Vehicle Accident Damage Release
This Vehicle Accident Damage Release is designed for use in [State Name]. It helps clarify that the undersigned acknowledges the receipt of compensation for damages associated with the vehicle accident that occurred on [Date of Accident].
Please complete the information below:
- Name of Releasing Party: [Your Name]
- Address of Releasing Party: [Your Address]
- Name of Released Party: [Other Party's Name]
- Address of Released Party: [Other Party's Address]
- Date of Accident: [Date]
- Description of Vehicle: [Your Vehicle's Make, Model, Year]
By signing this document, I confirm that:
- I have received a total payment of [Amount] from the Released Party.
- I waive all further claims against the Released Party related to this accident.
- I affirm that I am of legal age and possess the capacity to make this release.
Signed:
_____________________________ [Your Name]
Date: [Date Signed]
Witness (if applicable):
_____________________________ [Witness Name]
Date: [Date Witnessed]
This release is governed by the laws of [State Name]. Please consult a legal professional if you have any questions regarding this document.