In today’s society, we need to use agreements in many cases. Signing an agreement can resolve disputes in real life. What kind of agreement is valid? Below are 9 work injury agreements that I have collected for you. You are welcome to share them. Work Injury Agreement Part 1

Party A: ____

Party B: ____, (gender) ____, (ethnicity) ____, ID number: ____, (relative relationship) < /p>

Li Yuanhao had an accident at work on ____ month ____, 20____, and died after all-out efforts to rescue him failed. Li Yuanhao was born on ____ month ____, ____. His dependents are as follows:

Wife: Name____Age____ Date of Birth: ____ Home Address: ____ ID Number: ________

In order to properly handle the aftermath of Li Yuanhao's death, in accordance with the "Regulations of the People's Republic of China on Work-related Injury Insurance" and other relevant laws and regulations, Party A and Party B negotiate on an equal footing on the issue of compensation. Based on the principle of mutual understanding and mutual accommodation, we have reached an agreement through negotiation as follows:

1. Party A is willing to compensate Party B for a one-time funeral subsidy of ____ yuan;

2. Party A is willing to A one-time compensation of ____ yuan to Party B as a subsidy;

3. When Party B raises difficulties in life, Party A can support Li Yuanhao’s eldest daughter to complete her studies after negotiation between Party A and Party B.

IV. Party B promises to cremate Li Yuanhao’s body before ____ month ____, 20____.

5. After Party A performs its obligations, Party B guarantees that it will not demand any other fees from Party A in connection with the death of Li Yuanhao in any form or for any reason.

6. After Party A fulfills its remittance obligation, the matter will be handled immediately, and Party B may no longer claim rights against Party A for any reason. 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.

7. 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.

8. Party A and Party B have read the full text of this agreement and understood it correctly. Party A and Party B understand the consequences involved in this agreement. Party A and Party B are completely satisfied with the outcome of this agreement.

9. This agreement is a one-time termination agreement. After the agreement is signed, there will be no other disputes between the two parties.

10. This agreement is made in duplicate, with each party holding one copy. It will take effect after being signed and sealed by both parties.

Party A: ____ Co., Ltd. (seal) Party B: ____ (seal) Authorized agent:

Date: ____ Date: ____ Work Injury Agreement Part 2

< p>Party A:

Party B:

Hereinafter referred to as Party A and Party B

Both parties agree that the signing of this agreement is due to the At the court construction site, Party B injured his foot due to drinking at noon.

After consensus reached by both parties, Party A and Party B voluntarily reached an agreement as follows:

1. With the consent of both parties, Party A pays Party B 5,000 yuan (RMB five thousand yuan in full) for lost work time. .

2. Party B guarantees that all responsibilities will be borne by itself and will no longer hold Party A and Tianyuan Fourth Company responsible for any liability.

3. This agreement is made in duplicate and becomes effective upon signature.

Party A: Party B:

Work Injury Agreement on June 30, 20xx Part 3

Party A:

Legal representative :

Authorized agent:

Party B: , belongs to the victim (state the relationship with the victim).

Party B is now entrusted (specially authorized) by all relatives supported by the victim to handle the aftermath of the death. Resident ID card number:

An employee of Party A was injured in the factory (or other starting point) on day, month, year due to work reasons, and died after rescue efforts failed.

Information about his dependent relatives:

Father: Name, age, date of birth, occupation, home address

Mother: Name, age, date of birth, occupation, home address

Wife: Name, age, date of birth Occupation and home address

Children: name, age, birth date, occupation and home address

Children: name, age and birth date, occupation and home address

In order to properly handle the aftermath of death, In accordance with the "Labor Law of the People's Republic of China", the "Regulations on Work-related Injury Insurance" and other relevant laws and regulations, Party A and Party B have now voluntarily reached the following agreement on compensation on the basis of equal consultation:

1 , Party A shall compensate Party B for funeral subsidy: RMB;

2. Party A shall compensate Party B for a one-time compensation of RMB for supporting relatives;

3. Party A shall compensate Party B for a one-time death allowance of RMB ;

4. Other expenses. On the basis of the above amount, Party A voluntarily compensates Party B with another RMB yuan.

The above items 1, 2, 3 and 4 total RMB yuan.

4. Payment method and payment time;

5. Party B is responsible for the reasonable distribution of the compensation among dependent relatives in accordance with the law. If any dispute arises, Party B will be responsible for the dispute with Party A. Nothing to do.

