Sample Settlement Agreement and Release for an
Employment Law Claim
As submitted to the Missouri Bar Association
Labor and Employment Law Committee
October 2004
Drafted by a Committee working group
comprised of Attorney/Mediator Bruce S.
Feldacker, Chair and Attorneys Terry Potter,
representing management and Ferne Wolf,
representing employees
I
SAMPLE SETTLEMENT AGREEMENT AND RELEASE
FOR AN EMPLOYMENT LAW CLAIM (10/30/04)
INTRODUCTORY NOTES:
1.
This form is intended to be a sample settlement agreement containing the provisions typically included in
the settlement agreement of an employment law case. The form was developed by a working group under
the auspices of the Missouri Bar Association Labor and Employment Law Committee and has been
approved as to form by the Committee. The working group was comprised of attorneys Bruce Feldacker,
who serves as a mediator of employment law disputes, Terry Potter who represents employers, and Ferne
Wolf who represents employees in such matters. This sample release form, without modification, is
intended to be a fairly drafted document containing the provisions commonly included in the release of
employment law claims. It may be used “as is” in some cases, especially in cases in which one of the
parties is not represented by counsel (“pro se”), or may serve as the starting point or as a “check list” by
attorneys drafting their own release form. SOME PROVISIONS OF THE SAMPLE AGREEMENT
MAY NOT APPLY IN A PARTICULAR CASE, AND YOU SHOULD CROSS-OUT AND
INITIAL ANY PROVISIONS THAT YOU DO NOT WISH TO INCLUDE.
2.
Every case is different, and the law is subject to change. Thus, any individual using this form should first
consider contacting his/her own attorney for advice. Neither the Missouri Bar, the Labor and
Employment Law Committee, nor the members of the working group assume any liability for the
correctness of the form or its use in any particular case by attorneys or unrepresented