About Accident Traffic Agreement Sample Summary 10
Nowadays, men and women may need to use the agreement, and after signing the agreement, there is a law and evidence. The proposed agreement is clueless? The following is my collection of accident traffic agreement 10, only for reference, welcome to read.
Accident traffic agreement Part 1
Party A: _____, gender: ____, ____ ethnicity, _______ province _________ city _________ county _________ town _________ village people. ID card number __________ driver's license number _____, the Department of _____ van driver.
Party B: _____, gender: ____, ____ ethnicity, _______ province _________ city _________ county _________ town _________ village people. ID card number __________ driver's license number _____, is the victim of the traffic accident.
_____ the night of _____ month _____, Party A driving __________ car in __________ city __________ county __________ town __________ village walking on the side of the road B hit and injured, resulting in Party B's left rib fracture two. That night, Party A immediately sent Party B to __________ county hospital for emergency treatment. During the hospitalization, Party B's family members have been accompanying and taking care of him. Party B was cured and discharged from the hospital on _____ on _____. Now the two sides friendly consultation, and by the two families agree, on the traffic accident related compensation matters agreed as follows:
a. Party B has been hospitalized during the medical expenses and other necessary expenses borne by Party A.
Second, after discharge from the hospital, Party A pays Party B a lump sum of __________ yuan for nutrition, __________ yuan for lost wages, __________ yuan for nursing care, __________ yuan for hospitalized meal allowance, __________ yuan for review, etc., totaling __________ yuan.
Third, the above costs are paid in a lump sum. Since then, Party A's liability is completely eliminated, and Party B voluntarily assumes the risk of invisible injuries that may be caused by the accident, and shall not ask Party A to assume any other liability related to the traffic accident again.
Fourth, this agreement in triplicate, each party holds a copy of the __________ traffic police brigade for the record.
Party A (signature): _____ year _____ month _____ day
Party B (signature): _____ year _____ month _____ day
Accident Traffic Agreement Part 2Parties:
Entrusted by the agent:
Parties:
Parties:
Entrusted by the agent:
Parties:
Parties:
Parties. xxx year * month * day, in what area what section of what kind of traffic accidents caused Li was injured or (death), traffic accidents, Party A immediately after the occurrence of ultra-conventional and active rescue measures will be sent to Party B ** hospital treatment, after diagnosis: (put the diagnosis on). During this period party B *** spent medical expenses ** million yuan, party B hospitalized in ** hospital has been *** days for rehabilitation and recuperation. At present, the injury has been basically cured, according to the opinion of the attending physician of the ** hospital can go home for recuperation. After party B's condition was cured, party A repeatedly asked for mediation, and requested a one-time treatment. Party A agreed to Party B's request under Party B's repeated requests. In this regard, party A and party B in line with fairness, the principle of voluntariness, the traffic damage compensation, after full consultation, consensus, reached the following agreement:
First, party B's disability and party B's condition needs to be restored to the time and other basic information, party A and party B have been informed and recognized.
Second, Party A has paid for Party B's medical expenses ** million dollars, by Party A.
Third, Party A agrees to Party B's request to pay Party B a lump sum of ** million yuan (including nursing costs, lost wages, disability compensation and other costs).
Fourth, after signing this agreement, Party B voluntarily give up the right to pursue all the responsibilities of the Party.
V. Once you sign this agreement, the compensation paid by Party A is the final and full amount of compensation for your present or future, direct or indirect claims related to the accident.
Sixth, Party A and Party B signed this agreement, (and after the notary public certificate) should immediately pay Party B ** million yuan, (if a one-time payment can not be paid in full, can be paid in installments)
Seventh, Party A in the payment of money, Party B should be hospitalized during the period of all the medical bills to Party A. If the original bills can not be found, should be given to Party A. The original bills are not found. If you can not find the original bills should be issued in writing.
VIII, Party B received the above compensation, A, B and the two sides of the traffic accident compensation issues have been resolved, the two sides will not pursue all the responsibilities arising from the future.
