Fill and Sign the Doubtful Claim 497314564 Form

IN THE CHANCERY COURT OF       COUNTY, MISSISSIPPI IN THE MATTER OF THE DOUBTFUL CLAIM OF       , A MINOR ORDER AUTHORIZING SETTLEMENT OF DOUBTFUL CLAIM Came on this day in this cause,       , a minor, by and through his/her next friends and parents,       and       , on Petition to Settle Doubtful Claim, and the Court considering the same finds the following: 1. That       is       years of age, date of birth being             ,       . Petitioners would show that on or about             ,       , that the minor child was enrolled in day care at       , owned by       , in       , Mississippi. That when said child was picked up at       in the afternoon, the director and owner,       , admitted that the minor child,       , had been bitten by said director on the right forearm, in an attempt to demonstrate to him/her not to bite other children. 2. That the bite sustained by the minor child was of sufficient force that said child sustained teeth marks and discoloration and a bruising condition to said area, and the Court further finds that medical care was not required for said child, and that the injured area has healed and that there are no physical residuary effects of said bite. 3. That without admission of any liability, and as a complete accord and satisfaction of disputed claims and a final settlement of all claims, that the owner,       , has agreed to pay $       for all damages arising as a result of the injuries sustained by       while in his/her day care, and to further pay additional attorney fees in the amount of $       , plus costs of court and additional credits for day care days cared for but not used by       . 4. The Court finds that the proposed settlement is a fair and reasonable settlement of the claims, and that the petitioners herein should be authorized to execute and deliver a good, valid and binding release, fully acquitting and discharging       and       , and any and all other persons employed therewith from any and all further known or unknown liability, arising from the injuries sustained by       as a result of the above - stated injury. IT IS, THEREFORE, ORDERED, ADJUDGED AND DECREED that the settlement of doubtful claim in the amount of $       , plus payment of attorney fees in the amount of $       and all costs of court and payment for additional days that have been paid for day care, but not received is hereby approved, and the parents and next friend of       being       and       are hereby authorized to execute and deliver a good, valid and binding release fully acquitting and discharging       and       and any and all other persons employed therewith from any and all further known or unknown liability arising from the injuries sustained by       as a result of the above - stated injury. ORDERED, ADJUDGED AND DECREED this       day of       ,       . _________________________________________ CHANCELLOR