Dispute Agreement 1 Party A: Hospital
Party B (patient or patient's close relatives):
Basic information of patients:
Name: Gender: Age: Address: Hospitalization Number:
After mediation, the hospital and the patient voluntarily reached the following compensation agreement:
1. Party A and Party B agree to settle the dispute through consultation, and do not pursue the causes and responsibilities of the dispute.
2. Party A voluntarily compensates Party B:
Three. Party A and Party B waive all litigation rights based on medical disputes.
Four. Liability for breach of contract: this agreement ends the medical dispute once and for all, and neither party can go back on its word. If one party reneges, it shall pay RMB to the other party as liquidated damages.
Verb (abbreviation of verb) This agreement shall come into effect after being signed and sealed by both parties. This agreement is made in duplicate, one for each party.
Party A:
Party B:
Date, year and month
hospital
Article 2 of the Dispute Agreement Party A (Company)
Party B: (employee)
Through friendly negotiation, Party A and Party B reach the following agreement on dissolving the labor dispute with Party A, so as to abide by the labor dispute mediation agreement.
1. Regarding the disciplinary matters of * * * * *, Party A has fully understood that its actions have indeed caused adverse effects to Party B, and Party A apologizes to Party B for this, and has no objection to Party B's decision to dissolve the labor relationship.
2. Considering the actual situation of Party A during his work in Party B and the current actual situation, Party B decides to pay a one-time subsidy of RMB 20,000 Yuan only to Party A; When paying the subsidy fee to Party A, Party B has fully considered the actual situation of Party A, fully reflected Party B's humanistic care for Party A based on the principle of people-oriented, and made a one-time subsidy, namely the Labor Dispute Mediation Agreement.
Three. After the signing of this agreement, Party A shall apply to the District Labor Dispute Arbitration Committee to withdraw the labor dispute cases of both parties within three days, and provide Party B with the ruling document of the withdrawal application made by the Arbitration Committee, and Party B shall pay a one-time subsidy fee on the same day after receiving the ruling document provided by Party A. ..
4. Party B will pay a one-time subsidy fee to Party A in the form of salary, and directly deposit the subsidy fee into a bank passbook opened in the name of Party A. After Party A or its agent signs the passbook, it is deemed that Party B has fulfilled its payment obligations.
Verb (abbreviation of verb) Party A promises that there will be no more problems between Party A and Party B after the performance of this agreement.
For other unresolved disputes, Party A promises not to claim any other civil rights against Party B for any reason.
Party A and Party B agree that both parties shall actively perform the matters agreed in Article 3 of this Agreement, and Party B shall pay the above-mentioned agreed amount to Party A or its specially authorized agent as agreed, and Party A (or its specially authorized agent) shall sign the receipt voucher after receiving it. If Party B fails to perform the payment obligation as agreed, it shall bear the corresponding liability for breach of contract.
7. This agreement shall come into effect as of the date when the agents of both parties sign it.
Eight. This Agreement is made in quadruplicate, one for each party, and two for Party B to file with relevant departments.
Party A:
date month year
Party B:
date month year
Article 3 of the dispute agreement: Party A: _ _ _ _ _ _ _ _ Hospital: Party B (or immediate family members of the affected party): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Basic information of patients:
Name: _ _ _ _ _ _ Gender: _ _ _ _ _ Age: _ _ _ _ _ Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
After _ _ _ _ days in hospital, the patient's treatment results (death, disability, improvement and recovery) caused controversy. Through consultation, both parties voluntarily reached the following compensation agreement on this dispute:
1. Party A and Party B voluntarily give up the right to appeal, appeal, prosecution and appraisal, and agree to settle the dispute through negotiation or mediation without clarifying the cause and responsibility of the dispute through appraisal.
2. Party A shall pay Party B a one-time living allowance of RMB _ _ _ _ _ _ _.
Third, the compensation payment time:
Party B or immediate family members shall receive subsidies with their ID cards (photocopies) and household registration books.
Four. Liability for breach of contract: this agreement is terminated once, and neither party can go back on its word. All disputes caused by patients' medical problems between Party A and Party B will be terminated after Party A pays all the money agreed in this agreement, and Party B shall not claim rights from Party A for any reason or in any way. If either party violates this agreement, it shall pay the other party a penalty of five times the compensation amount, and this agreement shall not be used as the basis for claiming rights.
