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Liability Exclusion Form

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Liability Exclusion Form

This Liability Exclusion Form (the Agreement) is entered into on by and between:

Parties

Recitals

WHEREAS, Provider offers services, products and/or activities described below that carry inherent risks of injury, damage or loss; and

WHEREAS, Client desires to engage Provider to perform such services under the terms of this Agreement and acknowledges that certain liabilities will be excluded and limited as provided herein; and

NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties agree as follows.

Scope of Work

Payment Terms

Term and Termination

This Agreement commences on and, unless earlier terminated in accordance with this Agreement, expires on .

Either party may terminate for material breach upon written notice if the breach remains uncured for the notice period specified above. Termination shall not relieve the Client of payment obligations for services performed or costs incurred prior to termination.

Confidentiality

Each party shall maintain in strict confidence all non-public information disclosed by the other party that is designated as confidential or that reasonably should be understood to be confidential given the nature of the information. Confidential information shall not include information that is or becomes publicly available through no fault of the receiving party, or that is rightfully received from a third party without restriction.

Liability Exclusion and Limitation

Except to the extent prohibited by applicable law, Provider's aggregate liability to Client for all claims arising out of or relating to this Agreement shall not exceed the total amounts paid by Client to Provider under this Agreement during the six (6) month period immediately preceding the event giving rise to the claim. Under no circumstances shall Provider be liable for incidental, consequential, punitive, special, or exemplary damages, including lost profits, loss of business, or loss of data.

Notwithstanding the foregoing limitation, nothing in this section shall limit liability for (a) willful misconduct or gross negligence, or (b) death or bodily injury caused by Provider's proven gross negligence or intentional act.

Assumption of Risk and Waiver

Client acknowledges that participation in the activities described in this Agreement may involve certain inherent risks. Client voluntarily assumes all risks of injury, death, property damage and other loss that may result from participation in such activities except to the extent caused by Provider's gross negligence or willful misconduct.

I have read, understand, and accept the liability exclusions, limitations and assumptions of risk set forth in this Agreement.

Indemnification

Client shall indemnify, defend and hold harmless Provider and its officers, directors, employees and agents from and against all third-party claims, liabilities, damages, losses and expenses (including reasonable attorneys' fees) arising out of or resulting from Client's breach of this Agreement or Client's negligent acts or omissions in connection with the services, except to the extent such claims arise from Provider's gross negligence or willful misconduct.

Insurance

Representations and Warranties

Each party represents and warrants that it has full corporate or individual power and authority to enter into this Agreement and that the person signing this Agreement is authorized to bind the signing party.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the state or jurisdiction selected by the parties:

Entire Agreement

This Agreement (including all schedules and exhibits) constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings and representations, whether oral or written. Any amendment or modification must be in writing and signed by both parties.

Acknowledgement

By signing below, the parties acknowledge that they have read and understood all provisions of this Agreement, including the liability exclusions and limitations, and agree to be bound by its terms.

Provider Name:

By:

Date:

Client Name:

By:

Date:

Enter text✕

What the Liability Exclusion Form Is and when it applies

A Liability Exclusion Form is a written agreement used to limit or exclude one party's liability for specified risks, activities, or losses. Common in commercial contracts, event releases, and professional services engagements, the form clarifies which types of claims or damages are disclaimed and which remain the responsibility of the parties. It typically identifies the parties, the excluded liabilities, effective dates, and any required waivers or acknowledgements. Properly drafted and executed, the form reduces ambiguity about risk allocation and supports enforcement in disputes by documenting assent and scope.

Why a clear Liability Exclusion Form matters

A clear Liability Exclusion Form reduces exposure by documenting agreed limits of responsibility, helps insurers and counsel assess risk, and provides evidence of voluntary acceptance of terms. It also speeds dispute resolution by defining expectations and can lower the cost of risk management when used consistently across contracts.

Why a clear Liability Exclusion Form matters

Who commonly prepares and signs this form

Clear assignment of responsibility and properly executed signatures are central to enforceability across these user groups.

  • Event organizers and venues that require attendees to accept risk and waive certain claims before participation.
  • Service providers (consultants, contractors) that limit liability for consequential damages or indirect losses.
  • Facilities and property owners who want visitors to acknowledge known hazards and responsibility for personal property.

