In today's social life, men, women, old and young may need to use agreements. After signing an agreement, there will be laws to follow and evidence to be found. There are many things to note in the agreement, are you sure you know how to write it? The following is an accident compensation agreement that I compiled. It is for reference only. Everyone is welcome to read it.
Accident Compensation Agreement 1
Party A: ____ District Central Hospital (medical institution)
Party B: _____ (patient)
Party A and Party B have reached the following agreement through negotiation and on a completely voluntary basis in accordance with the provisions of the "Regulations on Handling Medical Accidents":
1. Basic information of the patient:
Name: ____ _Age: Gender: Female Place of Birth: ____ City____ County
Address: ____ City
____ District____ Town
ID card No.: Hospital No.:
Disease diagnosis:
Treatment result:
2. The level of medical accident agreed upon by both parties:
3. Causes of medical accidents
4. Amount of compensation
1. Medical expenses: Yuan;
2. Loss of work: Yuan;
3. Hospitalization food subsidy: yuan;
4. Accompanying fee: yuan;
5. Disability living subsidy: yuan;
6 , Disability equipment fee: Yuan;
7. Funeral expenses: Yuan;
8. Living expenses for dependents: Yuan;
9. Transportation expenses: Yuan ;
10. Accommodation fee: Yuan;
11. Mental damage consolation payment: Yuan;
12. The spouse and spouse of the patient who participated in the funeral after the death of the patient. Transportation expenses, lost work expenses, and accommodation expenses required for immediate family members: Yuan (no more than 2 people)
Total: Yuan
5. Reimbursement payment time :
6. Liability for breach of contract
7. Others
1. Discharge treatment:
2. In case of death, body disposal
3. Others
8. The above agreement will take effect after being signed or sealed by both parties.
Party A: _______ Party B: _______
Agent: _______ Agent: _______
Date: _______ Date: _______
Witness Person: _______
Date: _______
Accident Compensation Agreement 2
Party A: (name, gender, date of birth, nationality, occupation, address , phone number)
Party B: (name, gender, date of birth, ethnicity, occupation, address, phone number)
Driving a passenger car on ____________________ ( When the vehicle was traveling from west to east to the intersection of __________________ District __________________ and __________________ National Highway in __________________ City, the vehicle drove into the north side of the road and the road tree. Collision, resulting in death of ____________________ due to ineffective rescue efforts.
Now, __________________ (Party A) and __________________ (Party B)’s close relatives (Party B) of __________________ (Party B), based on the principles of equality, voluntariness and fairness, have reached the following agreement through friendly negotiation on the matter of compensation for the death of _________: p>
1. Party A will pay Party B a one-time payment of death compensation for six persons, living expenses of dependents, etc., totaling _______________ million yuan (excluding funeral expenses, and the funeral expenses of 15,000 yuan have already been paid in this contract) Before signing the agreement, Party A ______________ paid Party B ______________’s brother ______________).
2. Party A will remit the above ____________________ yuan to the bank account designated by six persons of Party B within days after signing this agreement. The account number is:
3. After the above fees are paid to the six people of Party B, they will be allocated and handled internally by the six people of Party B. The method and consequences of the distribution and handling have nothing to do with Party A.
4. After Party A fulfills its remittance obligation, no one from Party B will require any other fees from Party A in any form or for any reason regarding the death of ______________.
5. After Party A fulfills its remittance obligation, the matter will be settled and there will no longer be any rights or obligations between Party A and Party B. Party B will be solely responsible for any consequences arising from this matter in the future, and Party A will no longer bear any responsibility for this.
6. This agreement is the result of equal and voluntary negotiations between both parties. It is the true expression of both parties’ intentions and is fair and reasonable.
7. The content of this agreement has been read in full by ***seven people from both parties A and B and understood correctly. ***Seven people from both parties A and B understand the consequences involved in this agreement. Both parties A and B are completely satisfied with the results of this agreement.
8. This agreement is a one-time termination agreement.
9. This agreement will take effect when signed by ***seven people from Party A and Party B. This agreement is made in seven copies, with Party A and Party B each holding one copy.
