2023-03-06 17:50    瀏覽次數：8852次
作者：中山市人力資源和社會保障局

勞動爭議仲裁申請書

申請人：                                            

聯系電話：                                            

住址：                                               

被申請人：                                            

聯系電話：                                          

地址：                                               

請求事項：                                           

                                                     

                                                    

                                                     

                                                    

                                                     

                                                    

                                                    

                                                     

                                                    

                                                    

事實與理由：                                         

                                                    

                                                     

                                                    

                                                     

                                                    

                                                   

                                                     

                                                    

                                                    

                                                    

                                                      

                                                    

                                                     

                                                     

                                                    

                                                     

                                                    

                                                    

                                                     

                                                    

                                                     

 

 

申請人簽名：                     

                               年     月      日

【說明】

1、申請仲裁應當向仲裁委遞交仲裁申請書，并按被申請人人數提交副本。

2、事實與理由部分：主要包括入職時間、解除或終止勞動/聘用合同的時間及原因、工作崗位、工資標準、工資構成、證據和證據來源、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、申請書應當由勞動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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