According to the provisions of the Labor Law of the People's Republic of China, the Labor Contract Law of the People's Republic of China and other laws and regulations, the employer and the worker, on the basis of equality and voluntariness, have reached the following agreement on compensation for work-related injuries for mutual compliance and performance.
Article 1: On MM/DD/YYYY, when working in _____, _____ occurred, resulting in _____.
Article 2: After full consultation between the two parties, the laborer agrees to give up the right to apply for assessment of work-related injury and disability, and the employer shall give the laborer a corresponding lump sum compensation according to the relevant standards.
Article 3 After full consultation between the Employer and the laborer, the laborer agrees that the Employer will grant him the following work-related injury benefits:
(1) The follow-up treatment and rehabilitation costs are: _____ yuan (the early medical costs have been paid by the unit); Nursing fee: _____ yuan; Including hospitalization board allowance: _____ yuan; Transportation fee: _____ yuan;
(2) Other expenses (lost time fee, one-time disability subsidy, one-time disability medical subsidy, one-time disability employment subsidy, etc.): _____ yuan;
(3) The above expenses are calculated as RMB _____ million yuan.
As for the compensation agreed in the preceding paragraph, Party A shall pay the laborer in full on the effective date of this agreement;
Article 4: As of the effective date of this agreement, the labor contract relationship between the employer and the employee will be terminated, and all social insurance relationships will be terminated at the same time. There are no other creditor's rights and debt relationships between the two parties.
Article 5: After this agreement comes into force, the laborer agrees not to claim any compensation from the employer for any reason.
Article 6: The above-mentioned compensation agreed in this agreement is a one-time compensation, and after the laborer obtains the compensation
