文章作者：姜南(Slyar) 文章来源：Slyar Home (www.slyar.com) 转载请注明，谢谢合作。
暑假实习很多同学会选择跟朋友同学一起carpool上下班，既省钱又减少traffic，这是好事。但是要注意的是，驾驶人的保险计划不一定会包括乘客的医疗保险，尤其是为了便宜而买半保的同学。一旦出事，如果是驾驶人的责任，强制的Liability保险会cover对方的损失，但是如果自己车上的乘客受伤，很可能就要驾驶人自己掏腰包了。对于严重的事故，乘客如果起诉驾驶人，驾驶人可能会蒙受巨额损失。
所以，为了驾驶人的利益，我个人一般会让跟我carpool的乘客签署免责协议，并且建议乘客自己买医疗保险。我这里只是提供一个模板，仅供参考。
Passenger Waiver of Liability
In consideration for being a passenger in (Vehicles Description Make, Model and Year) that is driven by (Your Name) I hereby RELEASE, WAIVE, DISCHARGE AND WILL NOT SUE (Your Name), in the State of ____________.
To the best of my knowledge, I fully understand being a passenger in this vehicle. I am fully aware of risks and hazards associated with this. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or any loss or damage to personal property owned by me, as a result of being a passenger in this vehicle, WHETHER CAUSED BY THE NEGLIGENCE OR ACCIDENT or otherwise.
I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS THE RELEASEES from any loss, liability, damage or costs, including court costs and attorney’s fees, that may incur due WHILE BEING A PASSENGER IN SAID VEHICLE, WHETHER CAUSED BY NEGLIGENCE OR ACCIDENT or otherwise.
It is my express intent that this Release and Hold Harmless Agreement shall bind the members of my family and spouse (if any), if I am alive, and my heirs, assigns and personal representative, if I am not alive, shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the above named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of ____________.
I UNDERSTAND THAT THE OWNER OR OWNERS INSURANCE WILL NOT BE RESPONSIBLE FOR ANY MEDICAL COSTS ASSOCIATED WITH AN INJURY I MAY SUSTAIN WHILE BEING A PASSENGER IN SAID VEHICLE.
I also understand that I should and am urged by (Your name) to obtain adequate health and accident insurance to cover any personal injury to myself, which may be sustained during being a passenger in SAID VEHICLE.
IN SIGNING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this Release for full, adequate and complete consideration fully intending to be bound by same.
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Passenger Name
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Passenger Signature
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Date
改编自： https://answers.yahoo.com/question/index?qid=20080714083605AANDt3m