6. After the agreement is signed, there will be no other disputes between the two parties, and neither party will have any regrets.

Party A: (stamped) Party B:

Authorized agent: Telephone:

Telephone:

Year, month, day, month Date

Attachment: 1. Legal Basis for Compensation

Legal Basis for Compensation

Basis: Order No. of the State Council of the People’s Republic of China and the People’s Republic of China on April 27, 20xx Announcement No. 375 was revised in accordance with the "Decision of the State Council on Amending the Regulations on Work-related Injury Insurance" on December 20, 20xx

Chapter 3 Determination of Work-related Injury

Article 14 Employees have the following circumstances Any one of the following shall be deemed as a work-related injury:

(1) Injury caused by an accident due to work during working hours and in the workplace;

(2) During work before and after working hours Those who are injured by accidents while engaged in work-related preparatory or finishing work in the workplace;

(3) Those who are injured by violence or other accidents while performing work duties during working hours and in the workplace;

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(4) Suffering from occupational diseases;

(5) Being injured due to work reasons or having an accident and the whereabouts are unknown while away from work;

(6) During the period of work, Injured by traffic accidents or urban rail transit, passenger ferry or train accidents on the way to and from get off work that are not the main responsibility of the individual;

(7) Other circumstances that should be recognized as work-related injuries according to laws and administrative regulations.

Chapter 5 Work-related Injury Insurance Benefits

Article 39 If an employee dies on the job, his close relatives shall receive funeral subsidies, dependent relatives’ pensions and pensions from the work-related injury insurance fund in accordance with the following provisions. One-time work-related death benefit:

(1) Funeral benefit is the average monthly salary of employees in the previous year in the coordinated area for 6 months;

(2) Dependent relatives’ pension is based on the employee’s salary A certain percentage of my salary is paid to the relatives of the employee who died on the job who provided the main source of livelihood and who was unable to work. The standard is: 40% per month for spouses, 30% per month for each other relative, and an additional 10% per month for the elderly or orphans on the basis of the above standards. The total approved pension for each dependent relative shall not be higher than the salary of the employee who died on the job during his lifetime. The specific scope of supporting relatives shall be stipulated by the social insurance administrative department of the State Council;

(3) The one-time work-related death benefit standard shall be 20 times the national per capita disposable income of urban residents in the previous year.

Chapter 7 Legal Responsibilities

Article 62 If an employer fails to participate in work-related injury insurance according to the provisions of these Regulations, the social insurance administrative department shall order it to participate within a time limit and make up the payment. For work-related injury insurance premiums that should be paid, a late payment penalty of 0.05% will be charged on a daily basis starting from the date of default; if payment is still not made within the time limit, a fine of not less than 1 time but not more than 3 times of the overdue amount will be imposed.

If an employee of an employer who is required to participate in work-related injury insurance but does not participate in work-related injury insurance in accordance with the provisions of these Regulations is injured at work, the employer shall pay the fees in accordance with the work-related injury insurance benefit items and standards stipulated in these Regulations.

After the employer participates in work-related injury insurance and pays the required work-related injury insurance premiums and late fees, the work-related injury insurance fund and the employer shall pay the newly incurred expenses in accordance with the provisions of these regulations.

Compensation amount calculation standard

1. Party A compensates Party B for funeral subsidy: the average monthly salary in Chongqing’s construction industry in 20xx was 2334, 5X6 months = 14007 yuan

2. Dependent relative pension: child (19 years old to 6 years old) years x 12 months x 5500 yuan monthly salary x 0, 3 coefficient = 237600 yuan; the elderly is 5 years Coefficient = 198,000 yuan,

Total: 435,600 yuan

3. One-time work-related death benefit: National urban per capita disposable income in 20xx is 19,109 yuan x 20 years = 382,180 yuan

4. The total of the above: Party A compensates Party B for a funeral subsidy of 14,007 yuan + a pension for dependent relatives of 435,600 yuan + a one-time work-related death subsidy of 382,180 yuan = 831,787 yuan. Work Injury Agreement Part 4

Party A: _______________

Party B: _____ is the victim’s father, ID number: _____)

