KNOW ALL MEN BY THESE PRESENTS:
WHEREAS, I do not have any further claims or causes of action against [NAME OF
THE COMPANY] or any of its directors, stockholders, or officers.
NOW, THEREFORE, for and in consideration of the foregoing premises I have remised,
released and forever discharged and by these presents do for myself, my heirs, successors,
executors and administrators, remise, release and forever discharge [NAME OF THE
COMPANY], its successors and assigns and all its officers, directors, stockholders or
employees, of and from any and all manner of actions, claims or demands whatsoever against
[NAME OF THE COMPANY] which I have or ever had by reason of, in connection with or
arising out of my employment with the said [NAME OF THE COMPANY] I hereby undertake
not to sign, execute, and make any and all affidavit, statements, letters, etc. that is against the
company, in furtherance of any claims, cause or case of any and all employees of [NAME OF
THE COMPANY], whether past or present.
_________________________
Affiant
SIGNED IN THE PRESENCE OF:
____________________ _____________________
SUBSCRIBED AND SWORN to before me this ____ day of __________________ at
_________________, affiant exhibited to me his/her __________________________.
NOTARY PUBLIC
Until December 31, 20___
Doc. No. _____
Page No. _____
Book No. _____
Series of 2019.