Free Virginia Release / Waiver Form

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The Activity Waiver & Release is an agreement between two parties that releases the party providing an activity from liability claims from the individual wishing to participate in the activity. The Participant is required to give up all future claims against the other party, so care should be taken to ensure that the Participant is fully aware of their rights.
The Damage to Property Release is a general release tailored for the possible civil claims following damage to the Releasing Party's property. The Releasing Party is required to give up all known and unknown civil claims against the other party, so care should be taken to ensure that the Releasing Party is fully aware of their rights.
This is a general release tailored for use as a debt settlement between two parties where the releasing party agrees to accept less than they are legally due as a trade-off for reaching a final settlement. It can be in respect to a dispute over sale of goods or the provision of services. It can be a release with partial payment if there is no dispute as to the amount currently owing or an "accord and satisfaction" if there is a genuine dispute over the actual amount owing.
The General Release is a broad release from all possible civil claims resulting from a dispute. Since the Releasing Party is giving up all known and unknown claims against the other party, care should be taken to ensure that the Releasing Party is fully aware of their rights.
The Motor Vehicle Release is a general release tailored for the possible civil claims resulting from a motor vehicle accident. The Releasing Party is required to give up all known and unknown claims against the other party, so care should be taken to ensure that the Releasing Party is fully aware of their rights.
The Mutual Release is a general release tailored for use when both parties claim that each other is to blame for the injuries or damages that they have suffered. Since both parties are giving up all known and unknown civil claims against the other party, care should be taken to ensure that the parties are fully aware of their rights. Normally both parties simply release the other from future liability, however, if one party is more at fault they can be asked to give extra compensation.
The Personal Injury Release is a general release tailored for the possible civil claims resulting from an incident causing an injury to the Releasing Party. The Releasing Party is required to give up all known and unknown claims against the other party, so care should be taken to ensure that the Releasing Party is fully aware of their rights.

Location
Where will the waiver be used?
Debt Dispute
Is there a disagreement regarding the amount due or the amount that has already been paid?
- Yes
- No
Is the debt related to a sale of goods?
- Yes
- No
Different states have different rules and regulations.
Your Release/Waiver Agreement will be customized for .

Releasee Details
Who will be released from liability?
Activity Provider Details
Who is providing the activity?
Releasee/Borrower Details
Who owes the debt?
Who caused the personal injury?
First Releasee/Provider
First Releasor Details
Type
- Individual
- Corporation
Name:
Address:
e.g. Unit #, Street, City, State ZIP Code
- Add another releasee
Second Releasee/Provider
Type
- Individual
- Corporation
Name:
Address:
e.g. Unit #, Street, City, State ZIP Code
- Add another releasee
Third Releasee/Provider
Type
- Individual
- Corporation
Name:
Address:
e.g. Unit #, Street, City, State ZIP Code
- Add another releasee
Fourth Releasee/Provider
Type
- Individual
- Corporation
Name:
Address:
e.g. Unit #, Street, City, State ZIP Code

Releasor Details
Who will be releasing the Releasees from liability in exchange for compensation?
Participant Details
Who is participating in the activity provided by the Activity Providers?
Releasor/Lender Details
Who is owed the debt and will be releasing the Releasees from liability?
Who was injured and will be receiving compensation?
First Releasor/Participant
Second Releasor Details
Type
- Individual
- Corporation
Name:
Address:
e.g. Unit #, Street, City, State ZIP Code
- Add another releasor
Second Releasor/Participant
Type
- Individual
- Corporation
Name:
Address:
e.g. Unit #, Street, City, State ZIP Code
- Add another releasor
Third Releasor/Participant
Type
- Individual
- Corporation
Name:
Address:
e.g. Unit #, Street, City, State ZIP Code
- Add another releasor
Fourth Releasor/Participant
Type
- Individual
- Corporation
Name:
Address:
e.g. Unit #, Street, City, State ZIP Code

