Canadian Waiver and Release

A Waiver or Release Agreement is used when one party voluntarily surrenders a right or privilage, in exchange for money or other compensation. This agreement can apply to several situations, such as waiving the right to sue in the event of personal injury, accidents, or property damage. It can also apply to satisfaction of debts, or cases in which both parties have been involved in a dispute and wish to release any claims against each other.


Simply answer the questions below to personalize your Waiver and Release

Governing Jurisdiction:

 

Purpose of Waiver/Release:

Purpose of Waiver/Release

This release may be used by the Releasor, to allow himself, his child, or his pet to participate in an activity. Alternately, it may be used by the Releasor to release a claim against another person, or that person's pet or child. Personal injury is considered vicarious if the Releasee is legally responsible but was not directly involved in the incident (e.g., a person is vicariously liable if they lend their car to a friend, and their friend hits a pedestrian). A mutual release is used when both parties are releasing their claims against each other.
 

Participant's Contact Information:

Participant's Contact Information:

Participant's Contact Information:

First Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Important Notice

It is important to note that, by signing this agreement, the Releasor is releasing ONLY the Releasee. The Releasor may still have claims against other people involved (e.g. the Releasee's child, or the driver of the Releasee's vehicle).
 

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Second Releasor's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

 

Nature of Dispute:

Use complete sentences to describe events and their causes

Nature of Activity:

Use complete sentences to describe events and their causes
 

Date of Activity:

Nature of Activity:

Use complete sentences to describe events and their causes
 

Date of Activity

Nature of Activity:

Use complete sentences to describe events and their causes
 

Date of Activity:

Nature of Damage:

Use complete sentences to describe events and their causes

Date of Damage:

Debt Information:

Use complete sentences to describe how the debt arose

Date of the Original Debt:

Debt Information:

Use complete sentences to explain how the debt arose

Date of the Original Debt:

Dispute Information:

Use complete sentences to describe events and their causes

Date of Accident:

Accident Location:

Date of Accident:

Nature of Accident:

Use complete sentences to describe events and their causes

Accident Location:

Nature of Injury:

Use complete sentences to describe events and their causes

Date of Injury:

Nature of Injury:

Use complete sentences to describe events and their causes

Date of Injury:

Nature of Injury:

Use complete sentences to describe events and their causes

Date of Injury:

Nature of Injury:

Use complete sentences to describe events and their causes

Date of Injury:

 

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

 
 
 
 
 
 
 
 
 
 
 

Signatures Required:

Signatures Required

To ensure the validity of this agreement, we recommend the presence of a notary public or at least one witness
 

Date of Signing, if known:

 

Location of Signing: