This agreement is to be used in those situations when there is a disagreement over the payment of a debt (e.g. the debtor claims that the full debt does not need to be paid because of dissatisfaction with contractor services). This agreement releases debtor from any further claims by creditor if the full settlement amount is paid.

This form includes special formatting features to assist you in completing the agreement.

This form can be used in the following provinces: Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Saskatchewan and Yukon.