Establishing secure connection…Loading editor…Preparing document…

Release of Claims Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

RELEASE OF CLAIMS AGREEMENT

This Release of Claims Agreement (the "Agreement") is made as of Execution Date: by and between Releasor Name: ("Releasor") and Releasee Name: ("Releasee").

WHEREAS

1. Releasor asserts that a dispute, claim, or potential claim arose from the Incident described as: occurring on Incident Date: .

2. The parties desire to settle and fully resolve all disputes, claims, and causes of action between them, whether known or unknown, to avoid the expense, inconvenience and uncertainty of litigation.

3. In consideration of the mutual covenants and the payment and other terms set forth below, the parties agree to be bound by the terms of this Agreement.

SCOPE OF RELEASE

Releasor hereby fully and forever releases and discharges Releasee, and Releasee's agents, employees, insurers, successors and assigns, from any and all claims, demands, actions, causes of action, suits, liabilities, obligations, damages, losses, costs and expenses of whatever nature (collectively, "Claims") whether known or unknown, suspected or unsuspected, which Releasor has or may have had arising out of or in any way related to the Incident described above or any other matter occurring prior to the Execution Date, including, without limitation, claims for personal injury, property damage, contract, tort, statutory penalties, attorneys' fees, and costs.

CONSIDERATION AND PAYMENT TERMS

In consideration for the release granted herein, Releasee agrees to pay Releasor the total Settlement Amount:

TERM AND TERMINATION

Except as expressly provided herein, this Agreement is not terminable except by mutual written agreement of the parties. Termination shall not revive any Claims released by this Agreement.

CONFIDENTIALITY

The terms and existence of this Agreement shall be treated as confidential by the parties and shall not be disclosed to third parties except as required by law or to enforce the terms of this Agreement. Notwithstanding the foregoing, disclosure to a party's legal counsel, accountant, insurer or immediate family is permitted.

By checking this box, Releasor acknowledges the confidentiality obligation set forth above.

WAIVER OF UNKNOWN CLAIMS

Releasor expressly acknowledges and agrees that this release includes a full and final waiver and release of any and all Claims that Releasor does not now know or suspect to exist, and that if such Claims exist, this Agreement is intended to release them as well. Releasor assumes the risk of any such unknown Claims.

REPRESENTATIONS, INDEMNITY, AND COOPERATION

Each party represents that it has full authority to enter into this Agreement, that it has not assigned any Claim released herein, and that it will execute such further documents and take such further actions as reasonably requested to effectuate the purposes of this Agreement. Releasor agrees to indemnify and hold harmless Releasee from any third-party claims that arise from Releasor's willful misrepresentation regarding any matter material to this Agreement.

GOVERNING LAW; VENUE

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflicts of law principles. Exclusive venue for any action to enforce this Agreement shall be the appropriate state or federal court located within that State.

ENTIRE AGREEMENT; SEVERABILITY

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous understandings and agreements, whether written or oral. If any provision of this Agreement is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

ADDITIONAL ACKNOWLEDGMENTS

Releasor acknowledges that Releasor has been given a reasonable opportunity to review this Agreement, to ask questions, and to consult with legal counsel prior to signing. Releasor further acknowledges that the consideration set forth herein is fair and adequate.

Releasor represents that they have had the opportunity to consult with independent legal counsel concerning this Agreement.

Releasor Name:

By:

Date:

Releasee Name:

By:

Date:

Enter text✕

What a Release of Claims Form Is and When it Applies

A Release of Claims Form is a written agreement in which one party (the releasor) gives up the right to bring future legal claims against another party (the releasee) arising from a defined set of facts or events. Common uses include settlement agreements after personal injury, employment separations, insurance claim resolutions, and property damage settlements. A properly drafted release identifies the parties, describes the claims being released, specifies any consideration, and records the effective date and signatures that make the release legally binding under applicable law.

Why a Clear Release of Claims Form Matters

A clear release reduces litigation risk, memorializes settlement terms, and allocates ongoing obligations between parties. It provides finality for the releasee and certainty for the releasor when properly executed and retained under applicable laws such as ESIGN and state UETA statutes.

Why a Clear Release of Claims Form Matters

Who Commonly Prepares and Signs Releases

Organizations and individuals use releases whenever a dispute is resolved, a payout is made, or a contractual relationship ends and parties need legal closure.

  • Employers and HR teams resolving termination or severance agreements with departing employees.
  • Insurance adjusters and claims handlers documenting settlement of bodily injury or property claims.
  • Plaintiffs and defendants or their attorneys agreeing to settle lawsuits or pre-suit claims.

Drafting responsibility often falls to the paying party or their counsel; all affected claimants should review and sign to avoid later disputes.

