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Free Fillable Release Of Accident Claims Generator

This is a great form. You can do a lot with it. But sometimes you want more, like instructions, examples, different formats, editable and of course attorney prepared. You can find one of those with this Release Of Accident Claims for just a few dollars.

Payment Amount
Name of Releasor
Address of Releasor
Name of Releasee
Address of Releasee
Accident Date
Location of Accident
Number of Cars Involved


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HTML Release Of Accident Claims

RELEASE OF ACCIDENT CLAIMS

 

FOR AND IN CONSIDERATION OF THE SUM OF _____________________ Dollars, the receipt and sufficiency of which is hereby acknowledged, I ______________________ of ______________________________ hereby fully release and forever discharge ___________________________ of ________________________________, its heirs, executors, administrators, agents and assigns, and all other persons, firms or corporations liable or who might be claimed to be liable,(collectively the �Releases�) from any and all claims, demands, damages, actions, causes of action of any kind or nature whatsoever that I now have or may hereafter have arising out of, in consequence of or on account of all injuries, known and unknown, to person and property, including any latent injuries and all developments and results arising therefrom, whether known or unknown injuries, whether developed or undeveloped, and anticipated or unanticipated consequences of all such injuries, and damages resulting to me in any way from an accident which occurred on or about the __________ day of __________, 20 __, at or near _____________________________ involving _______ motor vehicles, in one of which I was a passenger.

By accepting the above mentioned sum, I hereby release and discharge that fraction, portion or percentage of the total cause of action of claim for damages I now have or may hereafter possess against all parties responsible for my damages.

I hereby declare that I have fully read and understood the terms of this settlement and I have voluntarily accepted for the purpose of making a full and final compromise adjustment and settlement of any and all claims.

IN WITNESS WHEREOF I have executed this Release on �______________________

 

_____________________________

(Signature)

_____________________________

(Print Name)

Description

This free fillable Release of Accident Claims form template can be used by a passenger in a car involved in an accident to release a party at fault for present and future claims of personal and property damage. This form includes the payment made for the release and the necessary information about the accident. It is important to have the terms of the release in writing to avoid any potential problems in the future after settling the claim. Our form simplifies the process but take a look for yourself. Just fill in the blank fields, download and print to create a great legal document.







Instructions

Simply fill out the fields on this page with the required information. Press the "Create Form" button. If you want a blank form, leave the fields as they are and click on the 'Create Form' button. On the next page you will be able to download your completed form. The form can then be edited further or just printed. That's all there is too it. We do not collect or save any of the information you enter in these forms. The information is solely used to fill out the form you are preparing.

Disclaimer: This form was not drafted by an attorney and is provided "As-Is" and may need substantial modifications to be valid. It should not be used as a legal document. By using any form on this site you agree that you are using them at your own risk.