[Boutique] Traffic Accident Site Agreement

Part 1: Traffic Accident Site 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 responsibilities in the future.

3. After ________ years, Party B XX will no longer pursue any responsibility of Party A.

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.

Part 2: Traffic Accident Site 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 responsibilities in the future.

3. After ________ years, Party B XX will no longer pursue any responsibility of Party A.

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 3: Traffic Accident Site Agreement

Indemnifier: ***, male, 26 years old, Han nationality, owner, now living in xx township xx village, ID number: xxx

The indemnified person: xx**, male, 56 years old, Han nationality, peasant, now living in xx city ** county xx village, ID number: xxx

On the xx xx of 2019, during the normal driving of the locomotive on the road, xxx was smashed by riding a bicycle to watch the cow, and collided with the locomotive driven by Wang Hui, causing xx to be injured. After being injured, xx was sent to xxx hospital for hospitalization. After examination, he was injured in a fracture of the thigh bone. He was discharged after xxx days in hospital for xxx days.

After friendly consultations between the two parties, an agreement was reached and the following provisions for compensation for traffic accidents were voluntarily reached:

1. Compensation by Wang Hui for various medical expenses, disability compensation, lost time, hospitalization food subsidies, nursing expenses, nutrition expenses, spiritual comfort, secondary surgery fees, disability aids, living expenses for dependents, Total amount of appraisal fee, bicycle repair fee, transportation fee, etc. = the amount still to be paid is 10,769.15 yuan;

2. The above payment shall be paid in one lump sum. After payment, both parties shall not repent, and xx shall not pursue any responsibility of Wang Hui and waive the right of action against the indemnifier;

3. There is no other dispute between the two parties.

4. The model of the Traffic Accident Agreement is in two copies. Each party shall hold one copy and shall take effect from the date of signature.

Indemnifier: The indemnity: