Free Sample Waiver Letter for Claims Template
Sample Waiver Letter For Claims
October 10, 2050
Franz Davis
Zenexus
Charleston, SC 29401
Dear Mr. Davis,
I, [YOUR NAME], am writing this letter to formally waive any and all claims, rights, or causes of action that I may have against Zenexus related to the auto accident that occurred on October 5, 2050, at the intersection of Charleston, SC 29401. I was involved in this accident, and the claim number associated with this incident is 226535.
I understand that by signing this waiver, I am releasing Zenexus, its officers, employees, agents, and representatives from any liability, responsibility, or obligation arising from the aforementioned auto accident.
I acknowledge that I have had the opportunity to seek legal counsel and have been advised of my rights and the potential consequences of waiving those rights. I am making this decision willingly and with a full understanding of its implications.
I further confirm that I have received the agreed-upon settlement amount of $5,000 in exchange for waiving these claims, which will cover medical expenses, property damage, and any other related costs.
This waiver is effective as of the date of this letter and is a complete and final release of all claims related to the specified auto accident on October 5, 2050. If required, I am enclosing a copy of the police report, medical bills, and any other relevant documentation necessary to formalize this waiver. Please provide a copy of this waiver, duly signed and dated by an authorized representative of Zenexus, as evidence of the acknowledgment and acceptance of this waiver.
Thank you for your prompt attention to this matter.
Yours sincerely,
[YOUR NAME]
