2023-03-06 17:50    浏览次数：5563次
作者：中山市人力资源和社会保障局

劳动争议仲裁申请书

申请人：                                            

联系电话：                                            

住址：                                               

被申请人：                                            

联系电话：                                          

地址：                                               

请求事项：                                           

                                                     

                                                    

                                                     

                                                    

                                                     

                                                    

                                                    

                                                     

                                                    

                                                    

事实与理由：                                         

                                                    

                                                     

                                                    

                                                     

                                                    

                                                   

                                                     

                                                    

                                                    

                                                    

                                                      

                                                    

                                                     

                                                     

                                                    

                                                     

                                                    

                                                    

                                                     

                                                    

                                                     

 

 

申请人签名：                     

                               年     月      日

【说明】

1、申请仲裁应当向仲裁委递交仲裁申请书，并按被申请人人数提交副本。

2、事实与理由部分：主要包括入职时间、解除或终止劳动/聘用合同的时间及原因、工作岗位、工资标准、工资构成、证据和证据来源、证人姓名和住所等。

3、申请人在申请书中直接列写第三人的，视为其申请仲裁委追加该第三人参加仲裁。是否通知第三人参加仲裁，由仲裁委审查决定。

4、申请书应当由劳动者本人签名或用人单位加盖公章。

 

（来源：中山市人力资源和社会保障局）

 

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