Employee Compensation Settlement Agreement (India)
Updated 29 June 2026
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 ___________, 20__, between ABC 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.
THE PARTIES HEREBY AGREE 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 __________, 20__, in the presence of Shri ______________ and _________________Directors who have signed in token thereof.
Signed and delivered by X, the within-named workman
WITNESSES:
1. Name & Signature
2. Name & Signature
About this template
What is this template?
Employee Compensation Settlement Agreement (India) is a free, ready-to-use Employment template you can open, customize, and download on GitLaw. It gives you a professionally structured starting point, so you never have to draft from a blank page. The wording is plain and modern, organized into clear sections that are easy to read, edit, and adapt to your own situation before you share or sign it.
When should you use it?
Reach for this Employment template whenever you need a reliable agreement quickly and want to be sure the essentials are covered. It suits individuals, freelancers, startups, and established businesses alike. Instead of paying for a document drafted from scratch, you can start here, tailor the details to your arrangement, and have a polished draft ready in minutes. This version is drafted with India in mind, though you should always review the final wording against the laws that apply to you.
What's typically included?
A well-drafted Employment usually sets out the parties involved, the scope of the agreement, and each side's rights and responsibilities. Expect sections covering key terms and definitions, how long the agreement lasts, how it can be ended, and what happens if something goes wrong. This template brings those building blocks together in a sensible order, so you can focus on the specifics rather than worrying about what to include. Open it to read the full document, then sign up to edit, negotiate, and e-sign it directly in GitLaw.