Free Accident Release of Liability Form Template
Accident Release of Liability Form
Please read carefully before signing.
Date
Releasor Name
Address
Releasee Name
Address
Description of Accident
Date of Accident
This release pertains to the accident that occurred on:
Brief Description of the Incident:
Release of Liability
I, the undersigned Releasor, hereby fully and forever release, waive, discharge, and hold harmless the above-named Releasee, including its agents, employees, successors, and assigns, from any and all claims, demands, causes of action, damages, or liability of any kind resulting from or related to the above-described accident. This includes all known and unknown injuries, property damage, or any future consequences arising from the incident, regardless of whether caused by negligence or other actions.
Acknowledgement & Assumption of Risk
I understand the nature of the accident and the associated risks. I acknowledge that I have had the opportunity to seek legal and medical advice and that I voluntarily sign this release with full understanding of its legal effect.
Entire Agreement
This document represents the entire agreement between the parties with respect to the release of liability for the accident and supersedes any prior agreements or understandings.
Releasor's Signature:
Name:
Date:
Releasee's Signature:
Name:
Date:
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