Regulations Governing the Compensation for Losses Resulting on the Use of Police Weapons Article 15
When an agreement is reached in a negotiation, a written agreement shall be made with data contained in each of the following subparagraphs, signed or sealed by the present claimant, or his/her agent and the representative of or the agent designated by the agency which participates in the negotiation, and affixed with the official seal of the agency which participates in the negotiation:1. The name, date of birth, identification document number, residence or domicile of the claimant. In case that the claimant is a juridical person or an organization, its name, principal office or principal place of business and the name, identification document number, residence or domicile of its representative.2. The name, date of birth, identification document number, residence or domicile of a legal representative or a commission representative in case that there is one.3. The name and location of the agency which participates in the negotiation.4. The case summary and case number of the negotiation.5. The venue of the negotiation.6. The compensation agency and the compensation amount.7. The ground(s) for reducing or being exempt from the compensation amount, and other material matters including waiving the rights to ask for compensations derived from the same grounds and facts used for the claim.8. The day, month and year.The written agreement prescribed in the preceding paragraph shall be served to the claimant or his/her agent and the agency which shall have participated in the negotiation by the agency which has accepted the claim for compensation within ten days following the day when the agreement is reached, and a certificate of delivery shall be formulated.An administrative action may be taken in accordance with the law for any dispute resulting from the written agreement prescribed in paragraph 1.
中文原文 警械使用事件補償辦法第15條
協議成立時，應作成協議書，記載下列各款事項，由到場之請求權人或代理人及參加協議機關之代表人或其指定之代理人簽名或蓋章，並蓋參加協議機關之印信：
一、請求權人之姓名、出生年月日、身分證明文件字號、住所或居所。
請求權人為法人或其他團體者，其名稱、主事務所或主營業所及代表人之姓名、身分證明文件字號、住所或居所。
二、有法定代理人或委任代理人者，其姓名、出生年月日、身分證明文件字號、住所或居所。
三、參加協議機關之名稱及所在地。
四、協議事件之案由及案號。
五、協議之處所。
六、補償機關及金額。
七、減輕或免除補償金額之事由、拋棄同一原因事實所生之其他損害賠償請求權等其他重要事項。
八、年、月、日。
前項協議書，受理補償請求之機關應於協議成立之翌日起十日內送達請求權人或代理人及應參加協議機關，並作成送達證書。
因第一項協議書所生之爭議，得依法提起行政訴訟。
一、請求權人之姓名、出生年月日、身分證明文件字號、住所或居所。
請求權人為法人或其他團體者，其名稱、主事務所或主營業所及代表人之姓名、身分證明文件字號、住所或居所。
二、有法定代理人或委任代理人者，其姓名、出生年月日、身分證明文件字號、住所或居所。
三、參加協議機關之名稱及所在地。
四、協議事件之案由及案號。
五、協議之處所。
六、補償機關及金額。
七、減輕或免除補償金額之事由、拋棄同一原因事實所生之其他損害賠償請求權等其他重要事項。
八、年、月、日。
前項協議書，受理補償請求之機關應於協議成立之翌日起十日內送達請求權人或代理人及應參加協議機關，並作成送達證書。
因第一項協議書所生之爭議，得依法提起行政訴訟。