In this form, as a result of a lump sum settlement, a former employee is releasing a former employer from any and all claims for breach of contract or wrongful termination as well as any claim under the Employee Retirement Income Security Act of 1974, as amended (ERISA); any claim under the Age Discrimination in Employment Act, as amended, or the Older Workers Benefit Protection Act; any claim under Title VII of the Civil Rights Act of 1964, as amended; any claim under the Americans with Disabilities Act, as amended; and any other claim of discrimination or retaliation in employment (whether based on federal, state or local law, statutory or decisional); This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
Release by Employee of Claims against Employer related to Terminated Employment Including the Release of Employee Benefit and Pension Plans and Funds Release Agreement made on and effective the ___ day of __________, 20___, between (Name of Employee) of (street address, city, county, state, zip code), referred to herein as Releasor, and (Name of Employer), a corporation organized and existing under the laws of the state of (Name of State), with its principal office located at (street address, city, county, state, zip code), referred to herein as Company. Whereas, a certain contract of employment was entered into between Releasor and Company on (date), and a copy of the contract is attached to as Exhibit A, and made a part of this Release; and Whereas, Releasor claims that Company has breached said contract and did wrongfully terminate him in the following ways: (describe facts claimed by employee as to breach of contract and wrongful termination); Whereas, Company claims that it has not breached said contract and that Releasor was terminated for the following lawful reasons: (describe); Whereas, Releasor is willing to release Company from all past and present claims based on said contract and said alleged wrongful termination on the terms set forth in this Release; Now, therefore, for and in consideration of the mutual covenants contained in this Agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: I. In consideration of $_________ paid to Releasor by Company, receipt of which is acknowledged, Releasor, for (himself or herself) and (his or her) heirs, legal representatives and assigns, releases and forever discharges Company, its partners, affiliated entities, successors and assigns, of and from all claims, demands, actions and causes of action of any kind or nature at law or in equity, based on the above- mentioned contract and/or said alleged wrongful termination. This Release applies to all past and existing claims, including, but not limited to, such rights of Releasor under the contract as (describe rights of employee/releasor, including basic compensation and fringe benefits). II. In consideration of the payments and benefits referred to in Section I above of this Agreement, Releasor, for (himself or herself) and (his or her) heirs, legal representatives and assigns, releases and forever discharges Company, its partners, affiliated entities, successors and assigns, and any and all of its or their employee benefit and/or pension plans or funds, and any of its or their respective past or present partners, directors, agents, trustees, administrators, employees or assigns or members of the immediate family of any such person (whether acting as agents for such entities or in their individual capacities), hereinafter jointly and severely referred to as the Releasees, from any and all claims, demands, causes of action, fees and liabilities of any kind whatsoever (based upon any legal or equitable theory, whether contractual, common-law, statutory, federal, st
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