Who may legally sign the Liability Exclusion Form

Authorized Signer

A corporate signer must be an officer or person with express authority to bind the entity; include title and printed name to confirm authority. For individuals, the signer must be the party assuming the exclusion or their legally authorized agent.

Third-Party Agents

Agents or guardians may sign where a power of attorney, parental authority, or court order authorizes execution; document the authority source and retain the supporting power document.

Essential data elements to include

Party Names: Full legal names
Effective Date: MM/DD/YYYY
Exclusion Scope: Specific liability types
Consideration: Payment or benefit
Signature: Signed and dated
Jurisdiction: Governing state law

Step-by-step: completing and executing a Liability Exclusion Form

Follow these sequential steps to prepare, sign, and retain an enforceable exclusion form.

  • 01
    Draft: Define scope and consideration clearly
  • 02
    Review: Have legal counsel confirm enforceability
  • 03
    Sign: Collect signatures and dates
  • 04
    Retain: Store executed copy with related records

Where to send or file completed forms

Determine custody, distribution, and official filing destinations before finalizing signatures.

  • Internal Records: Store executed originals with contract files
  • Counterparty Copy: Deliver signed copy to the other party
  • Insurance File: Provide copy to insurer if coverage depends on waiver
  • Legal Counsel: Retain counsel copy for dispute readiness

Configuring a repeatable online signing workflow

Standardize fields and routing to reduce errors and speed execution for recurring exclusions.

Field Configuration
Signature Required; date autofill enabled
Initials Optional; place at each clause
Conditional Clause Show when 'high-risk' checked
Signer Order Sequential: Party A then Party B

Digital signing and distribution considerations

Retain full audit trails and backups in secure storage consistent with legal and internal policies.

  • Authentication: Email, SMS, or advanced options
  • File Types: PDF and DOCX supported
  • Envelope Cap: No envelope cap (signNow); DocuSign 100/user/year

Typical timing and processing expectations

Understand time-sensitive steps so obligations and limitations begin as intended.

Execution Date:

Date signed; determines effective obligations

Insurance Notice:

Provide within insurer windows if required

Retention Trigger:

Retention clock starts on execution

Dispute Window:

May affect statute of limitations timing

Review Cycle:

Periodic review recommended annually

Key milestones after issuance

Track these sequential milestones to manage compliance and recordkeeping for each executed form.

01

Issue Form

Draft and circulate the proposed exclusion

02

Obtain Signatures

Collect all required signatures and dates

03

Distribute Copies

Send executed copies to stakeholders

04

Archive Record

Store executed form with contract file

Common preparation errors to avoid

  • Using vague language that fails to specify excluded liability categories and leaves room for judicial interpretation.
  • Collecting signatures without documenting signer capacity or authority, which can void corporate waivers.
  • Failing to provide required consumer electronic disclosures when obtaining waivers in consumer-facing transactions.
  • Not retaining a complete audit trail or executed copy, making enforcement and insurer verification difficult.

Consequences of an incorrect or incomplete form

Invalid Waiver: May be unenforceable
Insurance Gap: Coverage may be denied
Regulatory Risk: Possible fines or sanctions
Litigation Costs: Increased defense exposure
Statute Impact: Timing affects limits
Reputational Harm: Stakeholder trust reduced

eSignature vendor comparison for executing Liability Exclusion Forms

Core pricing and compliance features for common eSignature platforms; signNow is listed first per platform comparison conventions.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day trial No No Yes, limited Yes, limited
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Sample use cases: how organizations use Liability Exclusion Forms

Real-world examples show practical drafting and signing patterns across organizations that manage participant or client risk.

Martin Properties — Event Release

Property manager used a standard exclusion for open-house attendees to limit premises liability.

  • The form included clear hazard notice.
  • The signed record reduced dispute time and allowed efficient claims handling while preserving necessary insurance reporting.

Fertility Centers of Illinois — Clinical Consent

Medical practice attached a narrow liability exclusion to consent documents for elective procedures.

  • Exclusion limited non-medical consequential claims.
  • Combining the exclusion with a HIPAA authorization and retained audit trail helped the clinic document patient consent and regulatory compliance.

Frequently asked questions about Liability Exclusion Forms

Answers to common execution, enforceability, and recordkeeping questions to reduce mistakes and clarify legal risks.


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