Party A: Party B:
Year, Month, Day
Accident Compensation Agreement 3
Party A (victim): ____________ ID number: ____________
Party A’s authorized agent: ____________ ID number: ____________
Party B (driver): ____________ ID number: ____________
Party B’s authorized agent: ____________ ID number: ____________
At the time of year, month, day, Party B hit and injured a pedestrian while driving car No. 1 on the county street while reversing. After the accident, Party B sent Party A to the hospital for treatment. In accordance with the relevant 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 treatment and treatment expenses for Party A during his hospitalization.
2. Party B shall compensate Party A for subsequent treatment, labor and mental losses of four thousand yuan (4,000 yuan).
3. Party A shall be solely responsible for any physical and fetal abnormalities after discharge on the afternoon of the month.
4. When this agreement is signed, Party B pays Party A four thousand yuan (4,000 yuan) through the accident handling police officer, which will be deemed as the immediate settlement of the dispute in this case. Party A confirms that Party B has no relationship with this case immediately.
5. Both parties agree on the above compensation matters. Party A promises not to initiate any litigation or arbitration related to this case. Party B will no longer bear any legal responsibility for any changes in Party A’s injury or pregnancy in the future. .
6. This agreement is made in triplicate. Party A and Party B each hold one copy and keep one copy with the traffic police department. All three copies are originals of the agreement and have the same legal effect. The original compensation receipt shall be collected by Party B, and a copy shall be kept in the files of the traffic police department for future reference.
Party A’s signature (thumbprint): ____________ Party B’s signature (thumbprint): ____________
Party A’s authorized agent’s signature (thumbprint): ____________ Party B’s authorized agent’s signature (thumbprint): ____________
Party A’s residential address: ____________ Party B’s residential address: ____________
Contact number: ____________ Contact number: ____________
______year______month______day_ _____year______month______day
Accident Compensation Agreement 4
Party A: , male, aged 18, junior high school, , identity number:
Party B: , male, aged 18, high school, current residence, ID number:
Party A and Party B were injured in an accident on the year, month and day. After treatment and reexamination, Party A has now recovered. In order to properly solve the problem Regarding the injury of Party A, Party A and Party B have reached the following agreement through friendly negotiation based on the principles of equality, voluntariness, mutual understanding and accommodation:
Party A and Party B will coordinate and mediate together, and Party B will pay Party A's medical expenses in one lump sum , living expenses 5,000.00 yuan (in capital letters: five thousand yuan).
This agreement is the result of equal and voluntary negotiation between both parties. It is the true expression of the intentions of both parties and is fair and reasonable.
Party A and Party B have read and understood the full text of this agreement. Party A and Party B understand the consequences of violating this agreement. Party A and Party B are completely satisfied with the outcome of this agreement.
This agreement is made in two copies, with Party A and Party B each holding one copy. The agreement will become legally effective upon signature by Party A and Party B.
This agreement is a one-time termination agreement. Both parties shall conclude this agreement, fully and effectively perform the contract, and shall not continue to argue for any reason. Any physical or mental problems that Party A may have in the future will have nothing to do with Party B.
Party A (signature):
Party B (signature):
Time: year, month, day
Accident Compensation Agreement 5
Party A: ________Legal representative: ____________
Party B: ________ Student parents: ________Guardian: ____________
Party B’s son was born in ____ year___ An accident occurred on campus on ____, resulting in his right leg being punctured by an exposed steel bar on the campus. The child suffered great injuries and caused huge economic losses to the family. After treatment at the orthopedic hospital, he was reviewed and has now recovered. , *** spent more than 8,600 yuan on medical expenses, escort fees, transportation expenses, accommodation expenses, etc. In order to properly resolve the matter of Party B's injury, Party A and Party B have reached the following agreement through friendly negotiation based on the principles of equality, voluntariness, mutual understanding and accommodation:
1. Party A shall pay Party B's medical expenses, escort fees, and transportation in one lump sum 4,300 yuan for fees, accommodation fees, etc. From now on, Party B shall not claim against Party A for all expenses incurred during the aforementioned period for any reason.
