with the same legal effect.
Party A:
Party B:
Personal settlement agreement of the injured person and the compensated person (hereinafter referred to as Party A): Han Moumou, ID number.
Right holder of compensation (hereinafter referred to as Party B): passerby, ID number:
According to the Tort Liability Law and other relevant laws and regulations, Party A and Party B have reached a one-time compensation agreement on the personal injury compensation of passerby A in the traffic accident for both parties to abide by:
1. Party A shall compensate Party B for RMB _ _ _ _ _ _ in one lump sum.
One-time compensation includes but is not limited to Party B's medical expenses, lost time, nursing expenses, transportation expenses, hospital food subsidies, nutrition expenses, disability compensation, spiritual comfort, etc.
One-time compensation shall be paid to Party B by bank transfer (bank transfer is recommended when the amount is large); When signing this agreement, Party B shall issue a written receipt.
Two. Party B promises that:
1. Since the date of signing the compensation agreement and receiving the above compensation, the civil compensation caused by the traffic accident has been terminated, and there are no other disputes between the two parties. Party B and its relatives shall not claim any rights from Party A through litigation or non-litigation.
2. Party B shall provide Party A with copies of ID cards, outpatient medical records, prescriptions, inpatient medical records, detailed expense lists, diagnosis certificates, medical expense receipts and other insurance claim materials. Party B guarantees that all the information provided is true, lawful and complete.
Ask Party B to provide a bank account in its name: Any dispute arising from the fault of Party B in providing a bank account shall be settled by Party B itself, and Party A does not need to compensate again (bank transfer).
3. This agreement shall come into force as of the date of signature. This agreement is made in triplicate, two for Party A and one for Party B, all of which have the same legal effect.
Party A: Party B:
Tel: Tel:
date
Personal settlement agreement for the injured 9 Party A: _ _ _ _ _No.: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B: _ _ _ _ _No.: _ _ _ _ _ _
On _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I. Total compensation: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party A voluntarily compensates Party B according to the above amount. The compensation includes Party B's transportation expenses, nursing expenses, lost time, accommodation expenses, living expenses of dependents, follow-up treatment expenses, mental damages, disability compensation and other losses.
Second, the payment method and date:
Party A shall pay compensation to Party B in one lump sum on the date of signing the compensation agreement.
3. The compensation involved in this agreement is one-time termination compensation. After Party A pays Party B's expenses, Party B shall not make any claim for compensation or bring a lawsuit against Party A and any third party for any reason in the future.
Four. When this agreement was signed, both parties signed it voluntarily, and there was no major misunderstanding and unfairness. Party A and Party B shall not go back on their word for any reason.
This agreement is made in duplicate, one for each party. This agreement shall come into force as of the date of signing.
Party A: _ _ _ _ _ _ Party B: _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Personal settlement agreement for the injured 10 party a: (name, gender, date of birth, nationality, occupation, address and telephone number)
Party B: (name, gender, date of birth, nationality, occupation, address and telephone number).
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, Driving a passenger car in _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Wang _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _) is from west to east. The trip to _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1. Party A pays Party B RMB * * ten thousand Yuan in one lump sum (excluding funeral expenses, Party A paid Party B RMB fifteen thousand Yuan before the signing of this Agreement).
2. Party A shall remit the above _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ account number to:
3. After the above expenses are paid to Party B, Party B will allocate and handle them by itself, and the way and consequences of allocation and handling have nothing to do with Party A. ..
4. After Party A performs the remittance obligation, any person of Party B promises not to ask Party A for any other expenses caused by the death of _ _ _ _ _ _ _ in any form or for any reason.
Verb (abbreviation of verb) After Party A performs the remittance obligation, the handling of this matter will be terminated, and there will no longer be any rights and obligations between Party A and Party B. 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.
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. Seven people of Party A and Party B have read the full text of this agreement and correctly understood it. Seven people of Party A and Party B understand the consequences involved in this agreement, and both parties are completely satisfied with the results of this 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:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Personal settlement agreement for the injured 1 1 Party A: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
As Party A was seriously injured when driving a motorcycle from _ _ _ _ _ _ _ _ _ _ _ _ _ on _ _ _ _ _ on _ _ _ _, he was hospitalized in the county people's hospital. Now that the treatment has come to an end, _ _ _ has basically recovered.
Based on the principles of equality, fairness and good faith, Party A and Party B have reached the following agreement through consultation, and both parties shall abide by it and shall not go back on their word.
1. The medical expenses of Party A and Party B in the county people's hospital are RMB (in words: RMB only), which shall be paid by Party B;
2. Except for medical expenses, Party B shall compensate Party A in one lump sum, totaling RMB _ _ _ _ (in words: _ _ _ _ _). The money is distributed by Party A (how to distribute it has nothing to do with Party B). This paragraph includes all expenses such as hospital food subsidy, hospital nursing fee, lost time, transportation fee, etc. After Party A receives the payment, it is up to Party A to decide whether to continue the reexamination (or treatment), and the expenses shall be borne by Party A itself, which has nothing to do with Party B. The change result of the disease has nothing to do with Party B. ..
