Accident Claims Release forms are used by an individual or company to release another from injuries or damages suffered in an accident. This release sets out the parties to the event, the location and date of the accident, and the amount of any payments made to the releasor.
In consideration of ___________________ (state event) and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, ________________ hereby agrees as follows:
1. That I hereby releases and forever discharges ____________ and its, employees, officers, directors, successors and assigns of and from any and all actions, causes of action, damages, claims and demands whatsoever, which ___________ had, now has or which the ___________ hereafter can, shall or may have for any reason whatsoever.
2. This Release shall inure to the benefit of the ______________ and its employees, officers, directors, successors and assigns, and shall be binding upon the ____________ and its heirs, executors, administrators, successors and assigns.
The parties herein have agreed to the terms and conditions set forth above and hereby execute this Claims Release by signing this instrument on ______________.