_____ (is the victim Wife, ID number: _____)

The victim _____, surname _____, was born on _____ month _____ in _____ year, ID number: __________, he was born in _____ year _ A work-related injury occurred while working in Party A's unit on ____ month _____. After Party A's full rescue efforts, he was promptly sent to _____ hospital and died on the same day due to ineffective rescue efforts. Party B is now entrusted (specially authorized) by all the relatives supported by the victim to handle the aftermath of Wang Jianming's death. Based on the principles of equality, voluntariness, consensus, and in accordance with the provisions of the "Work-related Injury Insurance Regulations" and other laws and regulations, Party B has reached the following agreement with Party A Agreement:

1. This incident

Regarding the death of Party B’s relative Wang Jianming, Party A is willing to bear the liability for work-related death compensation.

2. Compensation objects (supporting relatives):

Father: _____, date of birth _____, occupation, home address _____, ID number: _____

Mother: _____, date of birth _____, occupation, home address _____, ID number: _____

Wife: _____, date of birth _____, occupation, home address _____, ID number: _____

Daughter: _____, date of birth _____, occupation, home address _____, ID number: _____

Son: _____, date of birth _____, occupation, home address _____ , ID number: _____

Party B promises to have obtained special authorization and recognition from all Wang Jianming’s dependent relatives, and guarantees that it has the qualifications to sign this agreement on behalf of all compensation rights subjects. Party B has clearly understood its rights and obligations in the agreement, has consulted relevant professionals on the legal issues and other issues involved in the agreement, and clearly understands that both parties signed this agreement on the basis of equality and voluntariness.

3. Amount of compensation

Party A shall pay various compensations to Party B in the total amount of RMB one hundred, zero, seven, and five thousand yuan (lower case, RMB 1,075,000 yuan). Includes all expenses that Party A should pay according to the "Work Injury Insurance Regulations", including but not limited to one-time work-related death benefit, funeral benefit, dependent relative's pension, as well as food, accommodation, transportation and difficulties for the deceased's family to deal with the funeral. All expenses including consolation.

Except for the above fees, Party A will not pay any other fees. All other expenses incurred in the funeral parlor due to folk customs such as dressing the deceased, burning paper, applying makeup, transporting the body, and handling funeral arrangements shall be borne by Party B.

IV. Payment method and term

Within the next day after the signing of this agreement, Party A will transfer the above compensation into the bank account designated by Party B in one go, with the account number being _____.

V. Effect of Compensation

1. Party B is responsible for the reasonable distribution of the compensation among dependent relatives in accordance with the law. If any dispute arises, Party B will be responsible and has nothing to do with Party A. The other party has no right to interfere.

2. Party B promises to agree to accept this work-related death compensation on behalf of all dependent relatives of the victim Wang Jianming as a one-time settlement, excluding the existence of other rights subjects. After Party A fulfills its compensation obligations under this Agreement, Party B and its close relatives shall not make any claim for compensation against Party A in any form such as arbitration or litigation regarding work-related injury compensation matters; they shall not repeatedly claim compensation for any reason or through any channel. Request or go to Party A to cause trouble or complain about this incident to the relevant media, network, or government departments or have any objections.

3. Party B shall be responsible for eliminating the adverse effects caused by reporters’ false reports within two days from the date of signing this agreement.

4. Party B is responsible for the handling, relocation, cremation and other aftermath of the victim Wang Jianming’s body.

VI. Liability for breach of contract

1. If Party A delays payment, Party B has the right to require Party A to pay the balance in one go.

If Party B breaches the contract, in addition to returning the paid compensation, it is also required to pay Party A a total of RMB 500,000 as liquidated damages.

2. If any party’s breach of contract leads to arbitration, litigation or application for compulsory execution, the other party shall pay the costs of realizing the creditor’s rights, including but not limited to investigation and evidence collection fees, transportation fees, communication fees, litigation fees, Attorney fees, etc.

VII. Representations and Guarantees

1. Party B needs to provide Party A with valid identity documents and identity certificates (ID card, household register, household registration certificate) proving his identity and relationship with the deceased. , certificate from the public security organ, etc.), and after Party A has verified that the original and the copy are indistinguishable, it must be marked as provided by Party B on the copy, and its authenticity must be guaranteed.

2. The terms of this agreement are formed on the basis of Party A and Party B fully taking into account the actual situation of the other party. Each clause is the true expression of the intention of both parties and does not violate legal provisions. At the same time, both parties agree on this agreement. There is no ambiguity in literal interpretation of the terms of the agreement.

