Release of All Claims

Release of All Claims

Know all by these present:

That the Undersigned, being of lawful age, for sole consideration of    to be paid to  does hereby and for my/our/its heirs, executors, administrators, successor and assigns release, acquit and forever discharge , and their, or its agents, servants, successors, heirs, executors, administrators and all other persons, firms, corporations, associations or partnerships of and from any and all claims, actions, liens, causes of actions, demands.  Rights, damages, costs, loss of service, expenses and compensations whatsoever, which the undersigned now has/have or which may hereafter accrue on account of or in any way growing out of any and all consequences thereof resulting or to resulting or to result from the accident, casualty or event which occurred on or about , at .

It is understood and agreed that this settlement is the compromise of a doubtful and disputed claim, and that the payment made is not to be construed as an admission of liability on the part of the party or parties hereby released, and that said releasees deny liability therefore and intend merely to avoid litigation and buy their peace. 

The undersigned further declare(s) and represent(s) that no promise, inducement or agreement not herein expressed has been made to the undersigned, and that this Release contains the entire agreement between the parties hereto, and that the terms of this Release are contractual and not a mere recital.

Recipient Notes:



Leave this empty:

Signature arrow sign here

Signed by Safety Manager
Signed On: March 5, 2020

Signature Certificate
Document name: Release of All Claims
lock iconUnique Document ID: 191e0d197542427c1584dd1e5bc513611c463793
Timestamp Audit
March 3, 2020 10:01 PDTRelease of All Claims Uploaded by Safety Manager - IP