2. From the date of signing of the agreement, Party B has nothing to do with Party A for any subsequent treatment expenses that may occur in connection with this fall.
3. Party B must provide Party A with the medical expense list, hospitalization records and other documents required by the insurance company.
4. This agreement is the result of equal and voluntary negotiations between Party A and Party B. It is fair, reasonable, reasonable and legal. This agreement is made in two copies. Party A and Party B each hold one copy. This agreement is signed by Party A and Party B. It will take legal effect from that date.
Party A: ____________
Party B: ____________
Certificate: ____________
____year____month____day
Accident Compensation Agreement 6
Party A: Party B:
Authorized Representative: ID Number: Company Address: Home Address:
There is a labor contract relationship between the employer (hereinafter referred to as Party A) and its employees (gender: , ID number: , hereafter referred to as Party B) since the date of year and month. On the day of year and month, Party B suffered a work-related injury accident during work. Party A immediately took active medical rescue measures to Party B after the accident, and has borne all medical, nursing and other related expenses incurred by Party B during the medical treatment period.
Based on the expiration of the medical treatment period for Party B’s work-related injury, Party B made a claim for compensation. For this reason, Party A also respects its wishes and agrees to the compensation request. In line with the principles of fairness and reasonableness, consensus through consultation, mutual understanding and mutual benefit, regarding the compensation payment between Party B and Party A, in accordance with the "Regulations on Work-related Injury Insurance" and with reference to the "Regulations on Work-related Injury Insurance" issued by the State Council of the People's Republic of China No. 586 (20xx) Effective from January 1st), Chapter 5: Work-related Injury Insurance Benefits, Article 37: Employees who are disabled due to work and are identified as grade seven to ten will enjoy the following benefits: (1) From the work-related injury insurance fund A one-time disability subsidy is paid according to the disability level, and the standard is: 7 months' salary for a tenth-level disability; the specific standards for one-time work-related injury medical subsidy and one-time disability employment subsidy refer to Anhui Provincial Government Order No. 169 The document provides a one-time work-related injury medical subsidy based on the average salary in Hefei for 4 months, a one-time disability employment subsidy based on the average salary in Hefei for 5 months, a total of 9 months of average salary in Hefei, and the average monthly salary for employees in Hefei. Salary standard: 3,207 yuan/month (this standard data is provided by the Social Security Bureau). ***The compensation required according to the calculation: my salary is 7 months, the average salary in Hefei is 9 months, the compensation required according to *** is: 1,500 yuan/month*7 months=10,500 yuan (one-time disability subsidy) 3,207 yuan/month *9 months = 28,863 yuan (one-time work-related injury medical subsidy, one-time disability employment subsidy) total: 39,363 yuan. After negotiation between the two parties, the following agreement has been reached:
1. Party A will pay Party B a one-time compensation on the year, month and day as follows: (one-time injury
disability subsidy, one-time disability subsidy, The total three expenses of work-related injury medical subsidy and one-time disability employment subsidy are *** in RMB, and the capital amount is: ;
2. After Party B receives the above-mentioned expenses, the labor relationship between the two parties will be terminated immediately ;
3. After Party B receives the above-mentioned fees, any subsequent physical abnormalities caused by Party A have nothing to do with Party A, and Party B voluntarily gives up the right to compensate for the difference;
4. Party B voluntarily gives up the right to compensate for the difference based on the labor of both parties. Various rights arising from the occurrence and termination of the relationship;
5. Party B voluntarily waives the rights to arbitration and litigation after the termination of the labor relationship between the two parties;
6. After the signing of this agreement , except for the compensation stipulated in this agreement, Party B will no longer claim from Party A other work-related injury benefits that it can obtain according to law for this work-related injury, nor may it claim any other rights related to labor relations. There are no other disputes between the two parties; p>
7. This agreement is made in duplicate and shall take effect from the date of signature by both parties.
Party A (official seal): Party B’s signature (signature/fingerprint):
Year, month, day, year, month, day
Accident Compensation Agreement 7
Party A: Name xx, place of birth xx, ID number: xx, contact information: xx. p>Party B: Name xx, place of origin xx, ID number: xx, contact information: xx
At about x hour and minute on x, month x, 20xx, xxx and xxx had a traffic accident at xxx location xxx. , causing xxx to be injured (or killed) and the vehicle damaged to varying degrees.
