Release Agreement

Simply complete the Release Agreement form below and click View Results to see your completed contract.

A Release Agreement is an enforceable promise not to proceed with a legal claim in exchange for money or other compensation.

Our Release Agreement can be used for settling claims involving:

  • personal injury
  • property damage
  • participation in dangerous activities
  • satisfaction of debt
  • motor vehicle damage
  • other types of claims and disputes

If you require model or talent consent of photos, videos and film, writings, and audio recordings try our Model and Entertainment Release.

We regularly maintain this contract. Last Modified: August 2009

Release Details
Check to Show Hints for Completing this Form
Select release needed:
The General release is a broad release from all possible civil claims resulting from a dispute. Since the Releasing Party is giving up all known and unknown claims against the other party, care should be taken to ensure that the Releasing Party is fully aware of his, her, or its rights.
The Motor Vehicle release is a general release tailored for the possible civil claims resulting from a motor vehicle accident. The Releasing Party is required to give up all known and unknown claims against the other party so care should be taken to ensure that the Releasing Party is fully aware of his, her, or its rights.
The Damage to Property release is a general release tailored for the possible civil claims following damage to the Releasing Party's property. The Releasing Party is required to give up all known and unknown claims against the other party so care should be taken to ensure that the Releasing Party is fully aware of his, her, or its rights.
An Accord and Satisfaction is an agreement to accept less than is legally due in order to reach a settlement. The Releasing Party agrees to release any claims they have to the debt in exchange for an agreed upon compensation. Note this document should only be used when there is a genuine dispute over the actual amount of the debt, such as disputes over the value of services provided.
The Personal Injury release is a general release tailored for the possible civil claims resulting from an incident causing an injury to the Releasing Party. The Releasing Party is required to give up all known and unknown claims against the other party so care should be taken to ensure that the Releasing Party is fully aware of his or her rights.
The Activity Waiver & Release is an agreement between two parties that releases the party providing an activity from liability claims from the individual wishing to participate in the activity. The Participant is required to give up all future claims against the other party so care should be taken to ensure that the Participant is fully aware of his or her rights.
This is a general release tailored for use as a debt settlement between two parties. The Releasing Party agrees to accept less than they are legally due as a trade-off for reaching a final settlement. Note this document would normally be used for disputes resulting from the sale of a good.
The mutual release is a general release tailored for use when both parties claim that each other is to blame for the injuries or damages that they have suffered. Since both parties are giving up all known and unknown claims against the other party care should be taken to ensure that the parties are fully aware of their rights. Normally both parties simply release the other from future liability, however, if one party is more at fault they can be asked to give extra consideration (compensation).
Releasor (party releasing possible claim in exchange for something of value)
Participant (party wishing to participate in activity)
First Releasor (If you are receiving extra compensation use this box)
Number of Releasors: One Two
Name:
Address:
City/Town:
County:
(e.g. Orange)
State:
Gender:


Second Releasor
Address the same as first Releasor? Yes No
Name:
Address:
City/Town:
County:
(e.g. Orange)
State:
Gender:
Releasee (party wanting to be released from claim)
Activity Provider (party providing activity in exchange for release from claims)
Second Releasor (Second party releasing claims)
Number of Releasees: One Two
Name:
Address:
City/Town:
County:
(e.g. Orange)
State:
Gender:


Second Releasee
Address the same as first Releasee? Yes No
Name:
Address:
City/Town:
County:
(e.g. Orange)
State:
Gender:
Details of Dispute
Complete this sentence:
"The claim or dispute arose as a result of ____."
Example: the damage caused to the underground sprinkler system of the home of the Releasor while the Releasee was providing contracted landscaping services
Date of Accident
Date on which accident occurred: (e.g. January 3, 2003)

Details of Accident
Complete this sentence: "The claim arose as a result of a motor vehicle accident at or near ____."
Example: the intersection of 5th Ave and Main Street in town/city, state

Releasee's Insurer
Releasee's Insurance company covered by Release? Yes No
Name of Releasee's Insurer:
If unsure of name leave box blank to insert a blank line.
Date of Occurrence
Date on which damage occurred: (e.g. January 3, 2003)
Details of Dispute
Complete the following sentences:

1. The property damage occurred to ____.
Example: the front driveway of the home of the Releasor
2. The property damage occurred following or as a result of ____.
Example: the repair work performed by the Releasee
Details of Debt Claim
Current Debt Amount: Currency:
Original Debt Amount: Currency:

How Debt Arose
Complete this sentence: "The debt became owed following ____."
Example: a dispute over the quality of the workmanship provided for a new roof built on the Releasee's house by the Releasor and the withholding of the final payment owed to the Releasor for this service

Date when Debt Arose
Date of occurrence of debt: (e.g. January 3, 2003)
Date Injury Occurred
Date on which injury occurred: (e.g. January 3, 2003)

Location where injury occurred
Complete this sentence: "The injury occurred to the Releasor ____."
Examples:
1. at the home of the Releasee in town/city, state
2. at the intersection of (street) and (avenue) in town/city, state

The cause of the injury
Complete this sentence (do not place a period at the end of the last word): "The injury occurred to the Releasor when ____."
Examples:
1. the Releasor slipped on ice on the front sidewalk of the home of the Releasee
2. the Releasee rode into the Releasor while riding a bicycle
Dates for Activity
Date(s) planned for activity:
Example: January 3, 2003 or January 3 to January 5, 2003

Details of activity requiring Release Agreement
Complete this sentence: "I require this release so that I can participate in _______, scheduled for start date to end date."
Example: a wilderness trek from (location) to (location)
Details of Debt Claim
Current Debt Amount: Currency:
Original Debt Amount: Currency:

How Debt Arose
Complete this sentence (do not place a period at the end of the last word): "The debt became owed following ____."
Example: the sale to the Releasee by the Releasor of a 1997 Coleman four (4) person canoe and the inability of the Releasee to pay the full amount due as required by the attached purchase agreement

Date when Debt Arose
Date of occurrence of debt: (e.g. January 3, 2003)
Details of Dispute
Complete this sentence:
"The claim or dispute arose as a result of ____."
Examples:
1. a collision involving both parties vehicles occurring while both parties were backing-out from parking stalls in the parking lot located at 5th Street and Main in town/city, etc.

2. the failure of the parties to follow the terms of the attached contract
Consideration (the compensation you receive to release your claim)
Extra Consideration (Is the First Releasor receiving extra compensation?)
Type of Consideration? Money Other
No
Amount: Currency:
Form of Payment:
Complete this sentence: "My compensation for releasing this claim is the __________ from the Releasee."
Examples:
1. transfer of ownership to the Releasor of five (5) common shares in the Ford Motor Company, a publicly traded company on the New York Stock Exchange, for no cost

2. the sale and transfer of ownership to the Releasor of a 1997 Ford Escort, as is, for one ($1) dollar
Miscellaneous
Laws of which State will govern this contract?
Signing Details
Release to be signed? Today This Month Unsure
Signing in front of? One Witness
Two Witnesses
Notary Public

Location where release will be executed (signed)?
City/Town:
County:
(e.g. Orange)
State: