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Settlement application · Step 6 of 6

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The parties

First party, full legal name: Required
First party's email: Required
Second party, full legal name: Required
Second party's email: Required
Relationship between the parties: Required

The matter

Subject of the settlement: Required
Number of a related IRB record: Optional
What the matter was: Required

The terms

Terms agreed: Required
Amounts and assets: Optional
Date agreed: Required
How and when the terms were carried out: Optional

Witnesses

Witness 1, full name: Required
Witness 1 email: Required
Witness 2, full name: Required
Witness 2 email: Required

The facts above are true. I consent to this record being kept and to the certificate being checkable by its number.

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