Who Can Sign and Why Their Role Matters

Individual Claimant

The person releasing claims must sign in their legal name; capacity and comprehension are required. If the claimant is a minor or incapacitated, a parent, guardian, or conservator must sign on their behalf with documentation.

Authorized Representative

A corporate officer, trustee, or attorney-in-fact may sign for an organization or another individual if express written authority exists. Proof of authority (board resolution, power of attorney) should be attached to avoid challenges.

Essential Fields You Should Include

Releasor Name: Full legal name
Releasee Name: Full legal name
Claim Description: Concise description
Consideration: Payment or value
Effective Date: MM/DD/YYYY
Signature Block: Name, title, date

Step-by-Step: Filling Out a Release of Claims Form

Follow these steps to complete a standard Release of Claims Form accurately and reduce the risk of disputes or invalidation.

  • 01
    Identify Parties: Enter full legal names exactly as on IDs.
  • 02
    Describe Claims: Specify dates, incidents, and claim types released.
  • 03
    Record Consideration: State the amount or nature of payment precisely.
  • 04
    Sign and Date: All releasors and authorized reps must sign with dates.

How to Configure an Online Release Form Workflow

Set up a repeatable digital workflow to ensure secure routing, authentication, and retention of signed releases.

Field Configuration
Authentication Email link, SMS code, or stronger KBA
Conditional Fields Show extra fields when certain checkboxes selected
Auto-Fill Prepopulate known party data to reduce errors
Reminders Automatic email reminders for unsigned recipients

Where to Send or File a Completed Release

After execution, route signed copies to the appropriate parties and retain a certified copy for records and compliance.

  • Provide to Claimant: Deliver a fully executed copy to the releasor.
  • Send to Payer: Provide the release to the paying party or insurer.
  • File with Counsel: Include in case file if litigation was pending.
  • Retain Records: Store original signed copy per retention policy.

Digital Signing and Submission Considerations

Choose a platform that supports audit trails, appropriate signer authentication, and secure storage for executed releases.

  • File Formats: PDF, DOCX supported
  • Integrations: CRM and cloud storage ready
  • Authentication: Email, SMS, or KBA options

Timing, Deadlines, and Key Timeframes to Watch

Release timing interacts with settlement terms and statutory limits; verify deadlines in the agreement and applicable state law before signing.

Statute of Limitations:

Varies by claim and state; check local statute

Settlement Payment Deadline:

Follow the payment schedule in the release

Revocation Window:

No universal right to revoke; check contract terms

Notarization Timing:

Notarize at execution if required by state

Record Retention:

Keep executed copy per retention policy

Key Processing Stages After Agreement

A release typically follows a short sequence from negotiation through record retention; each stage has distinct tasks and timelines.

01

Negotiation

Parties agree core terms and any exhibits to be attached.

02

Execution

All releasors and authorized signers sign and date the document.

03

Authentication

Notarize or use verified eSignature if required by law or parties.

04

Retention

Store signed copies and associated payment records securely.

Common Mistakes to Avoid When Preparing a Release

  • Using overly broad language that unintentionally releases unrelated future claims, which can be contested.
  • Failing to identify all parties by legal name, leading to enforceability challenges or missing signatories.
  • Omitting clear consideration or making consideration ambiguous, which may render a release unenforceable.
  • Neglecting required notarization or witness steps where state law or the counterparty demands them.

Risks and Legal Consequences of an Incorrect Release

Voidable Release: Enforceability risk
Tax Consequences: Reporting obligations
Waived Rights: Lost future claims
Incomplete Parties: Unreleased claimants remain exposed
Improper Notarization: Challenges in court
Fraud Allegations: Potential rescission

eSignature Vendor Comparison for Executing Releases

Basic pricing and feature differences for common eSignature vendors. signNow is listed first per vendor-comparison format; check vendor sites for full plan details.

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 free trial no credit card Trial available Trial available Trial available Trial available
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Practical Examples of Releases in Use

Real-world examples illustrate how releases close disputes and streamline administration across industries.

Martin Properties

A local property manager used an online release to finalize tenant damage claims and move forward with repairs.

  • 'I can process and execute all of these documents online with 100% compliance and built-in security.'
  • Tim Martin, Founder, reported faster turnaround and consistent recordkeeping across mobile and desktop workflows, helping close property remediation tasks without in-person meetings.

Fertility Centers of Illinois

A healthcare provider implemented electronic releases for treatment-related consent and settlement matters.

  • 'The API has been great.'
  • John Butler noted that integrated eSignature workflows reduced administrative delays, maintained HIPAA controls through signed records, and centralized audit trails for clinical and legal review.

Frequently Asked Questions About Release of Claims Forms

Answers to common questions about validity, eSigning, witnesses, and what to check before you sign a release.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users