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[Boutique] Traffic Accident Mediation Agreement


Part 1: Traffic Accident Mediation Agreement

Party A: xx, male, address xx, driver's license or ID card number xx, driving model xx, contact number: xx;

Party B: xx, female, address xx, driver's license or ID card number xx, driving model xx, contact number: xx.

When x years x months x days x times x points, Party A drives the 皖A number x car, after x route x to x drive to x, because x illegal behavior, the x part of the car A hits the B number of the B driving x The x-part of the car, causing traffic accidents and minor injuries to traffic accidents.

In the above accidents, the two parties voluntarily reached the following agreement: causing economic losses of x yuan, Party A shall bear x yuan, and Party B shall bear x yuan.

The above agreement shall become effective after the signature of both parties.

Part 2: Traffic Accident Mediation Agreement

Party A: _____, attorney: _____

Party B: _____, attorney: _____

_____ years _____ month _____ day _____ around, Party A driving _____ _____ car, a road traffic accident occurred at _________________________, resulting in _____ unfortunate death. All the close relatives of Party A and the deceased have reached the following agreement on the basis of equality, voluntariness and fairness through friendly consultations:

1. Party A shall compensate Party B for medical expenses, salvage expenses, lost time, transportation expenses, accommodation expenses, funeral expenses, dependents' living expenses, old-age alimony, death compensation, mental damage and so on. :_____Round.

Second, the body of the deceased _____ was buried by his family.

3. After all the above-mentioned funds have been paid to all close relatives of Party B, all close relatives of Party B shall allocate and handle them internally, and the methods and consequences of their distribution and handling shall have no relationship with Party A.

4. After receiving the above payment, Party B shall issue a receipt to Party A and promise to waive all the right of recovery of Party A in this accident. After the signing of this Agreement, the accident will be terminated at one time, and both parties will never be entangled.

5. According to the sincerity of Party A, Party B considers that Party A’s illegal acts are caused by negligence, subjective malice, and social harm. In accordance with the principle of building a harmonious society, Party B gives Party A’s behavior in the spirit of treating and saving people. Under the understanding, Party A will no longer be held accountable for all responsibilities of Party A, and it is hoped that the Judiciary or relevant departments will be lighter, lighter or exempt from punishment.

VI. Both Party A and Party B of this Agreement have been read and understood in full. Party A and Party B fully understand the consequences of the contents of this Agreement. Both Party A and Party B are completely satisfied with the results of this agreement and will never regret it.

7. In the first instance of this Agreement, both Party A and Party B shall hold one copy, which shall be effective upon signature by both parties and by fingerprint.

Party A: _____ Party B: _____ Witness: _____

Signing date: year, month and day

Part 3: Traffic Accident Mediation Agreement

Party A:

Party B:

*Annual*Month* Day, after Party A accidentally injured Party B, Party A fulfilled the obligation of alarm and rescue in time, and paid for Party B's medical treatment, rehabilitation treatment, living allowance, nutrition fee, transportation fee and other expenses. At RMB 45,000, Party B requires Party A to resolve it at one time. On the basis of equality, voluntary negotiation and full understanding of relevant laws and regulations, Party A and Party B have agreed to deal with traffic accidents and reached the following agreement:

1. Party A and Party B shall reach a one-time compensation agreement based on the general principles of traffic accident handling, and Party A shall pay Party B RMB 18,000 in one lump sum.

2. After Party A pays RMB 18,000, Party B guarantees that in the future, it will never ask Party A for various nominal subsidies, compensation and other expenses for any reason and in any form. The follow-up matters and expenses shall be handled and borne by Party B itself.

3. After Party B receives RMB 18,000 from Party A, the matter will be terminated. There is no longer any rights and obligations between Party A and Party B. Party B promises not to file any lawsuits and arbitrations related to the matter. File any right of action against this Agreement with the Judiciary. In the future, the derivative results will be borne by Party B. Party A will no longer bear any responsibility for this.

4. All the terms of this Agreement are negotiated and agreed by both parties. Both Party A and Party B have read and understood in full. Party A and Party B fully understand the consequences of the contents of this Agreement. Both Party A and Party B understand and respect the purpose achieved by this Agreement. Both parties fully agree with this result.

5. When Party B collects Party A's one-time damages, Party B must also deliver all the medical expenses bills, medical record materials, other expense bills, and related documents to Party A at the same time, and guarantee the authenticity of the bill materials. The claim caused by the insurance company A failed, and Party B shall double the false part. When insuring insurance company claims, Party B is obliged to assist Party A to provide relevant documents, bills and other information.

6. This Agreement is a one-off termination agreement. This Agreement is the result of equal and voluntary consultations between the parties and is the true meaning of the parties. This Agreement shall enter into force immediately upon signature by both parties.

7. This Agreement shall be made in triplicate. Each Party A and Party B shall hold one copy and the Traffic Control Department shall file one copy with the same legal effect.

Party A: Party B: Traffic Management Department:

Signature time: year, month and day

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