On this pageCover page fields

Model Indemnification Agreement

This page previews the Model Indemnification Agreement and the fields it contains. NVCA provides the official Word document — download it from the source linked on this page, then fill it in.

NVCA model documents are freely downloadable but not redistributable. This field-selector contains only transformation instructions, not the source document.

Cover page fields

FieldDescription
Indemnitee NameFull legal name of the indemnitee (director or officer)
Indemnitee AddressAddress of the indemnitee
Company NameName of the corporation providing indemnification
Agreement Effective DateEffective date in the opening clause (ISO YYYY-MM-DD, e.g. 2026-03-20, rendered as March 20, 2026)
Fund Sponsor NameName of the sponsoring fund or entity appointing the indemnitee
Indemnitee RolePrimary role being indemnified (e.g. director)
Indemnitee Role PluralPlural form of the primary role (e.g. directors)
Indemnitee Role SecondarySecondary role being indemnified (e.g. officer)
Indemnitee Role Secondary PluralPlural form of the secondary role (e.g. officers)
Indemnitee Pronoun PossessivePossessive pronoun for the indemnitee entity (e.g. its)
Indemnitee Pronoun Possessive PluralPlural possessive pronoun for the indemnitee (e.g. their)
Bylaws NameName of the company's bylaws document
Certificate NameName of the company's certificate of incorporation
And Appointing StockholderOptional additional party text or empty string
Appointing Stockholder Ipo Termination ClauseOptional clause text that terminates Appointing Stockholder rights at IPO closing, inserted before the sentence-ending period after "representative on the Company's Board" in Section 1(d). Supply the clause with a leading comma and no trailing period (e.g. ", and terminate on the closing of an initial public offering of the Company's Common Stock; provided, however, ..."); leave empty to omit.
Signature Page MarkerSignature page marker text

This template is a drafter's starting point. It does not constitute legal advice. Workflow support only. Not legal advice.