Compensation
Emergency Contact Details
Who will receive additional compensation?
- First Releasor
- Second Releasor
- No One
How will the debt be settled?
- Non-monetary compensation/practical benefit only
- Monetary payment and non-monetary compensation/practical benefit
How will the debt be settled?
- Monetary payment only
- Non-monetary compensation/practical benefit only
- Monetary payment and non-monetary compensation/practical benefit
What type of compensation will the Releasors receive?
- Financial compensation
- Non-monetary compensation
Amount:
Amount:
Amount:
Amount:
Form of payment:
- Cash
- Certified Check
- Bank Draft
- Promissory Note
Form of payment:
- Cash
- Certified Check
- Bank Draft
- Promissory Note
Form of payment:
- Cash
- Certified Check
- Bank Draft
- Promissory Note
Form of payment:
- Cash
- Certified Check
- Bank Draft
- Promissory Note
Describe the non-monetary compensation:

E.g. Excluding cost of materials, John Smith will complete 20 hours of landscaping services.
Describe the non-monetary compensation or practical benefit:

E.g. Excluding cost of materials, John Smith will complete 20 hours of landscaping services.
Describe the non-monetary compensation or practical benefit:

E.g. Excluding cost of materials, John Smith will complete 20 hours of landscaping services.
Do you know Participant 1's emergency contact details?
- Yes
- No
Emergency contact name:
Emergency contact phone number:
Do you know Participant 2's emergency contact details?
- Yes
- No
Emergency contact name:
Emergency contact phone number:
Do you know Participant 3's emergency contact details?
- Yes
- No
Emergency contact name:
Emergency contact phone number:
Do you know Participant 4's emergency contact details?
- Yes
- No
Emergency contact name:
Emergency contact phone number:

Dispute Details
Accident Details
Activity Details
Injury Details
Debt Details
When did the incident occur?
- Unsure
- Specify Date
When will the Participants take part in the activity?
- Unsure
- Specify Date
Specify incident date:
Specify activity date:
Specify injury date:
Describe the incident that led to this dispute:

E.g. Damage was caused by flooding in the basement while John Smith was providing plumbing services.
Describe the activity:

E.g. Archery lessons at Smith Shooting Range.
Describe what was damaged:

E.g. The front driveway of John Smith's home.
Describe what caused the damage:

E.g. Repair work performed by Jeff Jones.
Insurer Liability

Will the Releasees' insurance company also be covered by this release agreement?
- Yes
- No
Name of insurance company:
What was the original debt amount?
What is the current debt amount?
What does the Lender claim as the amount owed?
When did the debt originally arise?
- Unsure
- Specify Date
Specify date:
Describe how the debt arose:

E.g. A dispute over the quality of landscaping workmanship provided by John Smith led to Jeff Jones withholding the final payment owed for this service.
Describe where the injury happened:

E.g. The front driveway of John Smith's home.
Describe what caused the injury:

E.g. Jeff Jones slipped on ice on John Smith's driveway.

Signing Details
When will this release be signed?
- Today
- This Month
- Unsure
- Specify Date
This release will be signed in front of:
- Witness
- Notary Public

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Step 1 of 7

Location

Is there a disagreement regarding the amount due or the amount that has already been paid?

Is the debt related to a sale of goods?

Releasee Details

Who will be released from liability?

Activity Provider Details

Who is providing the activity?

Releasee/Borrower Details

Who owes the debt?

Who caused the personal injury?

First Releasee/Provider

First Releasor Details

Releasor Details

Who will be releasing the Releasees from liability in exchange for compensation?

Participant Details

Who is participating in the activity provided by the Activity Providers?

Releasor/Lender Details

Who is owed the debt and will be releasing the Releasees from liability?

Who was injured and will be receiving compensation?

First Releasor/Participant

Second Releasor Details

Compensation

Emergency Contact Details

Dispute Details

Accident Details

Activity Details

Injury Details

Debt Details

Insurer Liability

Will the Releasees' insurance company also be covered by this release agreement?

Signing Details

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