Verb (abbreviation of verb) This agreement shall come into effect after being signed and sealed by both parties. This agreement is made in quadruplicate, one for each party, one for notarization by the notary office and one for filing by the Health Bureau.
Party A: Party B (or immediate family member):
Witness lawyer (or notary):
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Article 4 of the Dispute Agreement Party A (Company)
Party B: (employee)
Through friendly negotiation, Party A and Party B have reached the following agreement on dissolving the labor relationship dispute between Party B and Party A for compliance.
1. Regarding the disciplinary matters of * * * * *, Party A has fully understood that its actions have indeed caused adverse effects to Party B, and Party A apologizes to Party B for this, and has no objection to Party B's decision to dissolve the labor relationship.
2. Considering the actual situation of Party A during his work in Party B and the current actual situation, Party B decides to pay a one-time subsidy of RMB 20,000 Yuan only to Party A; When paying the subsidy fee to Party A, Party B has fully considered Party A's actual situation, fully reflected Party B's humanistic care for Party A based on the people-oriented principle, and made a one-time subsidy.
Three. After the signing of this agreement, Party A shall apply to the District Labor Dispute Arbitration Committee to withdraw the labor dispute cases of both parties within three days, and provide Party B with the ruling documents of the withdrawal application made by the Arbitration Committee, and Party B shall pay a one-time subsidy fee on the same day after receiving the ruling documents provided by Party A. ..
4. Party B will pay a one-time subsidy fee to Party A in the form of salary, and directly deposit the subsidy fee into a bank passbook opened in the name of Party A. After Party A or its agent signs the passbook, it is deemed that Party B has fulfilled its payment obligations.
Verb (abbreviation of verb) Party A promises that there will be no more problems between Party A and Party B after the performance of this agreement. ..
For other unresolved disputes, Party A promises not to claim any other civil rights against Party B for any reason.
Party A and Party B agree that both parties shall actively perform the matters agreed in Article 3 of this Agreement, and Party B shall pay the above-mentioned agreed amount to Party A or its specially authorized agent as agreed, and Party A (or its specially authorized agent) shall sign the receipt upon receipt. Assuming that Party B fails to fulfill its payment obligations as agreed, it shall bear corresponding liabilities for breach of contract.
7. This agreement shall come into effect as of the date when the agents of both parties sign it.
Eight. This Agreement is made in quadruplicate, one for each party, and two for Party B to file with relevant departments.
Party A:
Party B:
date month year
Article 5 of the Dispute Agreement Party A:
Party B:
* * On the morning of Thursday, June 65438+1October 65438, Party A was in Gaobinhu and Party B was in Bai Huanhuan; Because I played in the corridor in front of the classroom for more than ten minutes between classes, Gao Binhu pushed Bai Huanhuan and accidentally carved it on the handrail of the corridor. As a result, Bai Huanhuan knocked out a small half of a front tooth, and the treatment cost was lost. Under the coordination of Phoenix Police Station and No.5 Middle School, and with the participation of parents of both parties, Party A voluntarily undertakes Party B's medical expenses and other related expenses, and reaches the following agreement:
All losses, including medical expenses incurred by Party B due to injury, total RMB 2,500.00 Yuan, which shall be borne by Party A and paid to Party B in one lump sum; Party B's hospitalization medical invoices and other expense documents shall be submitted to Party A for preservation.
In the future, both parties should bury the hatchet and make up. We must not find fault with each other because of the same facts and reasons, and whoever is the culprit will bear the main responsibility in the future. The handling of this case is one-off, and then nothing has anything to do with this case.
This agreement is made in duplicate and shall come into force after being signed and sealed;
Signed by Party A's parents: MM DD YY.
Signed by Party B's parents: MM DD YY.
Witness: * * *
Signature of mediator in the Fifth Middle School:
date month year
Article 6 Dispute Agreement Party A:
Party B:
In accordance with the Lawyers Law of People's Republic of China (PRC) and relevant regulations, Party A and Party B have entered into this Agreement through full consultation on the basis of equality and voluntariness.
I. Entrustment: Party B accepts the entrustment of Party A to appoint lawyer Zhou Lei as Party A's agent in the second-instance lawsuit between Party A and xxxxxx.
Two. Authority of entrusted agency: Please refer to the power of attorney for the authority of Party A to entrust Party B's lawyer.
Three. Rights and obligations of Party A
1. Party A must state the real situation to Party B's lawyer in a timely and detailed manner, and provide evidence materials related to this case in a timely manner.
