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Release of Liability

I, [Insert Discharger Name] of [Insert Address] for and in consideration of the payment to me of $[Insert Amount], the receipt and sufficiency of which is hereby acknowledged, do hereby release and forever discharge [Insert Dischargee Name] of [Insert Dischargee Address] their agents, employees, successors and assigns, and their respective heirs, personal representatives, affiliates, successors and assigns, and any and all persons, firms or corporations liable or who might be claimed to be liable, whether or not herein named, from any and all claims, demands, damages, actions, causes of action or suits of any kind or nature whatsoever, whether known or unknown, fixed or contingent, which I now have or may hereafter have or claim to have, as a result of or in any way relating to the following:

 

[Insert description of the event or incident for which this release is being created]

 

It is understood and agreed that this payment is made and received in the full and complete settlement and satisfaction of the aforesaid actions, causes of action, claims, and demands; that this Release contains the entire agreement between the parties; and that the terms of this Agreement are contractual and not merely a recital.

 

Furthermore, this Release shall be binding upon the undersigned, and his respective heirs, executors, administrators, personal representatives, successors, and assigns. This Release shall be subject to and governed by the laws of the State of [Insert Relevant State].

 

This Release has been read and fully understood by the undersigned and has been explained to me.

 

EXECUTED on [Insert Date]

 

Signed: __________________________________________

Print Name: _________________

Free Release of Liability Template for Microsoft Word

Download this free Release of Liability template as a Word document to help you document the prohibition of suing another party in the event of an accident

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