(For details of the specific facts, please refer to the Road Traffic Accident Responsibility Certificate No. xx)
After the above accident was mediated, both parties A and B reached the following agreement through voluntary negotiation on compensation matters:
1. Party A's one-time compensation to Party B includes various economic losses including medical expenses, hospitalization meal subsidies, death (disability) compensation, lost wages, nursing expenses, transportation expenses, vehicle losses, etc., totaling xx yuan.
2. When Party A makes a claim to the insurance company, Party B shall cooperate with Party A in making the insurance claim. The evidence and materials required for Party A’s claim settlement shall be provided by Party B at the time of signing this Agreement. Regardless of the outcome of the claim settlement between Party A and the insurance company, Party B has nothing to do with it.
3. After the personal injury compensation matters involved in this agreement are settled, Party B shall not raise any compensation matters again for any reason in the future. Party A and Party B shall not hold each other accountable for other responsibilities.
4. The content of this agreement was decided upon by Party A and Party B through mutual consultation under the principle of fairness and voluntariness. It is the true expression of the intentions of both parties, and there is no major misunderstanding or fairness.
5. This agreement shall come into effect upon signature and thumbprinting by both parties.
6. This agreement is made in duplicate, with Party A and Party B each holding one copy, which has the same legal effect.
Party A (signature):
Party B (signature):
Day xx, month xx, year xx
Accident Compensation Agreement 8
Party A:
Legal representative
Party B: student’s parents
Guardian:
Party B’s son was born in An accident occurred on campus on March 1, causing his right leg to be punctured by an exposed steel bar on the campus. The child suffered great injuries and caused huge economic losses to the family. After treatment at the orthopedic hospital, he was reviewed and has now recovered. *** More than 8,600 yuan was spent on medical expenses, escort expenses, transportation expenses, accommodation expenses, etc. In order to properly resolve the matter of Party B's injury, both parties A and B have reached the following agreement through friendly negotiation based on the principles of equality, voluntariness, mutual understanding and accommodation:
1. Party A shall pay Party B a one-time payment of RMB 4,300 for medical expenses, escort expenses, transportation expenses, accommodation expenses
etc. From then on, Party B shall not claim against Party A for any expenses incurred during the aforementioned period for any reason.
2. From the date of signing of the agreement, Party B has nothing to do with Party A's subsequent treatment expenses that may occur
in connection with this fall.
3. Party B must provide Party A with a list of medical expenses, hospitalization records and other documents required by the insurance company.
4. This agreement is the result of equal and voluntary negotiations between Party A and Party B. It is fair, reasonable, reasonable and legal. This agreement is made in two copies, with each Party A and Party B holding one copy. This agreement is
It shall become legally effective from the date of signature by Party A and Party B.
5. Party A:
6. Party B:
7. Certifier:
October 31, 20xx
Accident Compensation Agreement 9
Party A: xx (the perpetrator), authorized agent: xx
Party B: xx (the injured party), entrusted agent: xx
At around xx time on xx, month xx, xx, Party A drove car number xx, and road traffic occurred at xxxxxxxxxx The accident resulted in the unfortunate death of xx. Now Party A and all close relatives of the deceased (Party B) have reached the following agreement through friendly negotiation and based on the principles of equality, voluntariness and fairness:
1. Party A will compensate Party B for medical expenses and rescue expenses in one lump sum , lost work expenses, transportation expenses, accommodation expenses, funeral expenses, living expenses for dependents, alimony for the elderly, death compensation, mental damage consolation funds and other compensation payments *** RMB (in capital letters): xx rounded (xx yuan all).
2. The body of the deceased xx shall be buried by his family members themselves.
3. After the above funds are paid to all close relatives of Party B, they will be distributed and handled internally by all close relatives of Party B. The method and consequences of the distribution and handling have nothing to do with Party A.