8. Others

1. If a dispute arises between Party A and Party B, it shall be resolved through friendly negotiation. If negotiation fails, either party may bring a lawsuit to the people's court of the place where this agreement is signed and shall not violate the provisions of hierarchical jurisdiction.

2. This agreement is made in four copies, with Party A and Party B each holding two copies. It will take effect upon signature or seal by both parties, and neither party may change or terminate it for any reason.

Party A: __________ Party B: __________

Work Injury Agreement on _____, _____, month, _____, Part 5

Party A:

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ID number:

Party B:

ID number:

Based on the principles of fairness, reasonableness, and consensus through consultation, Party B and A Regarding the payment of one-time work-related injury compensation, medical subsidies, and disability employment subsidies due to work-related injuries, the parties have negotiated and reached the following agreement:

1. Party A agreed with Party B on the year, month, and day, Party B has reached an agreement on compensation for Party A’s fifth-level disability suffered at work. The total compensation amount includes one-time work injury compensation, medical subsidies, disability employment subsidies, economic compensation and other expenses, totaling RMB: Ninety thousand and six thousand (96,000) yuan; the above compensation amount will be paid to Party B in one lump sum only when Party A and Party B terminate the labor contract.

2. After Party A and Party B sign this agreement, Party A will rearrange the work of "opening the elevator" for Party B.

3. After Party A and B sign this agreement, Party B has no right to make any other financial demands to Party A;

4. After Party A and B sign this agreement, Party B voluntarily Waiver of the rights to arbitration and litigation regarding workers' compensation compensation.

5. Both Party A and Party B have understood the legal meaning of the agreement, and both parties signed this agreement completely voluntarily.

6. This Agreement is made in duplicate, with each party holding one copy. This Agreement shall take effect from the date of signature by both parties.

Party A: Party B:

Work Injury Agreement Part 6

Party A:

Authorized Representative ：

Party B: , male, Han nationality, age, ID number:

Due to the work-related injury that occurred to Party B at Party A’s construction site, Party A and Party B have negotiated in a friendly manner and comprehensively considered Party B’s family. situation and the actual situation of Party A, on the basis of reasonableness, legality, mutual accommodation, mutual understanding, equality and voluntariness, the following agreement is reached:

Article 1 This agreement is based on the "Regulations on Work-related Injury Insurance" of the State Council, "Guangdong Province Work-related Injury Insurance Regulations" Insurance Regulations", "Interpretations of the Supreme People's Court on Several Issues Concerning the Application of Laws in the Trial of Personal Injury Compensation Cases" and other relevant regulations have been reached. Party A and Party B fully know and understand the contents of these two regulations and other relevant regulations, and are clear about Party B's work-related injury compensation items. and amount.

Article 2 Party B is an employee of Party A at the construction site. He was injured at the construction site on the day of month and year and was treated by Longhua People’s Hospital. Party A has paid RMB yuan for medical expenses, living expenses and other expenses due to Party B's injury.

Article 3 In accordance with the provisions of relevant laws and regulations, the two parties have negotiated a total compensation of RMB 1.4 million. Party B understands and agrees that the above compensation includes but is not limited to one-time disability subsidy, one-time Sexual disability employment subsidy, one-time work-related injury medical subsidy, medical expenses, lost work expenses, nursing expenses, transportation expenses, accommodation expenses, hospitalization food subsidy, necessary nutrition expenses, disability compensation, disability assistive device expenses, dependents Living expenses, as well as necessary rehabilitation fees, nursing fees, and follow-up treatment fees actually incurred due to rehabilitation care and continued treatment, and include all compensation payments such as solitary payments for mental damage to Party B and his family members.

Article 4: Identity and guarantee of each party:

1. Party A represents and guarantees to the parties as follows:

(1) It is a company A limited liability company established in accordance with the law and validly existing;

(2) It has the right to carry out the actions stipulated in this agreement, and has taken all necessary corporate actions to authorize the signing and performance of this agreement;

< p> (3) This agreement constitutes a binding obligation on it from the date of signing.

