Agreement for Compromise Between Employer and Workman for Payment of Compensation (India)
This template facilitates a formal settlement between an employer and an employee regarding compensation for workplace injuries. It outlines the agreed-upon payment amount and ensures the employer is released from further liability under the Workmen's Compensation Act.
Agreement for Compromise between the Employer and Workman for Payment of Compensation Under Workmen's Compensation Act
THIS AGREEMENT is made at __________ on this ______ day of ___________, 2000,
between
A B Co. Ltd.,
a company incorporated under the Companies Act, 1956 and having its registered office at ________________
hereinafter called "the Employer" (which expression shall unless repugnant to the context or meaning thereof include its successors and assigns) of the ONE PART
and
Mr. X S/o _________,
R/o _______________
hereinafter called "the workman" (which expression shall unless repugnant to the context or meaning thereof, include his heirs, executors, administrators and assigns) of the OTHER PART.
WHEREAS the workman was employed by the employer in its factory in the capacity of ___________ and on ________ he was injured by an accident arising out of and in the course of his employment, in respect of which he claims that the employer is liable to pay him compensation under the Workmen's Compensation Act.
WHEREAS in order to avoid litigation in respect of the said claim, the parties hereto are desirous that the liability of the employer (if any), shall be satisfied by the compensation herein agreed to be made.
NOW THIS DEED WITNESSETH THAT IT IS HEREBY AGREED AS FOLLOWS:
1. The employer shall pay the workman the sum of Rs. __________ as compensation for such injury as aforesaid on __________.
2. The employer shall also pay the workman the sum of Rs. _________in respect of the costs of his medical attendance and other expenses.
The workman shall accept the before mentioned payments in full discharge of all liability of the employer to pay compensation under the Workmen's Compensation Act or any law for the time being in force and doth hereby release the employer from any and all liability in respect of the injury caused to the workman and from any and all liability for any damages, which may result to the said workman in future on account of the said injury.
IN WITNESS WHEREOF, the employer hereto has set its hands and seal and the workman has set his hands hereunto and to a duplicate hereof, the day and the year first hereinabove written.
The common seal of ABC Co. Ltd. has been hereunto affixed pursuant to the Resolution of its Board of Directors dated the _____ day of __________, 200-__, in the presence of Shri ______________ and _________________Directors who have signed in token thereof.
Signed and delivered by A, the with in named workman
WITNESSES;
1. Name & Signature
2. Name & Signature
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About this template
What is this template?
This document is a formal compromise agreement used in India to settle compensation claims between an employer and a worker. It is not an employment contract or a general release of all future claims, but rather a specific settlement for a past injury.
When should you use it?
Use this document when both parties have reached an agreement on the financial compensation for a workplace accident and wish to prevent further litigation. Use a Settlement Agreement for general employment termination instead.
What's inside
| Clause | Name | What it does |
|---|---|---|
| Clause 1 | Terms of Compromise | The Employer agrees to pay a specific sum to the Workman as full settlement for injuries sustained. |
| Clause 2 | Release of Claims | The Workman releases the Employer from all further liability regarding the specific accident described in the document. |
| Clause 3 | Payment Method | The settlement amount must be paid to the Workman within the period specified in the agreement. |
Who it's for
- an Indian employer seeking to settle a workplace injury claim with a workman
- a workman in India agreeing to a financial settlement for employment-related injuries
How long it runs and how it's signed
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