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[Boutique] Traffic Accident Treatment Agreement


Article 1: Traffic Accident Treatment Agreement

Party A: _________ Gender _________ Ethnicity ______ _________ Year _________ month birth, address _________ ID number _________ Contact number: _________

Party B: _________ Gender _________ Nationality _________ _________ Year _________ month birth, address _________ ID number _________ Contact number: _________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Both Party A and Party B have voluntarily reached the following agreement on the basis of their respective faults:

1. Party A agrees to pay the medical expenses and various personal damages RMB ________ yuan to Party B.

Second, Party B will have other problems in the future, and Party A will no longer bear any responsibility.

3. Party A shall not be held responsible for any liability of Party A at the time of payment.

4. This Agreement is made in two copies. Each Party A and Party B shall hold one copy and shall enter into force on the date of signature.

person A person B:________

________ year month day

Part 2: Traffic Accident Treatment Agreement

Party A: ***, male, *** year* month, *** family, mobile phone number******

***, female, *** year* month, *** family, mobile phone number **********

Party B: ***, male, *** year *** month, *** family

Party B agent: ***, male, *** year *** month, *** family, mobile phone number******

Both sides are due to *** year *** month *** day **: ** around ***************************** Caused **********

The agreement reached between the two parties is as follows:

One,***

two,***

3. Party A agrees with Party B's request and pays Party B a total of RMB 10,000 yuan. This fee includes all expenses such as nutrition, nursing, transportation, and food.

4. Upon the signing of this agreement, Party B shall pay Party A the final and full amount of the claim for Party B's current or future, directly or indirectly related to the accident.

5. After Party B receives the above fees, Party A and Party B have already resolved the compensation for the traffic accident. In the future, the two parties will not pursue all the responsibilities arising therefrom.

6. This Agreement shall be made in triplicate, one for each of Party A and Party B, and one for the traffic police department. This Agreement shall become effective upon signature by the representatives of both parties.

7. The two sides shall resolve the unfinished matters through consultation, and when the settlement fails to be resolved, they shall be referred to the local people's court for ruling.

Party A:

Party B:

Party B agent:

year month day

Part 3: Traffic Accident Treatment Agreement

Party: Zhang, male, born in 1985, Han nationality, ID number: Address: Contact:

Party: Li, male, born in 1980, Han nationality, ID number: Address: Contact:

On X X X, XXXX, what kind of traffic accident occurred in the XX area of ​​XX area caused Li to be injured or injured. After the traffic accident, Party A immediately took the extraordinary and active rescue measures to send Party B to the hospital for treatment. After diagnosis: During this period, Party B spent a total of 10,000 yuan on medical expenses. Party B was hospitalized in the hospital for *** days. The injury has been basically cured. According to the opinion of the attending physician of the hospital, it can go home for nursery. After Party B recovered, he repeatedly found Party A to request mediation and requested a one-time treatment. Party A agreed with Party B's request at the repeated request of Party B. For this reason, Party A and Party B shall be responsible for traffic accidents in accordance with the principle of fairness and voluntariness. In the case of compensation, after full consultation and consensus by both parties, the following agreement was reached:

1. Basic conditions such as the degree of injury and disability of Party B and the time for recovery of Party B's condition, both parties have already understood and recognized.

2. The medical expenses paid by Party A for Party B shall be 10,000 yuan, which shall be borne by Party A.

3. Party A agrees with Party B's request and pays Party B 10,000 yuan in one lump sum.

4. After signing this agreement, Party B voluntarily waives the right to pursue all responsibility of Party A.

5. After Party B signs this agreement, Party A's compensation shall be the final and total compensation amount of Party B's claim for the current or future, directly or indirectly related to the accident.

6. After Party A and Party B sign this agreement, they shall immediately pay Party B 10,000 yuan.

7. After Party A pays the money, Party B shall pay all the medical bills during the hospitalization period to Party A. If the original bill cannot be found, a written explanation shall be issued.

8. After Party B receives the above compensation, Party A and Party B have already resolved the compensation for the traffic accident. In the future, the two parties will not pursue all the responsibilities arising therefrom.

9. After the signing of the Agreement between Party A and Party B, the party has a remorse or violates the provisions of this agreement. According to the relevant regulations, the defaulting party will be liable for breach of contract and will pay the other party a penalty of ***.

If Party A violates this agreement, it shall not ask Party B for the money already paid, and shall pay Party B a penalty of *** yuan. If Party B violates this agreement, it shall return the original amount of money paid by Party A, and then Pay the penalty of Party B’s *** yuan.

X. This Agreement is made in two copies, one for each Party A and Party B. The notary office shall file one copy.

The two sides will resolve the unfinished matters through consultation, and if the settlement fails, the *** people's court will decide.

The agreement is to voluntarily reach a mediation certificate and cannot be repented once signed.

Our above-mentioned agreement is completely true and legal, and if there is any false willingness to bear legal responsibility.

person A person B:

Witness: Need to sign two uninterested people

XXXX year X XX day

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