"Liability Release Form" - Oregon

Liability Release Form is a legal document that was released by the Oregon Department of Aviation - a government authority operating within Oregon.

Form Details:

  • Released on June 1, 2006;
  • The latest edition currently provided by the Oregon Department of Aviation;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Oregon Department of Aviation.

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Download "Liability Release Form" - Oregon

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Print Form
LIABILITY RELEASE FOR ______________________
PRIVATE ORGANIZATION
PUBLIC AGENCY
INDIVIDUAL
(IF A MINOR, SIGNATURE OF PARENT OR GUARDIAN IS REQUIRED)
Release for ______________________________________________________________________________________
between _______________________________________________________________________________________
and the Oregon Department of Aviation.
The (I) __________________________________________ shall be responsible and liable for all damage or injury to
any persons or property resulting from ______________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
The (I) ___________________________________ shall idemnify, hold harmless and release the State of Oregon,
Oregon Department of Aviation, its employees, agents and representative, against ny and all damages, claims,
demands, actions, causes of action, costs, and expenses of whatsoever nature for or because of any matter or thing
done, omitted or suffered to be done by _____________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
For public agencies this release applies only to the extent permitted by Article XI, Section 7 of the Oregon
Constitution and by the Oregon Tort Clamis Act
Dated this _______________________________ day of _______________________ 20_____
______________________________________________________________
SIGNATURE
______________________________________________________________
TITLE
______________________________________________________________
OREGON DEPARTMENT OF AVIATION
ADDRESS
_______________________________________________________________
______________________________________________________________
SIGNATURE
CITY, STATE AND ZIP CODE
IF MINOR SIGNATURE OF PARENT OR GUARDIAN IS REQUIRED.
_______________________________________________________________
______________________________________________________________
TITLE
SIGNATURE OF PARENT OR GUARDIAN
_______________________________________________________________
______________________________________________________________
DATE
RELATIONSHIP
______________________________________________________________
ADDRESS
______________________________________________________________
CITY, STATE AND ZIP CODE
LAST MODIFIED: JUNE 2006
Print Form
LIABILITY RELEASE FOR ______________________
PRIVATE ORGANIZATION
PUBLIC AGENCY
INDIVIDUAL
(IF A MINOR, SIGNATURE OF PARENT OR GUARDIAN IS REQUIRED)
Release for ______________________________________________________________________________________
between _______________________________________________________________________________________
and the Oregon Department of Aviation.
The (I) __________________________________________ shall be responsible and liable for all damage or injury to
any persons or property resulting from ______________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
The (I) ___________________________________ shall idemnify, hold harmless and release the State of Oregon,
Oregon Department of Aviation, its employees, agents and representative, against ny and all damages, claims,
demands, actions, causes of action, costs, and expenses of whatsoever nature for or because of any matter or thing
done, omitted or suffered to be done by _____________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
For public agencies this release applies only to the extent permitted by Article XI, Section 7 of the Oregon
Constitution and by the Oregon Tort Clamis Act
Dated this _______________________________ day of _______________________ 20_____
______________________________________________________________
SIGNATURE
______________________________________________________________
TITLE
______________________________________________________________
OREGON DEPARTMENT OF AVIATION
ADDRESS
_______________________________________________________________
______________________________________________________________
SIGNATURE
CITY, STATE AND ZIP CODE
IF MINOR SIGNATURE OF PARENT OR GUARDIAN IS REQUIRED.
_______________________________________________________________
______________________________________________________________
TITLE
SIGNATURE OF PARENT OR GUARDIAN
_______________________________________________________________
______________________________________________________________
DATE
RELATIONSHIP
______________________________________________________________
ADDRESS
______________________________________________________________
CITY, STATE AND ZIP CODE
LAST MODIFIED: JUNE 2006