This reaffirmation Agreement is made on [insert date]

Parties

1. 1

   [Insert Employer’s name] whose Registered office is at [insert Employer’s address], company registration number [insert Employer’s company number] (‘Employer’); and

1. 2

   [Insert Employee’s name] of [insert Employee’s address] (‘you’)

the parties agree:

1. 1. 1

      Settlement agreement

      1. 1.1

         This Reaffirmation Agreement is being entered into in accordance with Clause [insert number] of the settlement agreement between the parties dated [insert date] (‘Agreement’).

      1. 1.2

         In this Reaffirmation Agreement, words and expressions shall have the same meanings as defined in the Agreement[ except that in this Reaffirmation Agreement ‘Adviser’ means [insert name of Adviser] of [insert name of Adviser’s firm/organisation] of [insert address]].

      1. 1.3

         This Reaffirmation Agreement is being entered into in consideration of the Employer agreeing to pay you the Compensation Payment under the Agreement.

   1. 2

      Full and final settlement

      1. 2.1

         You acknowledge and agree that the Agreement is made[ without any admission of liability on the part of the Employer] in full and final settlement of the claims set out in Clauses [2.2, ]2.3 and 2.4, but excluding,