0001316645-14-000036 Sample Contracts

FORM OF INDEMNIFICATION AGREEMENT

Indemnification Agreement • June 30th, 2014 • American Caresource Holdings, Inc. • Services-misc health & allied services, nec • Delaware

• Contract Type
  Indemnification Agreement
• Filed
  June 30th, 2014
• Company
  American Caresource Holdings, Inc.
• Industry
  Services-misc health & allied services, nec
• Jurisdiction
  Delaware

This Indemnification Agreement, dated as of [•] (this “Agreement”), is entered into by and between American Caresource Holdings, Inc., a Delaware corporation (the “Company”), and [•] (the “Indemnitee”).