Workers Compensation Hold Harmless Agreement

Worker’s Compensation Hold

Harmless Agreement

This is to certify that we, _________________________________,

are in compliance with the Work’s Compensation laws of the state of

_________________________. Furthermore, ______________________

agrees to release, indemnify, and hold harmless Freight Logistics, Inc. from

all claims, fines and actions, including any award by a Worker’s

Compensation Court or similar administrative body or court of law, arising

out of claims by an employee or agent of ______________ for work related

injuries.

Signature: __________________________________

Title: ____________________________________

: ________________________________

Date

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Parent category: Business