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Complaint Form Expense Report Receipt

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GENERAL RELEASE
NOW THEREFORE, in consideration of the mutual covenants and agreements of the parties contained herein and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, it is hereby mutually agreed as follows:
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1.
FOR GOOD AND VALUABLE CONSIDERATION, the receipt and sufficiency of which are acknowledged, the undersigned ____________________________ [if a corporation or limited liability company add " a corporation (or substitute "limited liability company" for corporation if LLC) organized in the state of ____________"] RELEASES AND FOREVER DISCHARGES _________________________ ("Released Party"), located at [insert Released Party's address] and Released Party's affiliates, predecessors, successors, agents, representatives, employees, assigns, heirs, administrators, and personal representatives (collectively, the "Affiliates") from any and all claims, actions, debts, obligations, damages, cause of actions, agreements, of any kind or nature, known or unknown, occurring prior to the date of this Release. In addition, the undersigned agrees not to institute, or pursue in any other way, any action, claim or cause of action with any court or government agency on any matter released and discharged by this Release. The undersigned agrees that if the undersigned breaches any terms of this Release, the undersigned will indemnify Released Party and Affiliates for all expenses, including reasonable attorney's fees, in connection with enforcing this Release and will also pay any damages caused by the breach of the terms of this Release.
2.
The undersigned intends that by entering the undersigned's name in the signature line below this Release shall be deemed signed as if signed by pen and ink.



This Agreement will be governed by the laws of:
(Usually the state in which you are conducting business)
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