Work injury accident compensation agreement sample

Party A:

Delegated representative:

Party B: , male, Han nationality, age, ID number:

Due to Party B’s work-related accidents at Party A’s site, Party A and Party B have reached the following agreement on the basis of reasonable legality, mutual understanding and mutual respect, on the basis of reasonable and legal, mutual understanding and equality, after friendly consultations, taking into account the family situation of Party B and the actual situation of Party A:

Article 1 This Agreement is reached in accordance with the Regulations of the State Council on Work Injury Insurance, the Regulations on Work Injury Insurance in Guangdong Province, the Interpretation of the Supreme People's Court on Several Issues Concerning the Application of Laws in the Trial of Personal Injury Compensation Cases, and other relevant regulations. Party A and Party B are fully aware of Understand the contents of these two regulations and other relevant provisions, and clearly understand the compensation items and amount of Party B's work-related injuries.

Article 2 Party B is the employee of Party A's construction site who was injured at the construction site on the day of the month and was treated by Longhua People's Hospital. Party A has paid for medical expenses, living expenses, etc. due to Party B’s injury.

Article 3 The two parties shall, in accordance with the provisions of relevant laws and regulations, negotiate a total amount of compensation of RMB 10,000 yuan. Party B is clear and agrees that the above compensation includes but not only the one-time disability subsidy, one-time disability employment subsidy, One-time work-related medical subsidy, medical expenses, lost time, nursing, transportation, accommodation, hospitalization food allowance, necessary nutrition, disability compensation, disability aids, dependents living expenses, and rehabilitation Nursing, continuing treatment, the necessary rehabilitation costs, nursing expenses, follow-up treatment fees, and all compensations for the mental damages of Party B and their families.

Article 4 Status and guarantees of the parties:

1. A statement and guarantee to the parties as follows:

It is a limited liability company established and validly existing in accordance with the law;

It has the right to conduct the acts set forth in this Agreement and has taken all necessary corporate actions to authorize the signing and performance of this Agreement;

This Agreement shall constitute a binding obligation on the date of signing.

2. The statements and warranties of Party B to the parties are as follows:

It has the right to conduct the acts set forth in this Agreement and has taken all necessary actions to enter into and perform this Agreement;

When signing this Agreement, Party B fully understands the matters dealt with in this Agreement and signs this Agreement on an equal and voluntary basis. Party B guarantees that after receiving the above compensation, it will not claim any other party or any other person for any reason. make up;

This Agreement shall constitute a binding obligation on the date of signing;

Article 5 Liability for breach of contract If either party violates this Agreement, the agreement is invalid. Either party may bring a lawsuit to the People's Court, and if one party violates its representations, warranties or other obligations made in this Agreement and causes the other parties to suffer losses, the other parties have the right to demand compensation.

Article 6 A party to a confidentiality clause shall be obliged to keep confidential the trade secrets or personal privacy of the other party who is informed of the compensation for work-related injuries, and shall not disclose it to other relevant third parties, but otherwise provided by current Chinese laws and regulations or by the other party. Except for written consent.

Article 7 This Agreement shall be in duplicate. Each Party A and Party B shall hold one copy and shall enter into force after the signature and seal of both parties, and shall have the same legal effect.

person A person B:

Delegated representative:

Year, month, day, month, day