IX, (1) this agreement signed by A and B, a party to appear back or violation of the provisions of this agreement, according to the relevant provisions of the defaulting party will bear the responsibility for breach of contract, will pay the other party liquidated damages of **** yuan (generally not more than 20% of the amount of money).
(2) If Party A violates this agreement, it shall not claim the money already paid to Party B, and shall pay Party B another *** yuan of liquidated damages (generally not exceeding 20% of the amount of money). If Party B violates this agreement, it shall return the original money paid by Party A in full and pay Party B another *** yuan in liquidated damages (generally not exceeding 20% of the amount of money).
X. This agreement in duplicate, (since the notary public notarized after the entry into force) A and B each sign a copy. The notary public filed a copy.
The parties to the settlement of outstanding issues, consultation, settlement fails, referred to the **** People's Court decision.
The agreement is reached voluntarily mediation certificate, once signed shall not be reversed.
Our agreement is completely true and legal, if there is false willing to bear legal responsibility.
Party A:
Party B:
Witness:
Accident Traffic Agreement Part 3Party A:
Identity Card No.:
Party B:
Identity Card No.:
At about XX time on XX day of XX month of XX year, Party A drove a motorcycle at the intersection section of Foshan Boulevard and People's Road, which had a scrape with Party B. After the incident, the motorcycle was driven by Party B, and the accident occurred. After the incident, Party A sent Party B to Foshan City XXX Hospital in time for CT and ultrasound examination, diagnosed by the hospital physician as soft tissue damage, without causing damage to organs and other body parts. Party A and Party B through equal and friendly consultation, the losses suffered by Party B voluntarily reached a one-time compensation agreement, now based on relevant state laws and regulations, the specific compensation and the rights and obligations of the two sides are as follows: [1]
A, Party A from the signing of the agreement within 5 days after the payment of a one-time damages to the Party B *** counted 10,000 yuan (capitals: 10,000 round) (not including) Has paid the medical expenses, transportation costs, etc. 20xx yuan).
Second, the first one-time damages include Party B's transportation costs, nursing costs, lost wages, food and accommodation costs, follow-up treatment costs, moral damages and other damages required by the accident.
C. When Party B receives the lump sum damages from Party A, it must deliver all the medical bills, case materials, other expense bills, etc. to Party A at the same time, and ensure the authenticity of the bills and materials.
Fourth, the compensation involved in this agreement is a one-time final compensation, after Party A pays Party B's expenses, Party B shall not claim any rights to Party A for any reason in the future, and Party A is no longer liable for any compensation.
Fifth, the signing of this agreement, both sides are signed under voluntary circumstances, there is no material misunderstanding or show fairness, A, B parties shall not be any reason for the agreement to put forward the reversal.
Sixth, this agreement shall come into force after both parties have signed.
VII, this agreement in duplicate, A and B each sign a copy. Both are the original agreement, with the same legal effect.
Signature of Party A (handprint):
Signature of Party B (handprint):
Location of the agreement:
Time of the agreement: XX/XX/XX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX/XXXX XXX0 September 4, 14:30, Yu XX driving a minibus (inside Wang XX, Wang X) from west to east to Beijing XX District XX and XX National Road intersection west 1.5 kilometers, the vehicle into the north side of the road and the road tree collision, resulting in the death of Wang XX rescue efforts. Now in XX (Party A) and Wang XX's six close relatives (Party B) on the death of Wang XX compensation matters, in line with the principle of equality, voluntariness and fairness, after friendly consultation, reached the following model death compensation agreement:
a. Party A one-time payment of death compensation to the six people in the Party B, the living expenses of the dependents, etc. *** counted two hundred and twenty-two thousand yuan (not including the funeral expenses, the funeral expenses of 15,000 yuan has been in this Before the signing of the agreement by Liang XX paid to Wang XX's brother Wang XX).
Secondly, Party A will remit the above two hundred and twenty thousand yuan to the bank account designated by Party B's six ****s within days after the signing of this agreement. The account number is:
Third, after the above expenses are paid to the six people of Party B, the six people of Party B will distribute and deal with them internally by themselves, and the way of distributing and dealing with them, and the consequences are not related to Party A.
Fourth, after Party A fulfills the obligation of remittance, any one of Party B guarantees that he will not ask Party A for any other expenses in any form and for any reason regarding the death of Wang xx.
V. After Party A fulfills the remittance obligation, the handling of this matter will end, and there will be no more rights and obligations between Party A and Party B. The results derived from this matter will also be subject to the jurisdiction of Party A and Party B. In the future, the results derived from this matter also by Party B to bear, Party A no longer bear any responsibility.
Sixth, this agreement is the result of equal and voluntary negotiation between the two sides, is the true meaning of both sides, and fair and reasonable.
Seven, the contents of this agreement, A and B *** seven people have read and understand the full text, A and B *** seven people understand the consequences of this agreement, A and B are fully satisfied with the results of this agreement.
Eight, this agreement is a one-time final processing agreement,
Nine, this agreement since the A and B **** seven people signed when it came into effect. This agreement in seven copies, A and B each party to sign a copy.
Party A:
Party B:
Month of December
Accident Traffic Agreement Part 5Party A: Zhenping County Administration for Industry and Commerce
Party A agent: ID card number:
Party B: ID card number:
What happened: at about 0:50 on December 24, 20xx, Party A driver Weng Yintrong Driving cheetah car (license plate number: shaanxi XXXXX) by zhenping county government square back to the county industrial and commercial bureau, because of the snow slippery road hit the zhenping hotel parked outside the Buick sedan (license plate number: lu XXXXX), resulting in loss of party B vehicles. Party B did not cause casualties. To this end, party A and party B on the compensation for traffic accidents, after party A and party B full consultation, consensus, reached the following agreement:
First, party A agreed to party B's request, a one-time payment to party B vehicle repair fee of two hundred and fifty thousand yuan, excluding the previous payment of three thousand yuan. ***The total payment to Party B is twenty-eight thousand RMB. At the time of signing this agreement, Party A pays Party B the next 25,000 RMB, which is regarded as the fulfillment of the agreement, and the dispute in this case is finished immediately, and Party B confirms that Party A has no relationship with this case immediately. Party B will issue a receipt and invoice to Party A for the total amount of RMB 25,000,000 for the repair of the vehicle, and Party B must sign the receipt and press the handprint, and the original receipt will be kept in Party A. Both parties recognize and promise that the above total compensation is voluntary mediation and in line with national laws, Party B promises not to initiate any litigation and arbitration related to this case, and also give up to the judicial authorities to bring any lawsuit against this agreement, and later, regardless of any changes in Party B, Party A is no longer responsible for any legal responsibility.
Second, Party B in the collection of Party A one-time vehicle repair costs, must be at the same time all the invoices, the details of the relevant delivery to Party A, and to ensure the authenticity of the billing materials, resulting in Party A to the insurance company claims failed, Party B should double the return to the Party A part of the inaccuracies. Party B is obliged to assist Party A in providing relevant documents, bills and other information when Party A claims to the insured insurance company.
Third, Party B signed this agreement, Party A to pay compensation for Party B now or in the future, directly or indirectly related to the accident and the final and full amount of compensation for the cost of the claim.
Fourth, Party B received the above compensation, A and B on the traffic accident compensation issues have been resolved, the two sides will not be held responsible for all the responsibilities arising from the future, Party A shall not be in the future to Party B receipt to ask for any money.
Fifth, this agreement in triplicate, A and B both sides of a, Zhenping County traffic police brigade archives.
Party A (signature):
Signature of the agent:
Party B (signature):
Monthly
Accident Traffic Agreement Part 6Client: (hereinafter referred to as Party A)
Agent: (hereinafter referred to as Party B)
Party A, due to the dispute over the liability of motor vehicle traffic accidents, entrusted the attorney for Party B as an agent.
Second, party B's lawyers must be in accordance with the provisions of the law, conscientiously and responsibly to safeguard the legitimate rights and interests of party A, such as party B caused by party A loss, party A has the right to claim compensation.