4. After receiving the above payment, Party B will issue a receipt to Party A and promise to waive all rights of recourse against Party A in this accident. After the signing of this agreement, this incident will be dealt with in one go, and both parties will never get entangled.
5. Based on Party A’s sincere expression, Party B considers that Party A’s illegal behavior was caused by negligence, with little subjective malice and little social harm. In accordance with the principle of building a harmonious society and in the spirit of treating illnesses and saving lives, Party B understands Party A's behavior and will no longer hold Party A responsible for anything, and hopes that the judicial authorities or relevant departments will give Party A a lighter, mitigated or exempted punishment.
6. Party A and Party B have read and understood the full text of this agreement. Party A and Party B fully understand the consequences involved in the content of this agreement. Party A and Party B are completely satisfied with the outcome of this agreement and will never regret it.
7. This agreement is made in duplicate, with each Party A and Party B holding one copy. It will take effect after being signed and fingerprinted by Party A and Party B.
Party A: xx Party B: xx Witness: xx
Signature date: xx, month xx, xx
Accident Compensation Agreement 10
Party A: _________________________ Agreement number: _______________
ID card number: _______________ Signing address: ___________________
Party B: _________________________ Signing date: ______year____month___ Date
ID card number: ____________________
At about _____ hour on _____ month _____ day _____ year, Party A caused Party B injury due to _______________ (reason). Based on the principles of equality and voluntariness, Party A and Party B have reached the following agreement on compensation through consultation and consensus:
1. Party A shall pay Party B a one-time compensation of RMB ______ yuan. After Party B receives the compensation, Party B will issue a receipt to Party A.
2. The above compensation includes medical expenses, lost work expenses, nursing expenses, transportation expenses, accommodation expenses, hospitalization food subsidy, nutrition expenses, disability compensation, mental comfort funds, and disability assistive devices. expenses, dependents’ living expenses, and all subsequent compensation expenses such as treatment expenses, rehabilitation expenses, and nursing expenses that may occur.
3. This compensation amount is the final and total compensation amount for claims related to the accident now or in the future, directly or indirectly.
4. After Party B receives the above compensation, Party A and Party B have settled the compensation issue for the traffic accident, and the two parties will not hold each other accountable for any resulting liability in the future.
5. This agreement is made in two copies, with each Party A and Party B holding one copy. It will take effect upon signature by Party A and Party B.
Party A (signature): ____________________ Party B (signature): ____________________
Authorized agent: (signature) _____________ Authorized agent: (signature)______________
Address: ____________________________ Address: ____________________________
Postal code: ____________________________ Postal code: ____________________________
Contact number: ____________________________ Contact number: ____________________________
Accident Compensation Agreement 11 p>
Agreement
Party A: XXXXXXXXXXXXXXXXXXXXXX Legal representative of the company:_______________
Party B: ____________ ID number: ______ _______ For Party B in ______ On ___, a work-related injury occurred at Party A’s customer _________. After negotiation between the two parties, they voluntarily reached an agreement on work-related injury compensation as follows:
1. Party B confirms the termination of the labor contract with Party A. Both parties The rights and obligations will terminate accordingly.
2. Party A agrees to pay Party B a one-time compensation totaling RMB____ yuan (in capital letters: rounded).
The compensation amount serves as compensation for Party B’s legal compensation items for work-related injuries and various rights during work-related injuries. At the same time, Party A agrees to make a one-time payment to Party B within three days after Party B completes the corresponding work handover procedures.
3. The medical expenses of RMB yuan (capital letters: rounded) during the treatment of Party B’s work-related injury shall be borne by Party A and have been fully paid.
4. Party B shall not engage in behavior that damages the company’s reputation and interests after resigning. Party B shall keep any business secrets of Party A (including the contents of this agreement) confidential and shall not disclose them to any third party. , otherwise Party A shall be paid liquidated damages of RMB yuan (in capital letters: rounded)
5. This agreement is the final arrangement and regulation for settling the labor relations between the two parties and Party B’s work-related injury compensation matters. Once this agreement comes into effect, it will There is no involvement between the parties, and both parties promise not to go back on their word. Party B waives all other requests for arbitration and litigation, and the parties no longer have any other disputes.
