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EMS Information Bulletin 202323DATE:December 15, 2023SUBJECT:Updated Memorandum and Assumption of Risk Agreement for EMR and EMT examinationsTO:PA EMS Agencies PA EMS Agency Medical Directors PA EMS

How to fill out assumption of risk agreement

How to fill out assumption of risk agreement

1. Start with the title 'Assumption of Risk Agreement'.
2. Include the date of the agreement.
3. Identify the parties involved: the participant and the organization or individual conducting the activity.
4. Describe the specific activity or event that involves risk.
5. Clearly state the risks involved in the activity.
6. Add a statement that the participant acknowledges and accepts these risks.
7. Include a section for the participant to sign and date, confirming their acceptance.
8. Provide space for a witness signature, if necessary.

Who needs assumption of risk agreement?

1. Individuals participating in recreational activities or sports.
2. Participants in programs that involve physical exertion or hazards.
3. Event organizers to protect themselves from liability.
4. Business entities offering potentially risky activities or services.

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What is assumption of risk agreement?

An assumption of risk agreement is a legal document in which an individual acknowledges the inherent risks associated with a specific activity and agrees to waive their right to hold the responsible party liable for any injuries or damages that may occur as a result of those risks.

Who is required to file assumption of risk agreement?

Typically, organizations or individuals offering potentially hazardous activities, such as sports teams, recreational facilities, or event organizers, are required to have participants or clients file an assumption of risk agreement.

How to fill out assumption of risk agreement?

To fill out an assumption of risk agreement, individuals should provide their personal information, acknowledge the specific risks associated with the activity, and sign the document to indicate their acceptance of those risks.

What is the purpose of assumption of risk agreement?

The purpose of an assumption of risk agreement is to protect the service provider or organization from legal liability by ensuring that participants understand and accept the risks involved in the activity.

What information must be reported on assumption of risk agreement?

The information that must be reported on an assumption of risk agreement generally includes the participant's name, contact information, description of the activity, acknowledgment of risks, and signature.