Adam Frankel
General Counsel · Technology & AI
15+ years as General Counsel to technology, cloud & AI companies
Employee Compensation Settlement Agreement (India) by OLL
Open Legal LibraryUpdated 19 Oct 2026
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AGREEMENT FOR COMPROMISE BETWEEN THE EMPLOYER AND WORKMAN FOR PAYMENT OF COMPENSATION UNDER THE 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.
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 ____________, 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?
This is a compromise deed specifically for settling claims arising from workplace accidents. It is not a general employment contract or a redundancy agreement, as it focuses exclusively on releasing liability for physical injury in exchange for a one-time payment. It contains specific placeholders for Board Resolution dates and the company's common seal.
When should you use it?
Use this document when an accident has occurred in a factory or workplace and both parties agree to a settlement amount instead of going to a tribunal. Use a Settlement Agreement (Employment) if the dispute is about termination or wages rather than a physical injury covered by the Workmen's Compensation Act.
What's inside
| Clause | Name | What it does |
|---|---|---|
| 1 | Compensation Payment | The Employer pays the Workman a specific sum in Rupees as compensation for the injury on a defined date. |
| 2 | Medical Expenses | The Employer pays a separate sum in Rupees to cover the costs of the Workman's medical attendance and expenses. |
| Final unnumbered paragraph | Full Discharge and Release | The Workman accepts the payments as full discharge of all liability under the Workmen's Compensation Act and releases all future damage claims. |
Who it's for
- an Indian company settling an injury claim with a factory worker to avoid litigation
- a worker in India accepting a lump sum payment for an accident arising during employment
How long it runs and how it's signed
How long
Used once
Signed by
Directors, Workman
Witness
Required
Notarisation
Not required
Also needed
common seal; Board Resolution dated same day
Law it's drafted under
Governed by
Workmen's Compensation Act
Refers to
Companies Act, 1956
Jurisdiction
India
Other names
Document info
GitLaw document. Document created on Fri Jun 26th, 2026. Last updated on Mon Oct 19th, 2026.
This document is public
Licensed under CC BY 4.0 (Attribution).
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