(集体申请用)
申请人(姓名、性别、出生年月日、民族、籍贯、职业、住址、联系电话或单位名称、地址、法定代表人姓名职务、联系电话)
_____________________(单位)____名职工,推荐以下_____名职工为申请代表。
________________________________________________________________________________________________________________________________________________________________________________________________ 被申请人(姓名、性别、出生年月日、民族、籍贯、职业、住址、联系电话或单位名称、地址、法定代表人姓名职务、联系电话)
________________________________________________________________________________________________________________________________________________ 请求事项________________________________________ ________________________________________________________________________________________________________________________________________________
________________________________________________ 事实理由:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 证据和证据来源,证人姓名和住址:
________________________________________________________________________________________________________________________________________________
此致
劳动争议仲裁委员会
申请人:______________
(签名或盖章)
附:本申请书副本___________份
年 月 日