1. Party A shall compensate Party B for work-related injury medical subsidies, lost time, nutrition expenses, nursing expenses, transportation expenses, mental damages, disability employment subsidies, follow-up medical care, medical expenses and other expenses in one lump sum within days from the date of signing this Agreement.
2. Since the date of signing this agreement, the labor relationship between both parties is terminated, and both parties terminate all rights and obligations related to compensation. Party B shall not claim any rights from Party A, and Party A shall no longer undertake any obligations. There will be no disputes between the two parties, and one party waives all legal responsibilities of the other party. At the same time, from the date of signing this agreement, Party B voluntarily waives all the arbitration, litigation and other rights enjoyed by both parties in dissolving labor relations and compensation.
3. This agreement is a one-time termination agreement, and both parties should take this opportunity to fully and conscientiously perform the contract, and shall not be entangled for any reason. Everything that happens to Party B in the future (including any physical problems) has nothing to do with Party A. Party A and Party B have correctly read and understood all the contents of this agreement and are completely satisfied with the result of this agreement.
4. This Agreement is made in duplicate, with each party holding one copy. This agreement shall come into effect after being signed by both parties. Party A: Time: Party B: Time: Receipt I (ID number:, address:) have received one-time compensation such as medical subsidy for work-related injury, lost time, nutrition fee, nursing fee, transportation fee, mental distress compensation, disability employment subsidy, follow-up medical treatment and medical expenses, and the amount is RMB only. Signature: Date: Letter of Attorney on the issue of compensation for injury. Signature of the client: Date: Date A simple and applicable compensation agreement for work-related injuries can not only meet the urgent needs of workers who have suffered work-related injuries, but also specifically understand which items they did not expect to be compensated by the employer when they asked for compensation from the employer.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 38 The following expenses incurred due to work-related injuries shall be paid by the work-related injury insurance fund in accordance with state regulations:
(a) medical expenses and rehabilitation expenses for the treatment of work-related injuries;
(2) Hospitalization food subsidies;
(three) transportation and accommodation expenses for medical treatment outside the overall planning area;
(four) the cost of installing and configuring assistive devices for the disabled;
(five) life can not take care of themselves, confirmed by the labor ability appraisal committee of life care costs;
(6) One-time disability allowance and monthly disability allowance for disabled employees of Grade I to IV;
(seven) the one-time medical subsidy that should be enjoyed when the labor contract is terminated or dissolved;
(8) Funeral grants, dependent relatives' pensions and work-related death grants received by survivors of work-related deaths;
(nine) labor ability appraisal fee.
Article 39 The following expenses incurred due to work-related injuries shall be paid by the employing unit in accordance with state regulations:
(a) wages and benefits during the treatment of work-related injuries;
(two) the monthly disability allowance for disabled employees of Grade 5 and Grade 6;
(3) One-time disability employment subsidy that should be enjoyed when the labor contract is terminated or dissolved.
Article 41 Where an employee's employer fails to pay work-related injury insurance premiums according to law, and a work-related injury accident occurs, the employer shall pay work-related injury insurance benefits. If the employer does not pay, it shall pay in advance from the industrial injury insurance fund.
The industrial injury insurance benefits paid in advance from the industrial injury insurance fund shall be repaid by the employer. If the employer fails to repay, the social insurance agency may recover the compensation in accordance with the provisions of Article 63 of this Law.