Workplace Injury Settlement Agreement

1. Parties

This Settlement Agreement ("Agreement") is entered into between:

2. Date of Injury

3. Description of Injury

4. Settlement Amount

Employer agrees to pay Employee the total sum of

5. Release of Claims

Employee releases Employer from all claims related to the injury described above, including all claims for damages, medical costs, lost wages, or other compensation arising from or related to the injury.

6. Confidentiality

Both parties agree to keep the terms and details of this Agreement confidential except as required by law.

7. No Admission of Liability

This Agreement does not constitute an admission of liability by either party.

8. Governing Law

This Agreement is governed by the laws of

9. Entire Agreement

This Agreement contains the entire understanding and agreement between the parties with respect to the subject matter hereof.

10. Signatures

Employee Signature & Date
Employer Signature & Date