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Bodily Injury Release Form
"I need a Bodily Injury Release Form for our manufacturing company in Riyadh, following a workplace incident on January 15, 2025, involving an expatriate worker; the document must be bilingual (Arabic/English) and include specific provisions for international employees."
1. Parties: Identification of the Releasor (injured party) and Releasee (party being released from liability), including full legal names and contact information
2. Background: Context of the relationship between parties and brief overview of the incident
3. Definitions: Key terms used in the agreement, including 'Incident', 'Injuries', 'Claims', and 'Release'
4. Description of Incident: Detailed description of the incident causing injury, including date, location, and circumstances
5. Description of Injuries: Specific details of the injuries sustained and medical treatment received
6. Release and Waiver: Core release language waiving all current and future claims related to the incident
7. Consideration: Details of any payment or consideration being provided in exchange for the release
8. Governing Law: Specification that Saudi law and Sharia principles govern the agreement
9. Declaration and Signature: Formal declarations of understanding and signature blocks for all parties
1. Medical Records Authorization: Authorization to access and share relevant medical records - include when medical treatment is ongoing
2. Confidentiality: Confidentiality provisions regarding the incident and settlement - include when privacy is a concern
3. Insurance Details: Information about relevant insurance policies - include when insurance companies are involved
4. Witness Statement: Statements from witnesses to the incident - include when there were witnesses
5. Future Medical Care: Provisions regarding potential future medical needs - include when there's possibility of future complications
6. Translation Clause: Clause regarding Arabic translation and controlling language - include when any party is non-Arabic speaking
1. Medical Reports: Copies of relevant medical reports and records documenting the injuries
2. Incident Report: Official documentation of the incident (if any)
3. Payment Details: Schedule detailing any compensation or payment arrangements
4. Witness Statements: Written statements from witnesses (if applicable)
5. Photographic Evidence: Photos of injuries or incident scene (if available)
Authors
Releasor
Releasee
Incident
Injuries
Claims
Release
Consideration
Effective Date
Medical Expenses
Legal Representatives
Affiliates
Successors
Assigns
Related Parties
Future Claims
Medical Treatment
Compensation
Incident Location
Governing Law
Liability
Settlement
Force Majeure
Confidential Information
Material Facts
Witness
Recitals
Definitions
Release of Liability
Consideration
Medical Authorization
Confidentiality
Governing Law
Dispute Resolution
Severability
Entire Agreement
Execution
Witness Requirements
Future Claims
Indemnification
Medical Records
Insurance
Acknowledgment
Language
Amendment
Assignment
Notices
Force Majeure
Legal Capacity
Sharia Compliance
Construction
Manufacturing
Healthcare
Sports and Recreation
Retail
Hospitality
Transportation
Education
Real Estate
Energy
Mining
Facilities Management
Legal
Risk Management
Human Resources
Compliance
Operations
Health and Safety
Facilities Management
Insurance
Corporate Affairs
Medical Services
Security
Legal Counsel
Risk Manager
Compliance Officer
Human Resources Director
Safety Manager
Insurance Claims Manager
Facility Manager
Operations Director
Corporate Secretary
General Manager
Medical Director
Security Manager
Project Manager
Site Supervisor
Sports/Recreation Manager
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