(Waiver Release and Quitclaim)

Republic of the Philippines)

Province of ____________________) S.S.
City/Municipality of _____________)
x--------------x

WAIVER, RELEASE AND QUITCLAIM

I, _____________, Filipino, of legal age, (single / married / widow), and a
resident of _____________, Philippines, after being sworn to in
accordance with law, depose and state:
1. That by these presents, I hereby state that I have voluntarily resigned as
__Position Held__ of __Employer__;

2. That I hereby acknowledge to have received from my employer the sum of

__________________________ (P_____________) which is in full and final
satisfaction of my salary and other benefits that may be due me for the
service which I have rendered for the latter employer;

3. That I hereby declare that I have no further claims whatsoever against my

employer, its President, members of the Board, officers or any of its staff and
that I hereby release and forever discharge all of them from any and all
claims, demands, cause of action of whatever nature arising out of my
employment with the latter;
 

4. I further agree that this WAIVER, RELEASE AND QUITCLAIM may be

pleaded in bar to any suit or proceeding (Civil, SSS, PhilHealth, Medicare,
Labor, etc.) to which either I, or my heirs and assigns, may have against my
employer in connection with my employment with the latter and that the
payment which I have received as provided herein should not in any way be
construed as an admission of liability on the part of my employer and is
voluntarily accepted by me and will, if need be, serve as full and final
settlement of any amount(s) due me or any claims or cause of action, either
past, present, future, which I may have in connection with my
employment with my employer;
5.As such, I finally make manifest that I have no further claim(s) or cause of
action against my employer nor against any person(s) connected with the
administration and operation of the latter and forever release the latter from
any and all liability.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at
_____________, Philippines.

Affiant

(JURAT)
Sample Waiver For Waiving Personal Rights

Name of Property Owner

Address of Property Owner
City, State, Zip Code

DATE

Name of Receiver
Address of Receiver
City, State, Zip Code

Dear Name of Receiver:

You are welcome to spend two weeks camping on the shores of Clear Lake with your family.
Since the lake is on my personal property, I request that you sign the following waiver.

I, Name of Receiver, hereby agree that:

Name of Property Owner and his family are not responsible for any accidents that occur
while I, my wife and two sons are camping on his property. This includes accidents because
of my negligence as well as from natural disasters. 

If any accident does occur, I cannot bring a lawsuit against Name of Sender or his family
members, nor can my family bring a lawsuit in the event of my death.

Signed:
Signature of Receiver

There are two copies of this letter. Kindly sign them both and send one to me by certified
mail and keep the other for your records. If you have any questions, I can be reached at
Phone Number or at Email Address. I hope you enjoy your camping vacation by Clear Lake.

Sincerely,

Signature of Property Owner

Printed Name of Property Owner
List of Enclosures: one copy of the letter
THIS WAIVER AND RELEASE is made on _________________ by me __________________,
of the following address:

__________________________________
__________________________________
__________________________________

IT IS HEREBY AGREED AS FOLLOWS:

1. That for the purpose of Public Safety, I hereby agreed and allow the Barangay Officials
of Barangay Matina Pangi the cause of the removal of the hazardous cliff situated in my
property covered under CTC No. ___________ by way of quarrying activity without any
monetary consideration.

2. That I, hereby waive, release and discharge the following Barangay Officials from the
liability which may have been caused by the above-stated activity.

Punong Barangay: Benjamin T. Badon

Sangguniang Barangay Members:
S K Chairman:
Carmelo A. Arana
Julito G. Reston
Ananias F. Singcol
Allan R. Melorin
Jimmy R. Fernandez
Eustaquio A. Sanico, Jr.
Percival L. Berongoy
Anelito E. Boldadora

I HEREBY ACKNOWLEDGE AS FOLLOWS:

1. I have read this waiver and fully understand it;

2. I make and execute this waiver voluntarily, without any form of cohesion
3. The waiver restrains me from suing or otherwise the said Brgy. Officials, presently or any
time in the future for causing the removal of the hazardous cliff.

IN WITNESS WHEREOF, I have executed this document day and year first written above.

SIGNED by:

________________________
Lot Owner

In the presence of:

________________________ _________________________
Witness Witness