Article 1: Compensation Agreement
Party A:
Name: _ _ _ _ _ _ Gender: _ _ _ _ _ _ Nationality: _ _ _ _ _ Age: _ _ _ _ _ _ _ ID number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B:
Name: _ _ _ _ _ _ Gender: _ _ _ _ _ _ Nationality: _ _ _ _ _ Age: _ _ _ _ _ _ _ ID number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
After the _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Therefore, based on the principles of fairness, justice, equality, voluntariness and consensus, Party A and Party B have reached the following one-time compensation agreement:
1. From the date of Party B's injury to the date of signing this agreement, all expenses actually incurred by Party B, such as medical expenses and transportation expenses, and other expenses payable by Party A * * amount to _ _ _ _ _ _ _ (in words: RMB _ _ _ _ _ _), and Party A has paid Party B in full; After the signing of this agreement, Party B shall not claim any expenses incurred during the above period from the date of Party B's injury to the date of signing this agreement for any reason or in any form.
2. Party A shall pay all expenses related to personal injury losses (hereinafter referred to as "total") such as disability compensation, medical expenses and lost time to Party B in one lump sum. One-time subsidy? ), * * * RMB _ _ _ _ _ _ (in words: _ _ _ _ _); After being signed by both parties, Party A and Party B shall pay it in one lump sum.
III. The amount of one-time subsidy shall be determined by both parties through voluntary negotiation; Or different from the legal amount, it is an appropriate punishment for Party B's voluntary legal rights, that is, Party B voluntarily waives other rights.
Four. After receiving the one-time subsidy, Party B shall allocate and handle it reasonably, and reserve enough related expenses for possible follow-up treatment, nursing, nutrition, transportation, etc. The allocation method of this fee shall be decided by Party B itself, and the consequences shall be borne by Party B. ..
5. Based on the injury suffered by Party B, it is possible to assess the disability level, and Party B voluntarily gives up the disability level appraisal. What does Party A pay? One-time subsidy? All expenses such as corresponding disability compensation after Party B reaches the disability assessment level have been included.
Intransitive Verb Since the date when Party A and Party B sign this Agreement, Party B promises not to claim any other expenses or assume any responsibilities from Party A in any form (including but not limited to prosecution and arbitration) for any reason.
Seven. The signing of this agreement does not directly or indirectly mean that Party A is at fault or legally liable for personal injury to Party B. ..
Eight. When both parties sign this agreement and Party A pays the compensation agreed in this agreement, all the rights and obligations of Party A and Party B are completely terminated, and there is no legal relationship, rights and obligations between the two parties.
This agreement is made in duplicate, one for each party. This agreement shall come into effect after being signed by both parties.
Signature of Party A: _ _ _ _ _ _ Signature of Party B: _ _ _ _ _ _ _ _ _
Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Signing place: _ _ _ _ _ _ _ _ _ _ _ Signing place: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Article 2: Industrial Injury Compensation Agreement
Employer: _ _ _ _
Worker: Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
The first _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Article 2 After full consultation by both parties, the employee agrees to give up the right to apply for work-related injury and disability appraisal, and the employer shall give the employee corresponding one-time compensation with reference to relevant standards.
Article 3 After full consultation between the employer and the employee, the employee agrees that the employer will give him the following work-related injury treatment:
(1) The medical expenses and follow-up treatment expenses are _ _ _ _ _ _ _ _ _ _;
(2) The lost time (including medical treatment period and rehabilitation period after discharge) is _ _ _ _ _ _ _ _ _ _;
(3) Other expenses (including hospitalization food subsidies, nursing expenses, one-time disability subsidies, one-time disability medical subsidies, one-time disability employment subsidies, etc.). ) is: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _;
(4) The above expenses are RMB: _ _ _ _ _ _ _ _ _ _ _.
Party A shall pay the compensation agreed in the preceding paragraph to the laborer in full within 3 days from the effective date of this agreement without delay; Workers themselves shall receive compensation, and may not entrust others to receive it. If entrusting others, a notarized power of attorney shall be provided.
Article 4 Since _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Dissolve the labor relationship within 3 days from the effective date of this agreement.
Article 5 After this agreement comes into effect, the laborer agrees not to demand any compensation from the employer for any reason. If the laborer violates this agreement, he agrees to return the above compensation to the employer in full.
Article 6 The aforementioned compensation agreed in this Agreement is a one-time compensation. After receiving compensation, the laborer agrees not to ask the employer to pay other expenses or compensation on this ground, nor to hinder the normal production and business activities of the employer on this ground, otherwise it shall compensate the employer for all economic losses caused.
Article 7 This Agreement shall come into force as of the date of signature by both parties.
Article 8 This Agreement is made in quadruplicate, three for the employer and one for the employee, all of which have the same legal effect.
Article 9 Disputes arising from this Agreement shall be arbitrated by the labor dispute arbitration committee where the employing unit is located.
Article 10 This Agreement was signed in the office of Party A on.
Employer (seal): _ _ _ Employee (signature): _ _ _
Handler (signature): _ _ _ _
Article 3: Medical malpractice compensation agreement
Party A: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (medical institution)
Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (the affected party)
With regard to matters related to Party B's illness, Party A and Party B reached the following agreement through negotiation in accordance with the provisions of laws and regulations, on the basis of equality, honesty and credibility:
Rule number one. Basic information of patients:
Name: _ _ _ _ _ _ _ _ Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
ID number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Phone number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Article 2. Party B has fully understood Party A's current medical behavior and has a very clear understanding of the medical level. Party B voluntarily stopped proposing medical malpractice appraisal and proposed to settle the dispute once and for all.
Article 3. Party A shall pay Party B RMB _ _ _ _ _ _ in one lump sum, including medical expenses, lost time, hospital food allowance, escort expenses, transportation expenses, accommodation expenses, mental damage compensation and other expenses that may occur due to this diagnosis and treatment.
Article 4. Payment shall be made within _ _ _ _ _ _ days from the date of signing this Agreement, and Party B shall issue a separate receipt after receiving the payment.
Article 5. After Party A pays all the money as agreed, everything caused by medical problems of patients between Party A and Party B will be terminated.
Article 6 Obligations of Party B: Party B guarantees that the contents of this Agreement will be kept confidential and will not be disclosed to a third party, and that it will not make trouble at Party A's place after receiving the money, so as to safeguard Party A's reputation. Party B guarantees that there is no compulsion, major misunderstanding or obvious unfairness when signing this Agreement.
Article 7 Liability for Breach of Contract: If Party B breaches this Agreement, divulges the contents of this Agreement to a third party, or has a dispute with Party A again or demands compensation again, it will be regarded as breach of contract. Party B shall pay the money paid by Party A in double indemnity and compensate all losses caused thereby, including loss of reputation, loss of recovery of legal fees, loss of attorney fees, etc.
Article 8 The above agreement shall come into effect after being signed or sealed by both parties.
Party A: _ _ _ _ Party B: _ _ _ _
Date: _ _ _ Date: _ _ _ _
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