[Boutique] Traffic Accident Agreement Template
Part 1: Model of the Traffic Accident Agreement
person A person B:
Party A and Party B reached the following mediation opinions on the basis of equality, voluntariness and consensus on the XX XX XX, 20XX, due to traffic accidents caused by Party B’s driving accident:
First, due to the damage caused by Party B's driving to the foot of Party A, Party A has been discharged from the hospital after being treated in the People's Hospital.
2. According to the provisions of the Supreme People's Court's Interpretation on Several Issues Concerning the Trial of Personal Injury Compensation Cases, Party B shall compensate Party A for various medical expenses, nursing expenses, transportation expenses, hospital food subsidies, necessary nutrition expenses, and disability. Compensation, rehabilitation expenses, follow-up treatment fees, etc. All economic losses caused by Party B’s traffic accidents in this case amounted to RMB XXXX.
3. Party B shall pay Party A all at once within the day of signing this Agreement.
4. After Party A receives Party B's above-mentioned compensation for personal injury, Party A shall not continue to claim compensation from Party B for reasons such as lack of compensation items, serious bodily injury, other complications of follow-up treatment, etc., or file a lawsuit in the People's Court for compensation. Party B shall not ask Party A for compensation for the reasons such as the above compensation items and the amount of compensation. If one party breaches the contract, the defaulting party shall pay the breaching party a penalty of XXXX.
5. Party A has reached this mediation agreement in view of the fact that Party B’s family members can actively compensate after the accident. Therefore, the party concerned should be given an understanding of the criminal responsibility that Party B should bear, and the people's court should be given a lighter and lighter punishment for the criminal liability payable by Party B, and no objection should be raised to the probation penalty that may be imposed.
6. In order to ensure the smooth progress of Party B's traffic accidents, Party A guarantees positive support and cooperation in the process of public security organs, procuratorial organs and courts. Mailing address, contact number.
7. This Agreement shall enter into force on the date of signing. This Agreement is in five copies, one for each party, one for the Public Security Bureau, the Procuratorate and the Court.
person A person B:
Year, month, day, month, day
Part 2: Traffic Accident Agreement Template
Party A: XXX
Party B: XXX, XXX, XXX, XXX, XXX
Summary of the incident: At 22:35 on July 3, 20XX, when the xxx driving passenger car went from east to west to the west xxxx of the intersection of xxx and xxx, the vehicle collided with the bicycle on the motorway, causing xxx rescue. Invalid death. Now all relatives of xXX and xxx have reached the following agreement on the XXX death compensation, in accordance with the principle of equality, voluntariness and fairness, through friendly negotiation: 1. Party A will pay all the relatives’ death compensation and dependents of Party B in one lump sum. The living expenses, old-age maintenance, transportation expenses, lost time, funeral expenses, medical expenses, etc. totaled 10,000 yuan.
2. Party A shall remit the above-mentioned RMB 10,000 yuan to the bank account number jointly designated by all close relatives of Party B within xx days after the signing of this Agreement. The account number is:
3. After the above fees are 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, handling and consequences shall have no relationship with Party A.
4. After Party A has paid all the amount, Party B shall guarantee that no other fees will be claimed from Party A in respect of the death of Liu Hong in any form or for any reason.
5. After Party A fulfills its remittance obligation, it will terminate the matter and there will be no rights or obligations between Party A and Party B. The results derived from this event will also be borne by Party B. Party A will no longer bear any responsibility for this. At the same time, all close relatives of Party B will no longer pursue any responsibility of Party A.
6. This Agreement is the result of equal and voluntary negotiations between the two parties and is the true meaning of both parties and is fair and reasonable. 7. The contents of this Agreement have been read and understood by both parties. Party A and Party B understand the consequences of this Agreement. Party A and Party B are fully satisfied with the results of this agreement. 8. This Agreement is a one-time termination agreement.
9. This Agreement shall enter into force when signed by both Party A and Party B. This Agreement is in the form of xxx copies, and each of the parties shall hold one copy.
person A person B:
Representative: Representative: Year, month and day
Part 3: Traffic accident agreement template
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 "cloud LXXXXX" van driver.
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 in the village of XX, XX Town, Dali Prefecture, and injured Party B on the side of the road, causing the left rib fracture of Party B to break. 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 XX day of XXX, 20XX, 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 from the hospital, Party A will pay Party B a total of XXXX yuan for nutrition, XXX yuan for lost work, XXXX for nursing, XXX yuan for hospitalization, XX for review, and XXXXX.
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, Day
Party B: Year, Month, Day
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