Release for Personal Injury

Release for Personal Injury

Use this form to release someone from future claims involving a personal injury because of another’s actions. Be sure to use caution in signing this form and read all instructions that accompany this form.

You can save and edit the form before you buy--just create a Nolo.com account. It's easy, free, and there's no obligation to buy anything. If you purchase the form, you'll be able to print, send, or download it.

See below the form for a full product description.

 

 ("Releasor") voluntarily and knowingly executes this release with the intention of eliminating liabilities and obligations against  ("Releasee"), described below.

Release of Claims

Releasor hereby releases Releasee from all liability for claims, known and unknown, arising from injuries, mental and/or physical, sustained by Releasor in the "Incident" as follows: 

Releasor understands that, as to claims that are known to the parties when this release is signed, any statutory provisions that would otherwise apply to limit this general release are hereby waived. Releasor also understands that this release extends to claims arising out of the Incident that are not known by Releasor at the time this release is signed.

By executing this release, Releasor does not give up any claim that he or she may now or hereafter have against any person, firm, or corporation other than Releasee and those persons specified, and for the Incident described, above, in this release agreement.

Keep Together

Consideration for Release

Releasor has received good and adequate value (consideration) for this release as follows: 

Releasor understands that Releasee does not, by providing the consideration described above, admit any liability or responsibility for the above described Incident or its consequences. By signing this release, Releasor additionally intends to bind his or her spouse, heirs, legal representatives, assigns, and anyone else claiming under him or her. Releasor has not assigned any claim arising from the Incident to any other party. 

Releasor
By: _________________________________________

Date: _______________________________________


 

Multiple Selection: [releasor spouse]
Label Contract Text
releasor spouse signature

Releasor's spouse hereby releases Releasee from all liability for claims, known and unknown, arising from injuries, mental and/or physical, sustained by Releasor in the "Incident" as described above. 

Releasor's Spouse
By: ________________________________________

Date: ______________________________________


Releasee
By: ________________________________________

Date: ______________________________________

 

 

Loading your form ...

1-Year Subscription

Price: $29.99

Use this form when someone has suffered a relatively minor personal injury because of another’s actions. Be sure to use caution in signing this form and read all instructions that accompany this form.

Important to Know:

  • Releases for personal injuries should be signed only when the parties are sure that the scope of the injury is fully known.
  • If the injury is not minor, you may need more information or legal counsel to make sure your interests are well represented. Check out Nolo’s How to Win Your Personal Injury Claim.

Additional Technical Support FAQs

In order for the Online Interactive Form to work properly, it is best to use:

Windows

  • Chrome, Firefox, IE 8 or higher
  • Adobe Reader 9 or higher
  • JavaScript must be enabled

Macintosh OS X

  • Safari, Chrome, or Firefox
  • Adobe Reader 9 or higher, or Preview
  • JavaScript must be enabled

Customers Who Bought This Item Also Bought