6. This agreement is made in two copies, each copy has the same legal effect. Party A and Party B each hold one copy. It shall be established and effective from the date of signature by both parties.
Party A (seal): Party B (signature or seal):
_____year___month__day____year___month___day
Accident Compensation Agreement 12
Compensator: Kong xx, male, 56 years old, Han nationality, driver, currently living in Xibazha Township, Saihan District, Hohhot
Compensator: Gao xx, male, 36 years old, Han nationality, car owner, currently living in Saihan District, Hohhot City
Compensated person: Lu xx, female, 56 years old, Han nationality, farmer, currently living in Hohhot City xx County
On May 10, 20xx, Lu xx was riding an electric bicycle on the road and collided with the Mongolian A16000 truck driven by Kong xx, causing Lu xx to be injured. Lu x was hospitalized at the Affiliated Hospital of Inner Mongolia Medical College immediately after being injured. After being hospitalized for 30 days, he improved and was discharged on June 10, 20xx. The Helin Traffic Police Brigade determined that both parties were equally responsible for this traffic accident. According to the appraisal conclusion of the Hohhot Road Traffic Accident Disability Assessment Committee, Lu xx’s disability level was assessed as level seven and level eight, with a comprehensive compensation index of 45. According to the investigation, the vehicle involved in the accident, truck No. A16000, was purchased by Gao xx and Kong xx was hired to drive it.
After consultation and consensus between the two parties, the following compensation agreement was reached:
1. The driver Kong xx and the car owner Gao xx*** will jointly compensate Lu xx for medical expenses, disability compensation, lost wages, hospitalization food subsidy, Nursing fees, nutrition fees, spiritual comfort payments, second surgery fees, dependent living expenses, appraisal fees, electric vehicle repair fees, transportation expenses, etc. *** total (217538.30-16000 yuan) ÷2 = 100769.15 yuan;
2. The above amount shall be paid in one lump sum, and neither party shall regret it after payment. Lu xx shall no longer hold the driver and car owner accountable for any liability, and waive the right to sue the two indemnifiers;
3. There are no other disputes between the parties.
4. This agreement is made in triplicate. Each party shall hold one copy and submit one copy to the relevant department for filing. Effective from the date of signature.
Compensator: (Signature) _______ Compensee: (Signature) _________
February 14, 20xx February 24, 20xx
Accident Compensation Agreement 13
Party A: XXX, male, Han nationality, from XX Village, XX Town, XX County, Dali Prefecture, Yunnan Province. ID number 5329XXXXXXXXXX, driver's license number XXXXXX, driver of van "Yun LXXXXX".
Party B: XXX, female, Han nationality, from XX Village, XX Town, XX County, Dali Prefecture, Yunnan Province. ID number 5329XXXXXXXXXX, driver's license number XXXXXX, is the victim of the traffic accident.
On the evening of XX, XX, 20xx, Party A drove a white van and hit Party B who was walking on the roadside in XX Village, XX Town, XX County, Dali Prefecture, causing Party B to break two of his left ribs. That night, Party A immediately sent Party B to XX County Hospital for emergency treatment. During the hospitalization, Party B’s family members have been accompanying and taking care of him. On X month XX, 20xx, Party B was cured and discharged. The two parties have now negotiated amicably and with the consent of the families of both parties, the agreement on compensation related to the traffic accident is as follows:
1. Party A will bear all the medical expenses and other necessary expenses incurred during the hospitalization of Party B.
2. After discharge, Party A will pay Party B a one-time payment of XXXX yuan for nutrition, XXX yuan for lost work, XXXX yuan for nursing fees, XXX yuan for hospital food subsidy, and XX yuan for reexamination, totaling XXXXX Yuan.
3. All the above expenses must be paid in one lump sum. Since then, Party A's liability for compensation has been completely eliminated. Party B voluntarily bears the risk of invisible injuries that may result from the accident, and Party A may not be required to bear any other liability for compensation related to the traffic accident again.
