Liability Waiver Form and Hold Harmless Agreement - bristolva 2026

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The document is a Liability Waiver Form and Hold Harmless Agreement that releases The City of Bristol, Virginia and its employees from any liability related to loss or damage to personal property during refuse collection. By signing, the individual acknowledges understanding the waiver and confirms they are of legal age to consent.

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Click ‘Get Form’ to open it in the editor.
Begin by reading the waiver carefully. This section outlines your release of liability for any claims against The City of Bristol, Virginia.
In the signature field, sign your name to acknowledge that you understand and agree to the terms outlined in the waiver.
Enter the date next to your signature to indicate when you are signing this document.
Print your name clearly in the designated field below your signature.
Fill in your service address, including city (Bristol), state (VA), and zip code (24201).
Provide a contact phone number for any follow-up if necessary.
If applicable, have a witness sign and print their name along with the date.

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