The Release Of Claims Form Auto Accident is a critical legal document used in Indonesia to formalize the settlement of claims arising from motor vehicle accidents. This document is essential when parties wish to resolve accident-related claims outside of court proceedings, providing a legally binding agreement that releases one party from future claims in exchange for agreed compensation. The form must comply with Indonesian legal requirements, particularly Law No. 22 of 2009 on Traffic and Road Transport and relevant provisions of the Civil Code (KUHPerdata). It's commonly used by insurance companies, individual parties, and businesses to document settlement terms, release of liability, and payment arrangements following auto accidents. The document includes provisions for both property damage and personal injury claims, making it versatile for various accident scenarios.
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1. Parties: Identification of the Releasor (person making the claim) and Releasee (person being released), including full legal names, addresses, and any relevant identification numbers
2. Background: Details of the auto accident including date, time, location, and brief description of the incident
3. Definitions: Key terms used in the agreement including 'Accident', 'Claim', 'Settlement Amount', and 'Released Parties'
4. Settlement Amount: Specific amount being paid as settlement and payment terms
5. Release: Core release language releasing the Releasee from all claims related to the accident
6. No Admission of Liability: Statement that the settlement payment is not an admission of fault or liability
7. Confidentiality: Terms regarding confidentiality of the settlement and its terms
8. Governing Law: Specification that Indonesian law governs the agreement
9. Execution: Signature blocks for all parties and witnesses
1. Insurance Provider Acknowledgment: Required when an insurance company is involved in the settlement payment
2. Medical Release: Additional release specific to medical claims when personal injury is involved
3. Future Claims: Specific provisions for unknown future claims, particularly relevant in cases with potential lasting injuries
4. Multiple Party Release: Required when multiple parties are being released (e.g., driver and vehicle owner)
5. Translation Certificate: Required when the release is provided in multiple languages
1. Schedule A - Damage Details: Itemized list of property damage and/or personal injuries being settled
2. Schedule B - Medical Expenses: Detailed list of medical expenses when personal injury is involved
3. Schedule C - Supporting Documents: List of supporting documents including police reports, photographs, and medical reports
4. Schedule D - Payment Details: Breakdown of settlement amount and payment method details
Relevant legal definitions
Clauses
Relevant Industries
Insurance
Automotive
Transportation
Legal Services
Fleet Management
Risk Management
Healthcare
Public Transportation
Logistics
Relevant Teams
Legal
Insurance
Risk Management
Fleet Operations
Compliance
Corporate Secretariat
Claims Processing
Safety and Security
Transportation Operations
Relevant Roles
Legal Counsel
Insurance Claims Adjuster
Risk Manager
Fleet Manager
Compliance Officer
Corporate Secretary
Insurance Underwriter
Claims Manager
Legal Operations Manager
Transportation Manager
Safety Officer
Corporate Driver
Insurance Agent
Paralegal
Settlement Administrator
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