2. After accepting the entrustment, if Party B finds that Party A intentionally fabricates facts, cheats, etc. Party B has the right to terminate this Agreement at any time, and the fees collected for attorney fees, case handling fees and other related expenses will not be refunded, and all legal consequences arising therefrom shall be borne by Party A.. ..
3. Party A shall actively cooperate and assist the work of Party B's lawyer. If Party A's request to Party B's lawyer is suspected to be illegal, unreasonable or infeasible, Party B's lawyer has the right to refuse.
4. If Party A puts forward other entrusted matters other than this agreement, both parties may sign another agreement. If both parties fail to reach an agreement on this, Party B has the right to refuse.
5. Party A shall pay Party B the lawyer's fees, case handling fees and other related expenses in full and on time, otherwise, Party B has the right to refuse to continue the agency or terminate this agreement.
Four. Rights and obligations of Party B
1. Party B's lawyer shall practise according to law and earnestly safeguard the legitimate rights and interests of Party A. Party B's lawyer shall appear in court on time and submit evidence related to this case to the judicial organ according to law.
2. The privacy of Party A that Party B's lawyer knows in the process of handling the case has the obligation of confidentiality, and shall not be disclosed to any third party without Party A's consent. ..
3. Party B has the right to refuse Party A's request to cooperate with other law firms on agency matters under this agreement.
Five, lawyer's fees, handling fees and other expenses.
1, attorney's fee:
The lawyer's agency fee is RMB 5,000, and the payment method is as follows:
(1) The handling fee paid on the date of signing this agreement is 1000 yuan.
6. Party A shall pay the agency fee of 4,000 yuan on the day of receiving the judgment of second instance. If you lose the case, the agency fee of 4000 yuan will not be paid.
1. Under any of the following circumstances, Party B has the right to terminate this Agreement, and the lawyer's fees, case handling fees and other related fees collected will not be refunded:
(1) The matters entrusted by Party A are illegal or violate the professional norms of lawyers.
(2) Party A intentionally fabricates facts, evidence or conceals facts.
2. Under any of the following circumstances, Party A has the right to terminate this Agreement and demand a refund of the attorney's fees:
(1) If it is not necessary, change the appointed lawyer without Party A's consent.
(2) The lawyer appointed by Party B has no legal qualification.
3. Either party shall not terminate this Agreement without reason. If Party A dissolves or terminates this Agreement without reason, the paid attorney fees, case handling fees and other related expenses will not be refunded. If Party B dissolves or terminates this Agreement without reason, it shall refund the relevant fees charged according to this Agreement.
Seven. Liability for breach of contract and exemption from liability
1. If Party A fails to pay the lawyer's fees, case handling fees or other fees without justifiable reasons, it shall pay Party B the accumulated liquidated damages of 65,438+0% of the total unpaid fees for each day overdue. If Party A is overdue for more than 7 days, Party B has the right to dissolve or terminate this Agreement, and losses caused to Party A therefrom shall be borne by Party A..
2. If Party B refuses to provide agency services without justifiable reasons, Party A has the right to ask Party B to refund part of the attorney fees according to the work done by Party B. ..
Eight. Party A shall not require Party B to refund the lawyer's fees, () handling fees and other related expenses for the following reasons:
1. After this agreement comes into effect, Party A unilaterally entrusts other law firms to request a refund.
2. After Party B accepts the entrustment, Party A asks for a refund on the grounds of high cost.
3. After this agreement comes into effect, Party A demands a refund on the grounds of not suing, settling, withdrawing or terminating the lawsuit.
4. After Party B completes the court session on behalf of Party A, in the mediation activities after the court session, if Party B's lawyer fails to participate in mediation activities due to work conflicts, Party A shall not ask for a refund on the grounds that the results are not satisfactory.
5. Party B's lawyer has completed the agency work, and Party A shall not ask for a refund on the grounds that the result is not satisfactory.
6. Other reasons not attributable to Party B require Party A to dissolve or terminate this Agreement.
Nine. Other agreed matters.
1. This agreement is made in duplicate, with each party holding one copy.
2. This Agreement shall come into effect from the date of signature and seal by both parties until the date of termination of agency matters agreed in this Agreement, including but not limited to judgment, ruling, mediation, conciliation, withdrawal of lawsuit and termination of claim rights.
Party A: (signature) Party B: (signature)
date month year