2. Party B represents and warrants to all parties as follows:

(1) It has the right to conduct the acts specified in this Agreement and has taken all necessary actions to sign and perform this Agreement ;

(2) Party B has fully understood the matters dealt with in this agreement when signing this agreement, and signed this agreement on an equal and voluntary basis. Party B guarantees that after receiving the above compensation, it will not use any Any reason to claim any other compensation from Party A or any other person;

(3) This agreement constitutes a binding obligation on Party A from the date of signing;

Article 5 Liability for breach of contract

If any party breaches this agreement, the agreement will be invalid. Either party may file a lawsuit in the People's Court. If one party breaches its representations, warranties or other obligations in this Agreement and causes the other parties to suffer losses, the other parties have the right to demand compensation.

Article 6 Confidentiality Clause

One party has the obligation to keep confidential the other party’s business secrets or personal privacy learned as a result of this work-related injury compensation, and shall not disclose it to other relevant third parties. Except as otherwise provided by China's current laws and regulations or with the written consent of the other party.

Article 7 This agreement is made in duplicate, with Party A and Party B each holding one copy. It will take effect upon signature and seal of both parties, and both parties will have the same legal effect.

Party A: Party B:

Authorized Representative:

Year Month Day Year Month Day Work Injury Agreement Part 7

Party A (Son of the deceased): Agent: Representative (Other relatives of the deceased):

Party B: Agent of a certain company:

Due to the casualty accident while transporting goods, Party A, Party B has reached a friendly consensus and reached the following agreement, which we hope to abide by.

1. For casualties caused by handling goods, Party B shall pay Party A a one-time compensation fee of RMB yuan (in whole letters).

1. Among them, RMB 10,000 (uppercase letters) will be paid by Party B to Party A in cash;

2. The other RMB 10,000 (uppercase letters) in cash will be used for the cremation of the deceased, etc. Expenses for funeral matters shall be specifically controlled and used by Party B; if Party A requires to improve the funeral standard, the part exceeding RMB 10,000 (in whole capital letters) shall be borne by Party A; if Party A agrees to handle the funeral matters such as the cremation of the deceased by itself, this part of the expenses Party B pays it to Party A and it is left to Party A's discretion.

3. All expenses such as transportation expenses for Party A’s other relatives involved in the accident handling are included in the above expenses, and Party B will not pay separately; at the same time, Party B is responsible for paying to The relevant expenses of the hospital, and subsequent related expenses will be paid by Party A out of the above expenses.

2. After the signing of this agreement, Party A and Party B shall actively cooperate to handle the aftermath of casualties before 20xx, including but not limited to cremating corpses, holding funeral ceremonies, etc.; neither party shall Make any other unreasonable demands outside of the agreement.

3. Party A and Party B agree that after Party A and Party B complete the matters stipulated in Article 2 of this Agreement, Party B must pay the above agreed payment to Party A and its agent before the 20th day of the month. The payment receipt shall be signed by the party upon receipt. If Party B fails to perform its payment obligations as agreed, it shall bear corresponding liability for breach of contract.

4. Party A promises: After Party B completes the performance of this agreement, Party A will no longer pursue any other responsibilities against Party B and other parties for casualties and accidents, and will not take any other form to report to the media, government departments, Publishing organizations and other rights to complain and reflect. If Party B deems it necessary to seek compensation from the relevant responsible party, Party B shall exercise its right to recover.

5. As a relative, the representative of Party A participated in the coordination of the entire accident handling process and witnessed the entire process of accident handling and signing of this agreement by both parties.

6. This agreement shall take effect from the date of signature by representatives of both parties.

7. This agreement is made in triplicate, with each party holding one copy, and Party B shall file one copy with the relevant department.

Party A’s representative (signature): Party B’s representative (signature):

2020 Work Injury Agreement Part 8

Party A ( Son of the deceased): _________

Agent: _________

Representative (other relatives of the deceased): _________

Party B: _________Company

Agent: _________

Due to the casualty accident while transporting goods, Party A and Party B have reached the following agreement through friendly consultation, with the hope that both parties will abide by it.

1. For casualties caused by transporting goods, Party B shall pay Party A a one-time compensation fee of RMB________ yuan (uppercase _____________).

1. Among them, ￥__________ ten thousand yuan (uppercase _________) shall be paid by Party B to Party A in cash;

2. The other ￥_________ ten thousand yuan (uppercase _ _________ whole) cash is used for funeral expenses such as the cremation of the deceased and shall be used by Party B specifically; if Party A requires to improve the funeral standards, the part exceeding ￥________ ten thousand yuan (in capital _________ whole) shall be borne by Party A; If Party A agrees to handle funeral matters such as the cremation of the deceased by itself, Party B will pay this part of the cost to Party A, which will be at Party A's discretion.

