Vous êtes sur la page 1sur 1

RELEASE WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

That I, __________________, Filipino, of legal age, a resident of


__________________, and formerly employed with __________________, do by these
presents acknowledge receipt of the sum of __________________, Philippine Currency,
from _____________________ in full payment and final settlement of the (financial
assistance or separation pay, overtime pay, salary or salaries, wage or wages, commutable
sick and vacation leaves, gratutities or any kind of compensation or emoluments) due to me
or which may be due to me from ____________________ under the law or under any
existing agreement with respect thereto, as well as any and all claims of whatever kind and
nature which I have or may have against ________________, arising from my employment
with (and the termination of my employment with ______________________.

In consideration of said payment, I do hereby quitclaim, release, discharge and


waive any and all actions of whatever nature, expected, real or apparent, which I may have
against _______________, its directors, officers, employees, agents and clients by reason
of or arising from my employment with the company. I will institute no action, whether
civil, criminal, labor or administrative against _________________, its directors, officers,
employees, agents and clients. Any and all actions which I may have commenced either
solely in my name or jointly with others before any office, board, bureau, court, or tribunal
against _________________, its directors, officers, employees, agents and clients are
hereby deemed and considered voluntary withdrawn by me and I will no longer testify or
continue to prosecute said action(s).

I declare that I have read this document and have fully understood its contents. I
further declare that I voluntarily and willingly executed this Release, Waiver and Quitclaim
with full knowledge of my rights under the law.

IN WITNESS WHEREOF, I have hereunto set my hand at _____________, this


___ day of _______________, 2000.

_______________________
Affiant

SIGNED IN THE PRESENCE OF

_______________________ ______________________