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1. Parties: Identification of all parties including the insured, insurer, and any other relevant parties such as beneficiaries or witnesses
2. Background: Brief description of the insurance claim, incident details, and relevant policy information
3. Definitions: Key terms used in the release form, including Arabic/English equivalents where necessary
4. Release Statement: Clear and unambiguous statement of release from liability, including the scope of the release
5. Settlement Amount: Details of any monetary settlement, payment terms, and confirmation of receipt if applicable
6. Warranties and Representations: Declarations by the releasing party regarding their authority and understanding of the release
7. Governing Law and Jurisdiction: Explicit statement of Saudi Arabian law as governing law and relevant jurisdiction for disputes
8. Language: Statement that Arabic is the prevailing language in case of discrepancy between Arabic and English versions
9. Execution: Signature blocks, witness requirements, and execution formalities
1. Confidentiality: Required when the settlement terms need to remain confidential
2. Third Party Rights: Needed when the release affects rights of parties not directly involved in the settlement
3. Sharia Compliance Declaration: Additional section when explicit confirmation of Sharia compliance is required
4. Future Claims: Optional section addressing potential future claims or ongoing medical conditions
5. Subrogation Rights: Required when there are third-party claims or rights involved
1. Schedule 1 - Incident Details: Detailed description of the incident or claim being released
2. Schedule 2 - Settlement Calculation: Breakdown of settlement amount and any deductions
3. Schedule 3 - Supporting Documents: List of all supporting documents referenced in the release
4. Appendix A - Power of Attorney: If applicable, authorization documents for representatives signing the release
5. Appendix B - Medical Reports: If applicable, relevant medical reports or assessments related to the claim
Claim
Claimant
Company
Compensation
Effective Date
Full and Final Settlement
Incident
Indemnity
Insurance Policy
Insured
Insurer
Law
Loss
Parties
Policy Period
Release
Released Claims
Released Parties
Releasing Party
SAMA
Settlement Amount
Settlement Date
Sharia Compliant
Takaful
Representatives
Governing Law
Jurisdiction
Confidential Information
Force Majeure
Liability
Notice
Policy Number
Successor
Witness
Settlement Payment
Acknowledgment and Receipt
Representations and Warranties
Authority to Execute
Governing Law and Jurisdiction
Confidentiality
Non-Admission of Liability
Entire Agreement
Severability
Language
Sharia Compliance
Further Assurance
Assignment
Notices
Third Party Rights
Amendment
Counterparts
Force Majeure
Waiver
Indemnification
SAMA Compliance
Dispute Resolution
Binding Effect
Insurance
Healthcare
Financial Services
Legal Services
Risk Management
Islamic Finance
Construction
Manufacturing
Transportation
Real Estate
Retail
Professional Services
Legal
Compliance
Risk Management
Claims Processing
Insurance Operations
Document Management
Policy Administration
Corporate Affairs
Sharia Advisory
Customer Relations
Insurance Claims Manager
Legal Counsel
Risk Manager
Compliance Officer
Sharia Compliance Advisor
Claims Adjuster
Insurance Underwriter
Corporate Counsel
Settlement Officer
Insurance Broker
Chief Risk Officer
Legal Operations Manager
Claims Processing Supervisor
Documentation Specialist
Policy Administration Manager
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