Traffic Compensation Agreement 1 Party A:
Party B:
Agent entrusted by Party A:
Agent entrusted by Party B:
At 9 o'clock on February 26th, 20xx, Party A drove Henan AF- Volkswagen Santana from west to east, and when it was about to stop, it collided with its pedestrian neighbor Party B due to the slippery road in rainy days. After the accident, Party A sent Party B to Pingdingshan Hospital for treatment through 120. During hospitalization, * * * spent 28,000 yuan on medical and living expenses, and Party A, the main party responsible for the accident, shall bear all the expenses. Now Party B voluntarily leaves the hospital, and both parties voluntarily reach a one-time compensation agreement on future matters, which both parties must abide by.
1. Party A and Party B reached an agreement through mediation under the auspices of the county public security traffic police brigade and comrades, which is the true intention of both parties to negotiate on an equal footing, understand each other and make concessions. After the agreement is fulfilled, both parties shall not go back on their words. At the same time, the two sides solemnly promised to give up the right to bring lawsuits, arbitration and other relief measures to judicial organs and other administrative authorities.
2. Party A shall compensate Party B for the later operation expenses, labor expenses, lost time and nutrition expenses in one lump sum.
Three. This agreement is made in duplicate, one for each party. Both copies are originals of the agreement and have the same legal effect.
Signature of Party A (handprint): Signature of Party B (handprint):
Authorized Agent of Party A: Authorized Agent of Party B:
Signature time:
Article 2 of the traffic compensation agreement: Party A: _ _ _ _ _ _, ID number: _ _ _ _ _.
Party B: _ _ _ _ _ _, ID number: _ _ _ _ _ _
Passenger: _ _ _ _ _ _ _, ID number: _ _ _ _ _ _ (as the spouse of Party B)
It happened before _ _ _ _ _ _ _ _ _
1. Neither Party A nor Party B caused personal injury in this accident, and neither party shall be held responsible;
2. The passengers of Party B were frightened in the accident. Because she was pregnant, Party A and Party B immediately sent her to the hospital. After examination, there was no injury and the fetus was in good condition. The passenger gave up the opportunity of hospitalization observation. After the signing of this agreement, neither Party A nor Party B shall be responsible for any problems of Party B's passengers;
3. Party A shall pay Party B's passengers' hospital examination fees, transportation fees, etc. * * _ _ _ _ _ _ _ _ _ (in words _ _ _ _ _ _ _ _ _ _) in one lump sum;
4. The car damage caused by Party A and Party B in this accident shall be borne by both parties, and neither party shall pursue it;
5. The contents of this agreement are true and valid, and shall come into effect after being signed by both parties. This accident is once and for all, and both parties (including passengers) will not pursue all the responsibilities arising therefrom in the future;
6. This agreement is made in triplicate, one for both parties (including passengers) and one for the traffic police department.
This agreement is a proof of voluntary mediation, and once signed, it is irrevocable. Our above agreement is completely true and legal, and if it is false, we are willing to bear legal responsibility.
Party A: _ _ _ _ _ _ _ Party B: _ _ _ _ _ Occupant of Party B: _ _ _ _ _ _ _ Witness: _ _ _ _ _ _ _ _
Coordination address: _ _ _ _ _ _ _ _ _ _ _
20____ _ _ _ _ _ _ _ _ _ _ _ _
Article 3 of the traffic compensation agreement: Party A: _ _ _ _ _ _ _ _ _
ID number:
Address: _ _ _ _ _ _
Tel: _ _ _ _ _ _
Party B: _ _ _ _ _ _
ID number: _ _ _ _ _ _ _
Address: _ _ _ _ _ _
Tel: _ _ _ _ _ _
Basic facts of traffic accidents and responsibilities of both parties:
In _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
After full consultation, Party A and Party B reach the following agreement:
1. Party A voluntarily compensates Party B for all losses of RMB _ _ _ _ (including paid RMB).
Two, the first loss compensation includes vehicle loss compensation.
Three. When signing this agreement, Party A must pay the remaining RMB 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.
Party A: _ _ _ _ _ _ _ Party B: _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Article 4 of the traffic compensation agreement: Party A: xxX, male, Han nationality,No. xX, xx District, xx City, XX Province. The ID number is 4523 xxxxxxxxxxxxx, and he is the driver of "Guangdong EXXX" pickup truck.
Party B: xxX, female, Han nationality,No. xX, xx City, XX Province. The ID number is 4523 xxxxxxxxxxxx, and she is the victim of a traffic accident.
On the night of xx, xx, XX, Party A drove a pickup truck on XX Road in XX District and injured Party B walking on the roadside, causing three ribs on the right side of Party B.. That night, Party A immediately sent Party B to xx Hospital for emergency treatment. The traffic police brigade of xx District Public Security Bureau in xx City determined that Party A was fully responsible and Party B was not. On XX, XX, XX, Party B was cured and discharged. After friendly consultation and agreement by the families of both parties, the two parties reached the following agreement on compensation related to traffic accidents:
1. The medical expenses of Party B during hospitalization shall be borne by Party A. ..
2. After discharge, Party A shall pay Party B the follow-up treatment fee of XX yuan, nutrition fee of XXXX yuan, lost time fee of XX yuan, nursing fee of XX yuan, hospital food subsidy of XX yuan and transportation fee of XX 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, and shall not pursue each other in the future.
