Property Damage Release Form

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A property damage release form is a document establishing that compensation has been accepted by a person whose property was damaged. A signed release form means that the claimant acknowledges the money received and no longer has the right to make any further demands or legal actions related to the damaged property.

Property Damage Release Form

A property damage release form is a document establishing that compensation has been accepted by a person whose property was damaged. A signed release form means that the claimant acknowledges the money received and no longer has the right to make any further demands or legal actions related to the damaged property.

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Last updated March 27th, 2024

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A property damage release form is a document establishing that compensation has been accepted by a person whose property was damaged. A signed release form means that the claimant acknowledges the money received and no longer has the right to make any further demands or legal actions related to the damaged property.

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What is a Property Damage Release Form?

Always issued by an insurance company, a property damage release form ensures a person who received money for property damage does not attempt to seek further compensation or make additional claims.

While not a complete list, the form can be used for any of the following events:

  • Accidents involving vehicles, real property, or personal property
  • Extreme weather
  • Pests
  • Mold
  • Other natural or unforeseen occurrences

Sample

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PROPERTY DAMAGE RELEASE FORM

1. THE PARTIES. This Property Damage Release (“Release”) made this [DATE], is by and between:

Releasor: [RELEASOR’S NAME], with a mailing address of [RELEASOR’S ADDRESS] (“Releasor”), and

Releasee: [RELEASEE’S NAME], with a mailing address of [RELEASEE’S ADDRESS] (“Releasee”).

2. RELEASE. Releasor hereby voluntarily and knowingly releases Releasee from any and all claims, demands, rights, and causes of action of whatsoever kind and nature, arising from, and by reason of any and all known and unknown, foreseen and unforeseen damage to property, and the consequences thereof, resulting, and to result, from a certain occurrence or accident which happened on or about [DATE] at [TIME] ☐ a.m. ☐ p.m. involving property owned by Releasor (the “Accident”).

Releasee specifically acknowledges and agrees that this Release is not intended to be a general release subject to limitations and conditions that would otherwise apply under applicable state law, and Releasee additionally agrees to WAIVE ANY AND ALL GENERAL RELEASE LIMITATIONS PROVIDED BY APPLICABLE LAW OR ANY RIGHTS GRANTED TO RELEASEE UNDER APPLICABLE LAW. This Release shall be construed and interpreted as broadly as possible under applicable law.

3. RIGHT TO CLAIMS. By signing this Release, Releasor does not give up any claim that Releasor may now or hereafter have against any person, firm, or corporation other than Releasee and those persons and entities specified in paragraph 1.

4. NON-ADMISSION OF LIABILITY. Releasor understands that Releasee does not, by providing the value described in paragraph 5, admit any liability or responsibility for the Accident or its consequences.

5. PAYMENT. Releasor has received good and adequate value (consideration) for this Release in the form of $[AMOUNT] (US Dollars).

6. BINDING ARRANGEMENT. By signing this Release, Releasor additionally intends to bind his or her spouse, heirs, legal representatives, assigns, and anyone else claiming under him or her. Releasor has not assigned any claim arising from the Accident to any other party. This Release applies to Releasee’s heirs, legal representatives, insurers, and successors, as well as to Releasee.

Releasor’s Signature: ____________________________ Date: _____________
Print Name: ____________________________

Releasee’s Signature: ____________________________ Date: _____________
Print Name: ____________________________

Related Forms (1)

Car Accident Release Form – Releases the at-fault driver of a car accident from future liability related to property damage or personal injury caused by the vehicle.

 

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