Third, party A must be truthful to party B undertakes lawyers to state the case, provide evidence, and actively cooperate with party B to complete the task. Party B has informed party A of the litigation risk, and the litigation risk notification letter sent to party A.
Fourth, this contract is irrevocable contract (but the party's injury by the identification of the disability grade of the exception), no party shall not unilaterally terminate the contract, otherwise, the termination of the party shall pay liquidated damages of 10,000 yuan to the party in breach of contract, not enough to compensate for the loss of the party in breach of contract, but also compensation for damages.
Fifth, Party A entrusted Party B agent's authority: special authorization, see the power of attorney.
Six, this case in the party did not assess the disability before, party B to participate in assisting party A and the car and car insurance companies to mediate compensation. If the mediation compensation is successful, Party A instantly pay Party B's legal fees 20xx yuan, the end of the case; not successful mediation, the case by Party B to continue to go through the judicial process.
VII. Charging method
Risk charges (remuneration according to the results): Since the date of signing of this agreement, this case, whether through mediation, litigation or self-settlement and other ways to close the case, all the results obtained by Party A are recognized by the results of the service belonging to the Party B, and to ensure that unconditional payment of attorney's fees to the Party B in accordance with the following standards and methods:
1, the Party A must be in the signing of the agreement to pay the base fee / yuan;
1. Day to pay the base fee / yuan;
2, Party A shall in this case within three days from the date of conclusion (compensation to the date of the account) to pay the lawyer's fee according to the judgment or mediation of 10% of the amount of compensation (but if through the work of Party B's agent to make Party A's compensation standards in accordance with the standard compensation of the urban residents, then the lawyer's fee commission ratio adjusted to 12%, note: call back 'medical expenses do not mention the attorney's fee);
3, party A if not according to the foregoing period of the foregoing standard payment of attorney's fees, then shall be paid by five thousandths of a day standard liquidated damages.
8, the contract period: from the date of signing this agreement to the end of the implementation of the case, but if the case of the accident in two prosecutions, the contract period until the last prosecution of the case to the end of the implementation of the case (including litigation mediation, extrajudicial settlements, the implementation of the settlement, the withdrawal of the case, and other forms of mediation).
IX, because of any dispute related to this contract, the two sides can negotiate to resolve the consultation fails, either party can be sued to the __X People's Court.
X. This contract is in duplicate, A and B each party to sign a copy, effective from the date of signature or seal, if there are other contracts inconsistent with the contents of this agency contract, the final content of this contract shall prevail.
Party A (signature): Party B:
Signing Representative:
Month Day, Month Day
Accident Traffic Agreement Part 7Party A: XXX, male, Han nationality, No. XX, Xixianli, Songfeng Road, Chancheng District, Foshan City, Guangdong Province. ID card number 4523XXXXXXXXXXXX, the Department of the "Guangdong EXXX" number of minivan driver.
Party B: XXX, female, Han nationality, No. XX, Guilan Road, Nanhai District, Foshan City, Guangdong Province. ID card number 4523XXXXXXXXXXX, is the victim of the traffic accident.
On the night of XX/XX/20xx, party A drove a minivan in Foshan Chancheng District, Foshan City, pro-ren Road, walking on the roadside of party B was injured, resulting in party B's right ribs broken three. That night, Party A immediately sent Party B to Foshan Hospital of Traditional Chinese Medicine for emergency treatment. Foshan City Chancheng District Public Security Bureau traffic police brigade found party A is fully responsible for, party B is not responsible for, 20xx years X month XX, party B was discharged from the hospital. Now the two sides friendly consultation, and the two families agree, on the traffic accident related compensation matters agreed as follows:
a. Party B's hospitalization during the medical expenses have been borne by party A.
Second, after discharge, Party A paid Party B a one-time follow-up treatment fee of XX yuan, nutritional costs XXXX yuan, lost wages XX yuan, nursing costs XX yuan, hospital food subsidies XX yuan, XX yuan, transportation costs XX yuan and other costs, a total of XX yuan.