Four. This agreement is made in triplicate, one for each party and one for the record of XX Traffic Police Brigade.
Party A (signature): YY.
Party B (signature): YY.
Remarks: This agreement is a compensation agreement between the owner and a third party. After the owner pays, he will take these materials to the insurance company to make a claim. You can also directly mediate and insure with the insurance company.
As Party C, the Company reached a compensation agreement among the three parties.
Article 5 of the traffic compensation agreement: Indemnitee (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 traffic accidents for both parties to abide by:
1. Party A shall compensate Party B RMB 156400 Yuan 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
Article 6 of the traffic compensation agreement: 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: _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Article 7 of the Traffic Compensation Agreement Party A: XXX
Party b: XXX, XXX, XXX, XXX, XXX.
Event summary: At 22: 35 on July 3, 20xx, when xxx (Party A) was driving from east to west at the intersection of xxX Road and xxx Road, the vehicle collided with xxx who was riding a bicycle in the motorway, causing xxx to die after being rescued. Now, all the close relatives of xxx (Party A) and xxx (Party B) have reached the following agreement on xXX's death compensation through friendly negotiation based on the principles of equality, voluntariness and fairness:
1. Party A shall pay all close relatives of Party B death compensation, living expenses of dependents, expenses for supporting the elderly, transportation expenses, lost time, funeral expenses, medical expenses, etc. * * * A total of two hundred and twenty thousand yuan.
2. Party A will remit the above-mentioned RMB 220,000 to all close relatives of the bank account designated by Party B within xx days after the signing of this agreement. Account number is:
3. After the above expenses are paid to all the close relatives of Party B, all the close relatives of Party B will distribute and handle them themselves, and the distribution and handling methods and consequences have nothing to do with Party A. ..
Four. After Party A pays all the money, either party of Party B promises not to ask Party A for any other expenses of Liu Hong's death 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. At the same time, all close relatives of Party B will not pursue any responsibility of Party A. ..
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. Both parties have read the full text of the agreement and understood it correctly. Both parties understand the consequences involved in this agreement and are completely satisfied with the results of this agreement. Eight. This agreement is a one-time termination processing agreement.
Nine. This agreement shall come into effect after being signed by both parties. This agreement is made in xxx copies, one for each party.
Party A:
Party B:
On behalf of:
On behalf of:
XX year XX month XX day
XX days
Article 8 of the traffic compensation agreement: Party A:, gender, race, date of birth, place of origin, address, ID number:.
Party B: Gender, nationality, date of birth, native place, address and ID number:
Because Party A drove a motorcycle from one direction to the other, it collided with a truck with the license plate "XXXXXX" driven by XXX at the destination, causing XXX to be injured. XXX was seriously injured and was hospitalized in the county people's hospital. Now the treatment has come to an end and XXX 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. Party B shall pay 27,000 yuan (in words: twenty-seven thousand yuan only) for the medical expenses of both parties in the county people's hospital;
2. Except medical expenses, Party B shall compensate Party A for both at one time, totaling 665,438+080 yuan. (in words: Qian Lu one hundred and eighty yuan only). 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 their respective 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. ..
Nine. This agreement shall come into effect after being signed (or sealed) by both parties.
Party A (two persons):
Party B:
date month year
date month year
Signature of personnel present:
Article 9 of the Traffic Compensation Agreement: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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
Traffic Compensation Agreement 10 Compensator: Kong xx, male, 56 years old, Han nationality, driver, now living in Xibazha Township, Saihan District, Hohhot.
Compensator: Gao xx, male, 36 years old, Han nationality, owner, now living in Saihan District, Hohhot.
Defendant: Lv xx, female, 56 years old, Han nationality, farmer, now living in xx County, Hohhot.
On May 10, 20xx, while riding an electric bicycle on the expressway, Lv xx collided with Meng A 16000 driven by Kong xx, causing injuries to Lv xx. Lu X was admitted to the Affiliated Hospital of Inner Mongolia Medical College immediately after being injured. After 30 days in hospital, he got better and was discharged on June 20xx 10. As determined by the Helin Traffic Police Brigade, both parties are equally responsible for this traffic accident. According to the appraisal conclusion of Hohhot Road Traffic Accident Disability Appraisal Committee, Lv xx's disability rating is seven or eight, and the comprehensive compensation index is 45%. Upon investigation, the vehicle Meng A 16000 was purchased by Gao xx, and Kong xx was hired to drive. Through negotiation, both parties reached the following compensation agreement:
1. The driver's manhole xx and the owner's height xx shall compensate Lv XX for medical expenses, disability compensation, lost time, hospital food allowance, nursing expenses, nutrition expenses, spiritual comfort, second operation expenses, dependents' living expenses, appraisal expenses, electric vehicle repair expenses, transportation expenses, etc. (2 17538).30- 16000 yuan) ÷2= 100769. 15 yuan;
2. The above payment shall be paid in one lump sum. After the compensation, both parties shall not go back on their word, and Lv xx will no longer pursue any responsibility of the driver and the owner and give up the right to appeal to the two compensators;
There is no other dispute between the two sides.
Four. This agreement is made in triplicate, one for each party and one for the record of relevant departments. It will take effect as of the date of signature.
Indemnitee: (signature) _ _ _ _ _ _ _ Indemnitee: (signature) _ _ _ _ _ _ _
20xx February 14 20xx February 24th