Insurance Release Form for Saudi Arabia

Insurance Release Form Template for Saudi Arabia

A comprehensive legal document governed by Saudi Arabian law that formally releases an insurance company from future liability following the settlement of a claim. This document combines elements of conventional insurance practices with Sharia-compliant principles, as required under Saudi jurisdiction. It includes detailed settlement terms, warranties, and representations from all parties involved, while ensuring compliance with both the Cooperative Insurance Companies Control Law and SAMA regulations. The document must be executed in both Arabic and English, with the Arabic version prevailing in case of any discrepancy.

Your data doesn't train Genie's AI

You keep IP ownership of your information

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Download a Standard Template

4.6 / 5
4.8 / 5
Access for free
OR

Alternatively: Run an advanced review of an existing
Insurance Release Form

Let Genie AI's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.
Upload your Doc

What is a Insurance Release Form?

The Insurance Release Form is a critical document used in Saudi Arabia when finalizing insurance claim settlements. It serves as a formal legal instrument that releases the insurance company from further liability while protecting the rights of all parties involved. This document must comply with both the Saudi Arabian Cooperative Insurance Companies Control Law and Sharia principles, making it unique compared to conventional insurance releases in other jurisdictions. The form is typically used after a claim has been settled and agreed upon, whether for personal injury, property damage, or other insured losses. It includes essential elements such as settlement amounts, release terms, and necessary declarations, all structured to meet Saudi legal requirements and Islamic finance principles. The document must be prepared in both Arabic and English, with the Arabic version being legally predominant.

What sections should be included in a Insurance Release Form?

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

What sections are optional to include in a Insurance Release Form?

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

What schedules should be included in a Insurance Release Form?

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

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

Saudi Arabia

Publisher

Genie AI

Cost

Free to use
Relevant Industries

Insurance

Healthcare

Financial Services

Legal Services

Risk Management

Islamic Finance

Construction

Manufacturing

Transportation

Real Estate

Retail

Professional Services

Relevant Teams

Legal

Compliance

Risk Management

Claims Processing

Insurance Operations

Document Management

Policy Administration

Corporate Affairs

Sharia Advisory

Customer Relations

Relevant Roles

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

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Property Release Form

A Sharia-compliant legal document under Saudi Arabian law that facilitates the formal release and transfer of property rights, interests, or claims.

Download

Consent To Disclose Medical Information

A Saudi Arabian-compliant authorization form for the disclosure of medical information, ensuring legal protection for both healthcare providers and patients.

Download

Patient Disclosure Authorization Form

A Saudi Arabian healthcare document authorizing the release of patient medical information in compliance with local healthcare and data protection regulations.

Download

Authorization To Share Information

A Saudi Arabian law-compliant document authorizing the controlled sharing of specified information between designated parties, governed by PDPL and related regulations.

Download

Medical Photo Consent Form

A Saudi Arabian-compliant consent form for medical photography that protects patient privacy rights while enabling necessary medical documentation.

Download

Medical Treatment Authorization And Consent Form

A Saudi Arabian healthcare consent form that documents patient authorization for medical treatment while ensuring compliance with local healthcare laws and Shari'ah principles.

Download

Customer Release Form

A Saudi Arabian law-compliant document that enables customers to waive specific claims or rights against a business entity, incorporating local legal requirements and Shariah principles.

Download

Termination Of Account Letter

A formal letter for closing bank accounts in Saudi Arabia, compliant with SAMA regulations and Islamic banking principles.

Download

Gym Disclaimer Form

A Saudi Arabia-compliant liability waiver and terms agreement for gym facilities, incorporating local legal requirements and Sharia principles.

Download

Final Release Form

A legally binding document under Saudi Arabian law that settles and terminates claims between parties, providing a complete discharge of specified obligations or liabilities.

Download

Photography Consent Form

A Saudi Arabian legal document obtaining consent for photography usage, compliant with local laws and cultural requirements.

Download

Authorization To Disclose Protected Health Information

A Saudi Arabian-compliant authorization form for the disclosure of protected health information, ensuring legal and secure sharing of medical records.

Download

Babysitter Medical Consent Form

A Saudi Arabian legal form authorizing babysitters to consent to medical treatment for minors in their care, compliant with local healthcare regulations and Islamic law.

