Vehicle Accident Damage Release Form
This Vehicle Accident Damage Release Form is designed to document the agreement between the parties involved in a vehicle accident where damages were incurred. By signing this form, the Releasor has agreed to accept payment as a full settlement for any damages or injuries resulting from the accident, and the Releasee is absolved from further claims related to this incident. Please fill out the form completely and retain a copy for your records.
Please provide the following information:
- Date of Accident: _______________
- Location of Accident: _______________
- Names of Involved Parties: _______________
- Contact Information for All Parties: _______________
- Description of Accident and Damages: _______________
- Amount Agreed Upon for Settlement: $_______________
- State Specific Law Reference (if applicable): _______________
Releasee Information:
Name: _______________
Address: _______________
Phone Number: _______________
Email: _______________
Releasor Information:
Name: _______________
Address: _______________
Phone Number: _______________
Email: _______________
By signing this form, the Releasor acknowledges that they have accepted the compensation listed above as a full and final settlement for all injuries and damages, property or personal, that resulted from the aforementioned accident. This agreement releases the Releasee from further claims related to this incident.
Signature of Releasor: _______________ Date: _______________
Signature of Releasee: _______________ Date: _______________
This form is not legally binding until it has been signed by both parties. It is recommended to consult with a legal advisor before signing this document. Each party should keep a copy of this form for their records.