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Instructions For Completing The Indemnity Form

This document provides instructions for completing an indemnity form for a trainee. The summary is: The indemnity form must be completed by the trainee's parent or guardian if the trainee is under 18, or by the trainee if over 18. The irrelevant parts of the form (parent/guardian or trainee) should be crossed out depending on who is completing it. The form indemnifies the temporary host employer and its employees against any claims from the trainee or others related to the trainee's death, injury, property loss or damage while on the employer's premises.

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Johny Be Good
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100% found this document useful (1 vote)
251 views

Instructions For Completing The Indemnity Form

This document provides instructions for completing an indemnity form for a trainee. The summary is: The indemnity form must be completed by the trainee's parent or guardian if the trainee is under 18, or by the trainee if over 18. The irrelevant parts of the form (parent/guardian or trainee) should be crossed out depending on who is completing it. The form indemnifies the temporary host employer and its employees against any claims from the trainee or others related to the trainee's death, injury, property loss or damage while on the employer's premises.

Uploaded by

Johny Be Good
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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INDEMNITY FORM

INSTRUCTIONS FOR COMPLETING THE INDEMNITY FORM

If you are under 18, your parent or guardian needs to complete the indemnity form and
sign it. If you are over 18, you need to complete and sign it yourself.
Depending on who completes the form, cross out the part that is not relevant. For
instance, if you complete and sign the form, cross out the phrase ‘parent guardian of the
trainee’ at the top of the form.

I (full name and surname), the


parent/guardian of the trainee / the trainee (cross out part not relevant), hereby indemnify
(name of temporary host employer), its employees
and its agents against any claims of any nature whatsoever which may be brought against
them by the trainee, (full name and surname
of the trainee) or any third party or other person claiming on behalf of the trainee arising out
of the trainee’s death or injury or loss of or damage to the trainee’s property as a result of
entering into and remaining on (name of temporary host
employer)’s premises, whether the claim is based on
(name of temporary host employer) negligence or on the negligence of any of its employees
or agents for which they may be liable.

Name (full name and surname) Designation (parent/guardian or trainee)

Signature Date

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