DIY Legal Forms

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Agrement Of Worker's Compensation

In the event that any partner, due to accident or illness, is rendered incapable of performing or participating in the partnership, The partnership will redeem the insurance policy subscribed for that partner and will provide that partner with a minimal payment of $------ (add terms of payment).



Signature and Title


Signature and Title


Signature and Title

*** If Required By State Law ***

This Section for Notary:


State of _________

County of ________ [COUNTY]

On [DATE] before me, [NAME OF NOTARY], notary, personally appeared [NAME OF PERSON(S) INVOLVED], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

Witness my hand and official seal.

Signature ________

My commission expires: _____