2023-03-06 17:50    瀏覽次數(shù)：9173次
作者：中山市人力資源和社會保障局

勞動(dòng)爭議仲裁申請書

申請人：                                            

聯(lián)系電話：                                            

住址：                                               

被申請人：                                            

聯(lián)系電話：                                          

地址：                                               

請求事項(xiàng)：                                           

                                                     

                                                    

                                                     

                                                    

                                                     

                                                    

                                                    

                                                     

                                                    

                                                    

事實(shí)與理由：                                         

                                                    

                                                     

                                                    

                                                     

                                                    

                                                   

                                                     

                                                    

                                                    

                                                    

                                                      

                                                    

                                                     

                                                     

                                                    

                                                     

                                                    

                                                    

                                                     

                                                    

                                                     

 

 

申請人簽名：                     

                               年     月      日

【說明】

1、申請仲裁應(yīng)當(dāng)向仲裁委遞交仲裁申請書，并按被申請人人數(shù)提交副本。

2、事實(shí)與理由部分：主要包括入職時(shí)間、解除或終止勞動(dòng)/聘用合同的時(shí)間及原因、工作崗位、工資標(biāo)準(zhǔn)、工資構(gòu)成、證據(jù)和證據(jù)來源、證人姓名和住所等。

3、申請人在申請書中直接列寫第三人的，視為其申請仲裁委追加該第三人參加仲裁。是否通知第三人參加仲裁，由仲裁委審查決定。

4、申請書應(yīng)當(dāng)由勞動(dòng)者本人簽名或用人單位加蓋公章。

 

（來源：中山市人力資源和社會保障局）

 

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