Work injury one-off compensation agreement template

Party A:

Gender: Date of birth: Year, month and day ID card number:

Home address: Phone:

Party B: Shijiazhuang company residence:

legal representative:

In view of the fact that Party A was injured in the Shijiazhuang site due to violation of the safety operation procedures on the day of the month, in accordance with the relevant laws of the State and the local regulations of Shijiazhuang, the two parties have clearly understood the relevant laws and regulations, whether they belong to the work injury and the results of their treatment. . In order to solve the problem of Party A's work-related injuries, Party A and Party B have reached the principle of seeking truth from facts, negotiating on an equal footing, mutual understanding and mutual accommodation. According to the Regulations on Industrial Injury Insurance, the agreement is as follows:

First, the amount of compensation:

1. Both Party A and Party B have unanimously confirmed that Party B has paid Party A's two hospitalization medical expenses totaling RMB¥ yuan before June 1, 2008. Party B has also paid Party A's suspension of salary, economic compensation, and disability employment. Part of the compensation for the subsidy is ¥ yuan.

2. On the basis of the amount confirmed in the first article of this Agreement, Party A and Party B agree that Party B shall pay Party A's various compensations in a lump sum. Party A voluntarily waives other requests and the two parties have no interest in it.

Second, the payment period:

The amount confirmed in Article 1(2) of this Agreement shall be paid in RMB at the date of signing this Agreement; RMB shall be paid before August 31, 2008; the balance shall be paid by December 31, 2008. Party B may pay the above amount by bank transfer. Party A's bank account is: 3. Party A and Party B agree that the labor relationship between the two parties shall be lifted from the date of signing this agreement.

4. From the date of signing the agreement, Party B voluntarily waives the right to compensate for the difference;

5. Party A voluntarily waives the rights arising from the occurrence and dissolution of the labor relations between the two parties;

6. After the signing of this Agreement, there is no further dispute between the two parties, and Party A shall not pursue any responsibility of Party B for any reason. Party A voluntarily waives the right to arbitration and litigation after the termination of labor relations between the two parties.

7. Liability for breach of contract:

1. If Party B delays payment, Party A has the right to request Party B to pay the balance in one lump sum, and has the right to request Party B to pay interest at twice the interest of the bank during the same period.

2. If any party violates the contract and causes litigation, arbitration or application for compulsory execution, it shall pay the other party the expenses for realizing the creditor's rights, including but not limited to investigation and collection fees, transportation, communication fees, lost time, notary fees, and attorney fees.

8. Both parties voluntarily comply with the above terms.

IX. This Agreement shall come into force on the date of signature and seal of both Party A and Party B. This Agreement shall be in duplicate and each party shall hold a copy.

person A person B:

Year, month, day, month, day