3. All expenses such as the transportation expenses of Party A’s other relatives involved in the accident handling are included in the above expenses, and Party B will not pay separately; at the same time, Party B is responsible for the 20_______year_________month_________ The relevant fees should be paid to the hospital before the date, and the relevant fees after that will be paid by Party A out of the above fees.

2. After the signing of this agreement, Party A and Party B shall actively cooperate to handle the aftermath of casualties before _________, month, _________, 20________, including but not limited to cremating corpses and holding funeral ceremonies. etc.; neither party shall make any other unreasonable demands outside this Agreement.

3. Party A and Party B agree that after Party A and Party B complete the matters stipulated in Article 2 of this Agreement, Party B must pay the above agreed payment to Party A and its agent before the 20th day of the month. The payment receipt shall be signed by the party upon receipt. If Party B fails to perform its payment obligations as agreed, it shall bear corresponding liability for breach of contract.

4. Party A promises: After Party B completes the performance of this agreement, Party A will no longer pursue any other responsibilities against Party B and other parties for casualties and accidents, and will not take any other form to report to the media, government departments, Publishing organizations and other rights to complain and reflect. If Party B deems it necessary to seek compensation from the relevant responsible party, Party B shall exercise its right to recover.

5. As a relative of Party A, the representative of Party A participated in the coordination of the entire accident handling process and witnessed the entire process of accident handling and signing of this agreement between Party A and Party B.

6. This agreement shall take effect from the date of signature by representatives of both parties.

7. This agreement is made in triplicate, with each party holding one copy, and Party B shall file one copy with the relevant department.

Party A’s representative (signature): _____________ Party B’s representative (signature): _________

20xx year _________month_________day_________ 20xx year_________month_________ Part 9 of the Work Injury Agreement

Party A:

Party B: ID number:

Party B is an employee of Party A. During the period of work, The injury occurred and was later identified as a work-related injury by the ** Municipal Labor and Social Security Bureau, and as a grade-level disability by the ** Municipal Labor Ability Appraisal Committee. Now Party B and Party A have reached an agreement through negotiation on compensation for their injuries, and this association will prepare this mediation agreement in accordance with the provisions of Article 14 of the Labor Dispute Arbitration and Mediation Law:

1. A Party B has participated in social security for Party B, and the social security fund will pay Party B’s medical expenses and one-time disability subsidy. In addition, while Party B is injured and resting, Party A will continue to pay his salary every month.

2. Party A and Party B have reached an agreement that Party B will continue to work for Party A, and Party A will pay Party B’s one-time disability employment subsidy and one-time work-related injury medical subsidy in advance. shall be paid to Party B. Party B shall not make any further requests for one-time disability employment subsidies and one-time work-related injury medical benefits when resigning. According to the relevant provisions of the "Regulations on Work-related Injury Insurance of Guangdong Province", the two parties negotiate that Party A pays RMB [in capital letters] to Party B (this payment includes all work-related injury benefits stipulated in the "Regulations on Work-related Injury Insurance of Guangdong Province": one-time disability subsidy After receiving the payment, Party B shall not pursue any other expenses from Party A. Otherwise, if Party A's production and operation are affected and Party A's losses are caused, Party B shall compensate.

3. Party B must issue a receipt when collecting the above compensation.

4. This agreement is signed by Party A and Party B on the basis of equality and voluntariness. It is the true expression of both parties' intentions and neither party has been coerced.

5. According to the provisions of Article 14 of the "Labor Dispute Arbitration and Mediation Law", the mediation agreement shall be signed or stamped by both parties. It shall take effect after being signed by the mediator and stamped with the seal of the mediation organization, and shall be effective for both parties. It is binding on the parties and must be performed.

6. After this agreement comes into effect, Party A and Party B will terminate the work-related injury insurance relationship, and Party B shall not initiate any legal proceedings regarding this work-related injury accident in the future.

7. This agreement is made in triplicate. Party A and Party B each hold one copy, and the labor department records one copy.

Party A (seal):

Party B (signature):

Representative signature:

Year, month, day