Third, the above costs are paid in one lump sum. Since then, Party A's liability is completely eliminated, Party B voluntarily assume the risk of invisible injuries that may result from the accident, and shall not ask Party A to bear any other liability related to the traffic accident, and shall not pursue each other in the future.
Fourth, this agreement in triplicate, each party holds a copy, XX traffic police brigade for the record.
Party A (signature): Monthly
Party B (signature): Monthly
Remarks: This agreement, is the owner of the car and the third party compensation agreement, the owner of the car after the compensation is completed, and then take these materials to the insurance company to claim. You can also go directly to the insurance company mediation, the insurance
company as a third party, the three parties reached a compensation agreement.
Accident Traffic Agreement Part 8
Party A: xxx, male, Yunnan Province, Dali Prefecture, Xibin Town, the village after the international people.
Party B: xxx, female, Dali Prefecture, Yunnan Province, Meixian Town, Dingdi Village.
On the night of July 10, 20xx, Party A drove a white van and injured Party B walking on the roadside in Bandou Village, Xibin Town, causing Party B's left ribs to break two. That night, Party A immediately sent Party B to Youxi County Hospital for emergency treatment. During the hospitalization, Party A's wife has been accompanied by care. 20xx July 15, Party B was discharged from the hospital. Both sides of the friendly consultation, and by both families agree, no objection, on the relevant compensation matters agreed as follows:
First, party B hospitalization during the medical expenses borne by party A.
Second, after discharge, Party A paid Party B a one-time nutrition fee of yuan, lost wages of yuan, dental fee of 300 yuan, review fee of yuan, a total of yuan.
Third, after the above expenses are paid in full, Party A is no longer responsible for any responsibility.
Fourth, this agreement in triplicate, each party holds a copy, the traffic police brigade for the record.
Party A (signature): Party B (signature):
xx year xx month xx day xx year xx month xx day
Accident Traffic Agreement Part 9Party A:
Party B: (all of the above are written, name, gender, birth XX year XX month XX day, ethnicity, occupation, address, telephone)
XX year XX day XX day and hour , Yu XX driving a minibus (inside passenger Wang XX, Wang X) from west to east to **** city XX district XX and XX national highway intersection west **** kilometers, the vehicle into the north side of the road and the road tree collision, resulting in the death of ** XX rescue efforts. Now XX (Party A) and XX (Party B) of the *** close relatives (Party B) on the XX death compensation matters, in line with the principle of equality, voluntariness, fairness, after friendly consultation, reached the following agreement:
A, Party A one-time payment of death compensation to the six people in the Party B, the dependents' living expenses, etc. *** counted **** million yuan (not including the funeral expenses, funeral expenses of 15,000 yuan has been in this agreement) (The funeral expenses of 15,000 dollars have been paid by Party A XX to Party B XX's brother XX before the signing of this agreement).
Second, Party A will remit the above **** million yuan to the bank account number designated by Party B's six *** with within days after the signing of this Agreement. The account number is:
Third, after the above expenses are paid to the six people of Party B, the six people of Party B will distribute and deal with them internally by themselves, and the way of distribution and dealing with them, and the consequences are not related to Party A.
4. After Party A fulfills the obligation of remittance, any one of Party B guarantees that he will not ask Party A for any other expenses in any form and for any reason regarding the death of xx.
V. After Party A fulfills the remittance obligation, the handling of this matter will end, and there will be no more rights and obligations between Party A and Party B. The results derived from this matter will also be subject to the jurisdiction of Party A and Party B. In the future, the results derived from this matter also by Party B to bear, Party A no longer bear any responsibility.
Sixth, this agreement is the result of equal and voluntary negotiation between the two sides, is the true meaning of both sides, and fair and reasonable.
Seven, the contents of this agreement, A and B *** seven people have read and understand the full text, A and B *** seven people understand the consequences of this agreement, A and B are fully satisfied with the results of this agreement.
Eight, this agreement is a one-time final processing agreement,
Nine, this agreement since the A and B **** seven people signed when it came into effect. This agreement in seven copies, A and B each party to sign a copy.