3. Both parties shall bear the vehicle losses caused by this accident, and the repair costs shall be borne by themselves.
Four. After both parties sign the agreement, Party B shall pay the compensation fee on the spot.
5. After receiving the money, Party A waives any form of compensation and compensation. Party B shall not be pestered for any reason or excuse, including claiming rights from any organ or department in the form of litigation or non-litigation.
6. After Party A and Party B sign, Party A will transfer all the rights to claim compensation from the insurance company to Party B, and Party A has the obligation to assist Party B in handling insurance claims. Party A shall provide Party B with a copy of ID card and hospital medical records on the day when the agreement is signed.
7. After Party A provides Party B with relevant certificates for insurance claims, Party B will handle insurance claims on its own. If the claim is unsuccessful, Party B shall not ask Party A to return the goods for any reason; If the claim is successful, Party A shall not ask for the distribution of the insurance money obtained by Party B for any reason.
Eight. This agreement is made in triplicate, two for Party A and one for Party B. ..
Party A (two persons): _ _ _ _ _ _ _
Party B: _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Signature of witness: _ _ _ _ _ _ _
Personal settlement agreement for the injured 12 Party A: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Basic facts of traffic accidents and responsibilities of both parties:
According to the number of the traffic accident certificate, on _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
After full consultation, Party A and Party B reach the following agreement:
1. Party A is _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
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: _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Personal settlement agreement for the injured 13 Party A: _ _ _ _ _ _, gender: _ _ _ _ _ _ _, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
On the night of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. That night, Party A immediately sent Party B to _ _ _ _ _ _ _ county hospital for first aid. During hospitalization, Party B's family always accompanied and cared for him. Party B was cured and discharged on _ _ _ _ _ _ _ _ _ _ _ _. 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 by _ _ _ _ _ _ _.
Party A (signature): _ _ _ _ _ _ _ _ _ _ _ _
Party B (signature): _ _ _ _ _ _ _ _ _ _ _ _
Personal settlement agreement for the injured 14 Party A: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
On _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
With regard to the above accidents, both parties voluntarily reached the following agreement: In case of economic losses caused by _ _ _ _ _ _ _ _ _ _.
The above agreement shall come into effect after being signed by both parties. ____
Party A: Signature _ _ _ _ _ Party B: Signature _ _ _ _ _ _ _
Tel: _ _ _ _ _ Tel: _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Personal settlement agreement for the injured 15 Party A: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
ID number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date of signing: _ _ _ _ _ _ _ _ _ _ _ _ _.
ID number: _ _ _ _ _ _ _ _ _ _ _
On _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1. Party A shall compensate Party B in one lump sum. Party B shall issue a receipt to Party A after receiving the compensation.
2. The above compensation has included medical expenses, lost time, nursing expenses, transportation expenses, accommodation expenses, food subsidies for hospitalization, nutrition expenses, disability compensation, mental consolation money, disability assistive devices expenses, living expenses of dependents and possible follow-up treatment expenses, rehabilitation expenses and nursing expenses.
3. This compensation amount is the final and total compensation amount of claims directly or indirectly related to the accident now or in the future.
4. After Party B receives the above compensation, Party A and Party B have settled traffic accident compensation, and both parties will not pursue all responsibilities arising therefrom in the future.
5. This agreement is made in duplicate, one for each party, and shall come into force after being signed by both parties.
Party A (signature): _ _ _ _ _ _ _ _ _ Party B (signature): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Authorized Agent: (signature) _ _ _ _ _ _ _ Authorized Agent: (signature) _ _ _ _ _ _ _ _ _ _ _ _
Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Postal code: _ _ _ _ _ _ _ _ _ _ _ _ Postal code: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Phone number: _ _ _ _ _ _ _ _ _ Phone number: _ _ _ _ _ _ _ _ Phone number: _ _ _ _ _ _ _ _ _ _ Phone number
Personal settlement agreement for the injured 16 Party A: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Party B: Born on _ _ _ _ _ _ _ _.
On _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1. Party A agrees to pay Party B the medical expenses and various personal injury compensation expenses of RMB _ _ _ _ _ _ _ (in words: _ _ _ _ _ _ _). ..
2. If Party B has other problems in the future, Party A will no longer assume any responsibilities.
Three. From the time of payment by Party A, Party B xxx will no longer hold Party A responsible for this matter.
4. This agreement is made in duplicate, one for each party, and shall come into effect as of the date of signature.
Party A: _ _ _ _ _ _ _
Party B: _ _ _ _ _ _
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