The Insurance Release Form Template is a critical document used in the United Arab Emirates insurance sector to formally conclude insurance claims and establish legal finality. This template, governed by UAE Federal Law No. 6 of 2007 and related insurance regulations, is designed to protect both insurers and claimants by clearly documenting the terms of settlement and release of liability. It is typically employed when an insurance claim has been successfully negotiated and a settlement amount agreed upon. The document must comply with UAE legal requirements, including bilingual presentation (Arabic/English), and contains essential provisions for claim identification, settlement terms, release language, and execution requirements. It serves as a crucial risk management tool for insurance companies while providing clarity and certainty to claimants regarding their settlement rights and obligations.
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1. Parties: Identification of the insurer, insured party, and any other relevant parties including policy numbers and contact details
2. Background: Brief description of the insurance claim, incident details, and relevant policy information
3. Definitions: Key terms used in the release form including 'Claim', 'Settlement Amount', 'Released Parties', etc.
4. Settlement Amount: Clear statement of the settlement amount and payment terms
5. Release and Discharge: Core section detailing the scope of the release and discharge of claims
6. No Admission of Liability: Statement clarifying that the settlement does not constitute an admission of liability
7. Confidentiality: Terms regarding the confidentiality of the settlement and its terms
8. Governing Law and Jurisdiction: Specification of UAE law as governing law and relevant jurisdiction
9. Execution: Signature blocks and execution requirements for all parties
1. Future Claims: Additional provisions for potential future claims related to the same incident
2. Third Party Rights: Section addressing rights of third parties when other potential claimants are involved
3. Medical Authorization: Required when the claim involves medical treatment or ongoing medical conditions
4. Property Damage Release: Specific provisions for cases involving property damage
5. Subrogation Rights: Details about the insurer's rights to pursue third parties, if applicable
6. Tax Implications: Statement about tax responsibilities when settlement amount is significant
1. Schedule A - Claim Details: Detailed description of the claim, incident date, and claim number
2. Schedule B - Settlement Calculation: Breakdown of the settlement amount and any deductions
3. Schedule C - Supporting Documents: List of all documents referenced in the release form
4. Appendix 1 - Incident Report: Copy of the original incident report or claim form
5. Appendix 2 - Medical Records: Relevant medical records in cases involving personal injury
6. Appendix 3 - Payment Instructions: Details of payment method and banking information
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Relevant Industries
Insurance
Healthcare
Real Estate
Construction
Manufacturing
Retail
Transportation
Professional Services
Hospitality
Education
Financial Services
Automotive
Relevant Teams
Legal
Risk Management
Claims Processing
Compliance
Insurance Operations
Policy Administration
Document Management
Customer Relations
Underwriting
Corporate Affairs
Relevant Roles
Insurance Claims Manager
Risk Management Officer
Legal Counsel
Compliance Officer
Claims Adjuster
Insurance Underwriter
Settlement Officer
Insurance Operations Manager
Corporate Counsel
Claims Administrator
Risk Assessment Manager
Insurance Broker
Legal Documentation Specialist
Policy Administration Manager
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