劳仲案字[ ]第 号
申诉人:________________________
委托代理人:____________________
被诉人:________________________
委托代理人:____________________
申诉理由、争议事实和要求:
_________________________________________________________________________________________
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裁决结果:
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费用负担:
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不服裁决,向人民法院起诉的期限:
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首席仲裁员:____________
仲裁员:________________
仲裁员:________________
______劳动争议仲裁委员会
______年______月______日
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人民法院裁定书模板2023格式免费下载上级法院准许撤回确认申诉用
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