[Boutique] Work Injury Compensation Agreement

Article 1: Work injury compensation agreement

Party A: XXXXX Co., Ltd., address:

Legal representative:

Party B: XX, male, XX years old, living in Chengdu XXXXXXXX, ID number:

Party B has an injury accident on the day of the month and has been rehabilitated after treatment. In order to properly resolve the injury of Party B, both parties have reached the following agreement through friendly negotiation on the principle of equality, voluntariness, mutual understanding and mutual accommodation:

1. The total amount of medical expenses and transportation expenses actually incurred by Party B from the date of the injury of Party B and other expenses that should be paid by Party A shall be paid by Party A before the signing of this Agreement. After signing the agreement, Party B shall not, for any reason, claim to Party A any expenses incurred during the preceding period.

2. After the agreement between Party A and Party B, Party A shall pay Party B a one-time payment of the disability benefits, the one-time medical subsidy for dissolving labor relations and the disability employment subsidy, etc., all the fees that shall be paid by Party A in accordance with the law, totaling RMB.

3. Within the day after the signing of this Agreement, Party A shall pay Party RMB to Party B, and the remaining RMB shall be paid.

4. After receiving the one-time subsidy, Party B shall allocate and handle it reasonably, and consciously leave enough expenses for subsequent treatment, rehabilitation, and living. The way in which Party B allocates and handles the aforementioned expenses shall be determined by Party B at its own discretion, and Party B shall bear the consequences.

5. After the signing of this Agreement by both parties, the labor relationship will be terminated. At the same time, Party B promises not to ask Party A for any other expenses or assume any responsibility for labor-related matters in any form or for any reason.

6. If Party A delays payment to Party B for the one-off subsidy stipulated in this Agreement, Party A shall pay Party B a one-off grant of 3 baht for each late delay, and the total amount of late payment shall not exceed the total amount of one-time subsidy. 20%.

7. After Party B receives the one-off subsidy paid by Party A, and the real estate E network www.fdcew.com submits any fees and responsibilities to Party A for any reason, Party B shall refund all the fees paid by Party A to solve this matter. The expenses, and bear all the losses caused to Party A due to breach of contract, and should pay Party A a penalty of 20% of the one-time subsidy.

8. This Agreement is the result of equal and voluntary negotiations between the two parties. It is an expression of the true meaning of both parties and is fair and reasonable.

9. The contents of this Agreement have been read and understood by both parties. Party A and Party B understand the consequences of violation of this Agreement. Party A and Party B are fully satisfied with the results of this agreement.

10. This Agreement is made in two copies. Each Party A and Party B shall hold one copy. The agreement shall take effect after the signature of both parties.

11. This Agreement is a one-off termination agreement. The parties shall use this as a matter of failure to fully and faithfully perform the contract and shall not be entangled for any reason. Any problems in the future physical or mental condition of Party B shall not be related to Party A.

Party A's signature: Party B's signature:

Time: Time:

witness:

Part 2: Work injury compensation agreement

Party A:

Party B: , male, aged, ID number:

Party B accidentally caused an injury accident during the construction of the construction site in Geely District on the day of the month, and the left wrist was fractured. Afterwards, Party A immediately sent Party B to the hospital for treatment. After the treatment, it was no problem. In order to properly solve the problem of Party B’s injury, Party A and Party B reached the following agreement through friendly negotiation on the principle of equality, voluntariness, mutual understanding and mutual accommodation:

1. The medical expenses and transportation expenses actually incurred by Party B from the date of the injury of Party B and other expenses that should be paid by Party A shall be paid by Party A before the signing of this Agreement. After signing, Party B shall not, for any reason, claim to Party A any expenses incurred during the preceding period.

2. After the agreement between Party A and Party B, Party A shall pay Party B a one-time payment of all the expenses, such as disability treatment, one-time medical subsidy, and lost time, which shall be paid by Party A according to law, totaling RMB 5,000, and Party A shall agree on both parties. Pay in one lump sum when signing.

3. After receiving the one-time subsidy, Party B shall allocate and handle it reasonably, and consciously leave enough expenses for follow-up treatment, rehabilitation, and living that may occur. The way in which Party B allocates and handles the aforementioned expenses shall be determined by Party B at its own discretion, and Party B shall bear the consequences.

4. After signing this Agreement, both parties shall terminate the rights and responsibilities of both parties. Party B promises not to ask Party A for any other expenses or assume any responsibility for labor-related matters in any form or for any reason.

5. This Agreement is made in two copies. Each Party A and Party B shall hold one copy. The agreement shall take effect after the signature of both parties.

6. This Agreement is a one-off termination agreement. The parties shall use this as a matter of failure to fully and faithfully perform the contract and may not be entangled for any reason. Any problems in the future physical or mental condition of Party B shall not be related to Party A.

Signature of Party A: Signature of Party B:

Date: Date:

Part 3: Work injury compensation agreement

Agreement person: xxxxx factory

Agreement person: XXX

Party B was hired by Party A as a factory worker in ____ years. ____________________________________________________________________________________________________________________________________________________ After the incident, Party A will send Party B to the hospital for treatment day and pay all medical expenses. On the ________________ day, Party B went to the hospital again for follow-up medical operation and has now recovered. In order to solve the problem of Party B’s work-related injuries, Party A and Party B have reached the agreement on the basis of equal consultation, mutual understanding and mutual accommodation, and the agreement reached through consultations as follows:

1. Party A shall compensate Party B for medical expenses, work injury and disability subsidies, disposable medical care and employment subsidy, wages during work injury, nursing expenses, food expenses, transportation expenses, economic compensation, etc.

2. After Party B receives the above fees, the labor relationship between the two parties is immediately lifted;

3. After Party B receives the above fees, Party B voluntarily waives the right to compensate for the difference;

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

5. This Agreement is made in two copies, each party holding one copy, effective from the date of signature by both parties.

person A person B:

____Year ____________________________________