4. This agreement is made in triplicate, with each party holding one copy and the XX Traffic Police Brigade filing one copy.
Party A (signature): year, month and day
Party B (signature): year, month and day
Accident Compensation Agreement 14
Party A: xx, male, Han nationality, from XX Village, XX Town, XX County, Dali Prefecture, Yunnan Province. ID number xx, driver’s license number xx, is the driver of van No. xx.
Party B: xx, female, Han nationality, from XX Village, XX Town, XX County, Dali Prefecture, Yunnan Province. ID number xx and driver’s license number xx are the victims of the traffic accident.
On the evening of XX, XX, 20xx, Party A drove a white van and hit Party B who was walking on the roadside in XX Village, XX Town, XX County, Dali Prefecture, causing Party B to break two of his left ribs. That night, Party A immediately sent Party B to XX County Hospital for emergency treatment. During the hospitalization, Party B’s family members have been accompanying and taking care of him. On X month XX, 20xx, Party B was cured and discharged. The two parties have now negotiated amicably and with the consent of the families of both parties, the agreement on compensation related to the traffic accident is as follows:
1. Party A will bear all the medical expenses and other necessary expenses incurred during Party B’s hospitalization.
2. After discharge, Party A will pay Party B a one-time payment of XXXX yuan for nutrition, XXX yuan for lost work, XXXX yuan for nursing fees, XXX yuan for hospitalization food subsidy, and XX yuan for reexamination, totaling XXXXX Yuan.
3. All the above expenses must be paid in one lump sum.
Since then, Party A's liability for compensation has been completely eliminated. Party B voluntarily bears the risk of invisible injuries that may result from the accident, and Party A may not be required to bear any other liability for compensation related to the traffic accident again.
4. This agreement is made in triplicate, with each party holding one copy and the XX Traffic Police Brigade filing one copy.
Party A (signature): x month x, xxx Party B (signature): xx month xx, xx
Accident Compensation Agreement 15
A Fang: XXX, male, Han nationality, No. XX, Xixianli, Songfeng Road, Chancheng District, Foshan City, Guangdong Province. ID number 4523XXXXXXXXXX, driver of the "Guangdong EXXX" pickup truck.
Party B: XXX, female, Han nationality, No. XX, Guilan Road, Nanhai District, Foshan City, Guangdong Province. ID number 4523XXXXXXXXX, the victim of the traffic accident.
On the evening of XX, XX, 20xx, Party A drove a small truck and hit Party B who was walking on the roadside on Qinren Road, Chancheng District, Foshan, causing Party B to break three of his right ribs. That night, Party A immediately sent Party B to Foshan Hospital of Traditional Chinese Medicine for emergency treatment. The Traffic Police Brigade of Chancheng District Public Security Bureau of Foshan City determined that Party A was fully responsible and Party B was not responsible. On X month XX, 20xx, Party B was cured and discharged. The two parties have now negotiated amicably and with the consent of the families of both parties, the agreement on compensation related to the traffic accident is as follows:
1. Party B’s medical expenses during hospitalization have been borne by Party A.
2. After being discharged from the hospital, Party A will pay Party B a one-time payment of XX yuan for follow-up treatment, XXXX yuan for nutrition, XX yuan for work loss, XX yuan for nursing expenses, XX yuan for hospitalization food subsidy, and XX yuan for transportation expenses. Yuan and other expenses, totaling XX yuan.
3. All the above expenses must be 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 injuries that may result from the accident. Party B shall not again require Party A to bear any other liability for compensation related to the traffic accident, and there will be no further liability for each other.
4. This agreement is made in triplicate, with each party holding one copy and the XX Traffic Police Brigade filing one copy.
Party A (signature): year month day
Party B (signature): year month day
Note: This agreement is between the car owner and a third party After the car owner has completed the compensation agreement, he will take these materials to the insurance company to claim compensation. You can also go directly to the insurance company for mediation, with the insurance company as Party C and the three parties reaching a compensation agreement