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[接上页] * 请将不适用者删去。 (1983年第227号法律公告;2000年第52号第38条) 表格3 [第16条] 雇员补偿(法院规则)规则 一般申请 ....................................................................................................................................法院 申请案件编号.................................................................................................................... 与此宗申请案有关的两方为─ ..............................................................................................................................(申请人) 与 ..............................................................................................................................(答辩人) (1)......................................................................................................................................... ............................................................................................................................谨此针对 (2)......................................................................................................................................... .................................................................................................................而提出本申请。 现将本申请所据情况简述如下∶ (3)........................................................................ ............................................................................................................................................ ............................................................................................................................................ 申请人所申索的济助或命令简述如下∶ (4)............................................................ ............................................................................................................................................ ............................................................................................................................................ 申请人及其代表律师的全名及详细地址为─ 申请人 .................................................................................................................... ..................................................................................................................... ..................................................................................................................... 代表..................................................................................................................... 律师 .................................................................................................................... ..................................................................................................................... 本申请须予送达的答辩人的姓名或名称及地址为............................................... ................................................................................................................................... 日期: 19..........年..........月..........日 ..........................................................申请人(或其代表律师) 注意─申请如是由雇主提出的,而其中涉及他支付补偿的法律责任问题,则必须附有一项陈述,以述明他承认或否认支付补偿的法律责任,以及述明是完全或部分承认或否认,而雇主如部分承认或部分否认有关法律责任,并须附有一项陈述以述明其承认或否认法律责任的范围雇主如否认有关法律责任,则须述明理由。 ______________________________________________________________________ (1)申请人姓名或名称及地址。 (2)答辩人姓名或名称及地址。 (3)请以注明编号的分段文字,按照日期顺序且扼要述明提出本申请所据情况。 (4)请扼要述明申请人所申索的济助或命令。 (1983年第227号法律公告) 表格4 [第17条] 雇员补偿(法院规则)规则 向答辩人发出关于申请的通知 ....................................................................................................................................法院 申请案件编号.................................................................................................................... 与此宗申请案有关的两方为─ ..............................................................................................................................(申请人) 与 ..............................................................................................................................(答辩人) 致∶............................................................ 地址为........................................................... 请注意∶现随同本通知向你送达上述申请副本一份;如你拟反对该申请,必须在本通知送达后21天内,向本人呈交一份书面答覆,其内须载有扼要述明你反对的范围及反对理由的陈述。 |