Party A: Party B:
XX year XX month XX day
Accident traffic agreement Part 10Party A: ID card number:
Party A entrusted agent: ID card number:
Party B: ID card number:
Party B entrusted agent: ID card number:
XX year XX month XX day 7 hours 50 minutes , Party A driving Beijing No. 8 Polo car by Ling to go, traveling to xxx county xxx highway 101KM +700M, collided with a pedestrian crossing the highway, after the collision, the car into the ditch, resulting in injuries, vehicle damage to the traffic accident. After the accident, party B through the county public security traffic police brigade paid party A 50,000 yuan medical expenses. The county public security traffic police brigade NO. 0000 "traffic accident certificate" that: party A is responsible for the main responsibility of the accident, party B is responsible for the secondary responsibility of the accident. Party A and B by the county public security traffic police brigade mediation, Party A by the traffic accident injuries, Party B vehicle damage and other losses voluntarily reached a one-time compensation agreement, now based on national laws and relevant regulations, the specific compensation matters and the rights and obligations of the two sides as follows, both parties shall comply with the abide by:
A, A and B under the auspices of the police comrades in the county public security traffic police brigade mediation and Agreement, the mediation process of this agreement is in line with national law, the two sides by equal consultation, mutual understanding and mutual concessions of the true meaning of the two sides in the agreement to fulfill the completion of the agreement shall not be reversed. At the same time, the two sides solemnly promise to give up to the judicial organs, other authorities have the right to bring a lawsuit, arbitration and all other remedies.
Second, the two sides based on the general principles of traffic accidents reached a one-time compensation agreement, party B one-time compensation to party A damages of one hundred and ten thousand yuan, including the previous payment of 50,000 yuan. The one-time compensation for damages has been deducted from the Party A need to bear the loss of Party B's vehicle, Party A no longer need to pay compensation to Party B for the loss of the vehicle. At the time of signing this agreement, Party B paid Party A the next difference of 60,000 RMB through the mediation police officer, which is regarded as the fulfillment of the agreement, and the dispute in this case is finished instantly, and Party A confirms that Party B has no relationship with this case instantly. Party A and proxy, adult family members in receiving this sum of money should be withdrawn before the receipt of 50,000 yuan, and issued to party B a one-time damages total of one hundred and ten thousand yuan of receipt, party A and proxy, adult family members must be in the receipt at the end of the hand-signed fingerprints, the receipt of the original retained in the party B, a copy of which is kept in the file of the traffic police team for inspection. Both sides recognized and promised that the total amount of compensation is voluntary mediation and in line with national laws, party A promised not to initiate any litigation and arbitration related to this case, and also give up to the judiciary to bring any lawsuit against this agreement, and later, regardless of party A injury any changes, party B is no longer responsible for any legal responsibility.
Third, Party A in the collection of one-time damages to Party B, must be at the same time all the medical bills, case materials, other expenses, bills, and other related documents, etc., and to ensure the authenticity of the bills and materials, resulting in Party B to the insurance company claims failed, Party A should double the return to the Party B part of the inaccuracies. Party A is obliged to assist Party B to provide relevant documents, bills and other information when Party B claims to the insured insurance company.
Fourth, all the terms of this agreement are the two sides **** with the negotiation agreement, not the contract law specified by the party formulated by the text, the two sides need to sign at the bottom of each page of this agreement by the right hand index fingerprint. This agreement since the two sides signed the fingerprints immediately after the establishment of the effective, both sides are committed to and confirmed that this agreement is legal, true, non-dischargeable, irrevocable civil contract, subject to legal protection, is a one-time solution to the two sides due to traffic accidents occurring in the statutory damages disputes legal instruments, the two sides in the agreement can not be contrary to the promise, if contrary to the breach of contract, the defaulting party shall be to the contracting party to pay the penalty of eighty thousand yuan RMB.
V.
Fifth, this agreement in triplicate, the A and B each party, retained in the mediation body file a copy. All three are the original agreement, with the same legal effect.
Signature of Party A (handprint): Signature of Party B (handprint):
Party A's proxy: Party B's proxy:
Contact phone number: Contact phone number:
Signing time.