Download

Motor Vehicle Accident Release Form

A Saudi Arabian legal document that releases liability claims following a motor vehicle accident in exchange for agreed compensation, compliant with local laws and Sharia principles.

Download

New Release Form

A Saudi Arabian Release Form enabling the legal transfer of rights or permissions between parties, compliant with local civil and Sharia law requirements.

Download

Minor Consent To Treat Form

A Saudi Arabian healthcare form authorizing medical treatment for minors, in compliance with Saudi Health Law and Islamic principles.

Download

Temporary Guardian Medical Release Form

A Saudi Arabian legal document authorizing temporary medical decision-making powers to a designated guardian, compliant with Sharia law and healthcare regulations.

Download

Simple Release Form

A Saudi Arabian legal document where one party releases claims or rights against another, compliant with local law and Sharia principles.

Download

Protected Health Information Form

A Saudi Arabian legal form governing the handling and protection of patient health information under Saudi law and PDPL requirements.

Download

Military Medical Records Request Form

A standardized form for requesting military medical records in Saudi Arabia, compliant with local military and healthcare regulations.

Download

Medical Release Consent Form

A Saudi Arabia-compliant authorization form for the release of medical information, ensuring patient privacy rights and regulatory compliance.

Download

Hospital Release Form

A legally-compliant Hospital Release Form for use in Saudi Arabian healthcare facilities, documenting patient discharge and post-care instructions in accordance with local regulations.

Download

Impound Release Form

A Saudi Arabian legal document authorizing the release of an impounded vehicle upon satisfaction of all regulatory requirements and payments.

Download

Dental Photo Consent Form

A Saudi Arabia-compliant dental photography consent form for obtaining patient authorization for taking and using dental photographs in accordance with local healthcare regulations.

Download

Consent To Release Personal Information Form

A Saudi Arabian law-compliant form for obtaining explicit consent to collect, process, and share personal information under the PDPL.

Download

Basic Photography Release Form

A Saudi Arabian-compliant photography release form establishing image usage rights and permissions while adhering to local privacy laws and cultural requirements.

Download

Actor Release Form

A Saudi Arabian-compliant legal agreement granting a production company rights to use an actor's performance and likeness, aligned with local media regulations and Sharia law.

Download

Form For Requesting Medical Records

A standardized Saudi Arabian medical records request form enabling patients to formally request their health records in compliance with local healthcare regulations.

Download

Patient Record Request Form

A Saudi Arabia-compliant form for requesting and authorizing the release of patient medical records from healthcare facilities.

Download

Physician Release To Return To Work Form

A Saudi Arabia-compliant medical certification form authorizing an employee's return to work after medical leave, including work capabilities and restrictions.

Download

Document Release Request Letter

A formal letter used in Saudi Arabia to request the release of specific documents from an organization or government entity, complying with Saudi Arabian legal requirements.

Download

Authorization To Release Loan Information

A Saudi Arabian law-compliant authorization document enabling the release of loan information between financial institutions and authorized parties.

Download

Written Release Form

A Saudi Arabian legal document where one party releases another from specific claims or liabilities, structured in compliance with local law and Sharia principles.

Download

Release Of Personal Injury Form

A Saudi Arabian legal document that settles and releases claims related to personal injuries, governed by local civil law and Sharia principles.

Download

Employer Release Form

A legally required document in Saudi Arabia that provides employer consent for an employee to transfer their employment and sponsorship to another company.

Download

Release Request Letter

A formal letter under Saudi Arabian law requesting release from contractual obligations after their fulfillment or upon mutual agreement.

Download

Listing Release Form

A Saudi Arabian legal document authorizing a broker to list and market property, compliant with REGA regulations and Sharia law.

Download

Judgement Release Form

A Saudi Arabian legal document that releases parties from obligations under a court judgment, requiring compliance with local laws and Sharia principles.

Download

Company Release Letter To Employee

A formal document issued under Saudi Arabian law by an employer releasing an employee from employment obligations and confirming settlement of all dues.

Download

Authorization To Disclose Information

A Saudi Arabian law-compliant document authorizing controlled information disclosure between specified parties, governed by local data protection regulations.

Download
See more related templates

Genie’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; Genie’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

We are ISO27001 certified, so your data is secure

Organizational security:

You retain IP ownership of your documents and their information

You have full control over your data and who gets to see it

2 Docs LeftAccess Now