[Boutique] Traffic Accident Compensation Agreement Template

Part 1: Model of Traffic Accident Compensation Agreement

Party A: ID number:

Party A's agent: ID number:

Party B: ID number:

Party B entrusted agent: ID number:

At 7:50 on the day of the month of 2006, Party A drove the Beijing No. 8 Polo Car from Ling to go to the county road 101KM+700M, and collided with the pedestrian crossing the road. After the collision, the car drove into the ditch. A traffic accident that causes injury and damage to the vehicle. After the accident, Party B paid Party A's medical expenses to the Party through the County Public Security Traffic Police Brigade. The County Public Security Traffic Police Brigade No. 0000 "Traffic Accident Certificate" determines that Party A is responsible for this accident and Party B is responsible for the secondary responsibility of this accident. Both Party A and Party B have presided over mediation by the county public security traffic police brigade, and they have voluntarily reached a one-time compensation agreement for the loss of Party A from traffic accidents and damage to Party B's vehicles. Now, according to national laws and relevant regulations, the specific compensation matters and the rights and obligations of both parties are as follows: Both parties must comply with:

1. Both Party A and Party B will mediate and reach an agreement under the auspices of the county public security traffic police brigade comrades. The mediation process of this agreement is in line with national laws and is the true meaning of the two sides' equal negotiation, mutual understanding and mutual accommodation. No regrets. At the same time, the two sides solemnly promised to renounce the right to file all lawsuits, arbitrations and other remedies with the judicial organs and other authorities.

2. Party A and Party B shall reach a one-time compensation agreement based on the general principles of traffic accident handling, and Party B shall compensate Party A for one-time compensation for RMB 10,000 yuan, including the previously paid RMB 10,000. The one-time damages have been deducted from Party A’s losses in respect of Party B’s vehicles, and Party A no longer needs to pay Party B compensation for vehicle losses. When this Agreement is signed, Party B shall be deemed to have fulfilled the agreement by the mediation of the police officer to pay the 50,000 yuan of the difference between Party A and Party A. The dispute in this case is immediately completed, and Party A confirms that Party B has no relationship with the case immediately. Party A, the agent and the adult family member shall, when receiving the payment, recover the previous payment of 10,000 yuan, and issue a receipt for the total amount of one-time damages to Party B. Party A and the agent and adult family members The fingerprint must be hand-printed at the receipt of the receipt, and the original receipt will be kept at Party B. The copy will be kept in the traffic police team file for future reference. Both parties have recognized and promised that the above total compensation is voluntary mediation and complies with the provisions of national laws. Party A promises not to bring any lawsuits and arbitrations related to the case, and also waives any right to sue against the judicial authorities for this agreement. Party B will no longer bear any legal responsibility for any change in the party’s injury.

3. When Party A collects Party B's one-time damages, it must deliver all the medical expenses bills, medical record materials, other expense bills, and related documents to Party B at the same time, and ensure the authenticity of the bill materials. Party B’s claim to the insurance company failed, and Party A shall double the false part of Party B. When insuring the insurance company's claim in the direction of B, Party A is obliged to assist Party B to provide relevant documents, bills and other information.

4. All terms of this Agreement shall be agreed upon by both parties and shall be in the form of a document prepared by the party specified in the Non-Contract Law. Both parties shall sign the right hand index finger under each page of this Agreement. This Agreement shall enter into force immediately after the signature of both parties is signed. Both parties undertake and confirm that this Agreement is a legal, true, irrevocable and irrevocable civil contract. It is protected by law and is a one-time solution to the statutory In the legal instrument for damages disputes, the commitments of the parties in the agreement cannot be violated. If there is a violation, the defaulting party must pay the breaching party a liquidated damages of RMB 10,000.

5. This Agreement shall be made in triplicate. Each Party A and Party B shall hold one copy and remain in the mediator's file. All three are originals of the agreement and have the same legal effect.

Signature of Party A: Signature of Party B:

Party A entrusts the agent: Party B entrusts the agent:

Contact number: Contact number:

Signing time: Signing time:

Part 2: Model of Traffic Accident Compensation Agreement

Party A:

Party B:

For the traffic accidents that occurred on January 15, 2008, both parties A and B reached the following agreement:

1. Party A voluntarily compensates Party B for various losses of RMB 4,5000.00.

2. Compensation for losses includes compensation for Party B's transportation expenses, nursing expenses, lost time, one-off accommodation, living expenses for dependents, follow-up treatment fees, mental damages, and disability compensation.

3. When this Agreement is signed, Party A shall pay Party B RMB 20000.00, and the balance shall be paid to Party B after Party B cooperates with Party A to settle the claim. The specific cooperation work of Party B refers to the agreement of Article 7 of this Agreement. If Party B does not cooperate with Party A's work, Party A has the right to refuse to pay the remaining amount.

4. The compensation involved in this Agreement is a one-time termination of compensation. After Party A pays Party B's expenses, Party B shall not claim any rights to Party A for any reason in the future, and Party A shall no longer bear any liability for compensation.

5. At the time of signing this Agreement, both parties signed under voluntary circumstances. There is no major misunderstanding or fairness. Party A and Party B shall not rebut the agreement for any reason.

6. After Party A compensates Party B, Party B shall actively cooperate with the work of Party A and the insurance company when it makes a claim to the insurance company. The contents include the identification of the disabled, the provision of all the bills, etc., if Party B does not cooperate with Party A. When the work causes Party A not to claim compensation from the insurance company, Party B shall return the amount equivalent to the insurance company's claim settlement to Party A.

7. This Agreement shall enter into force upon signature by both parties.

8. This Agreement is made in two copies, one for each of Party A and Party B.

person A person B:

Year, month, day, month, day

Part 3: Model of Traffic Accident Compensation Agreement

Party A: xxx, male, Han nationality, xx village, xx town, xx county, Dali Prefecture, Yunnan Province. ID number 5329xxxxxxxxxx, driver's license number xxxxxx, is the driver of the "cloud lxxxxx" van.

Party B: xxx, female, Han nationality, xx village, xx town, xx county, Dali Prefecture, Yunnan Province. ID number 5329xxxxxxxxxx, driver's license number xxxxxx, is the victim of the traffic accident.

On the evening of xx xx, 20xx, Party A drove a white van to the side of the road in the xx village of xx town, Dali Prefecture, and injured the B side of the left side of the rib. On the evening, Party A immediately sent Party B to the xx County Hospital for emergency treatment. During the hospital stay, the family of Party B has been accompanying the care. On the xxth day of the 20xx year, Party B was cured and discharged. The two sides are now friendly consultations and, with the consent of their families, the agreement on compensation for the traffic accident is as follows:

1. The medical expenses and other necessary expenses incurred during the hospitalization of Party B shall be borne by Party A.

2. After discharge, Party A will pay Party B a one-time nutrition fee xxxx yuan, a lost time fee of xxx yuan, a nursing fee xxxx yuan, a hospital food subsidy of xxx yuan, a review fee of xx yuan, etc., totaling xxxxx yuan.

Third, the above fees are paid in one lump sum. Since then, Party A’s liability for compensation has been completely eliminated. Party B voluntarily assumes the risk of invisible injury that may result from the accident, and Party A shall not be required to again assume any other liability for the traffic accident.

4. This Agreement shall be made in triplicate, each party shall hold one copy, and the xx Traffic Police Brigade shall file a copy.

Party A: Year, month and day

Party B: Year, month and day