职业病认定申请书怎么写-法律综合法律援助-法律咨询免费平台-国际律师联盟

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问题	职业病认定申请书怎么写
释义	职业病认定申请书怎么写职业病鉴定申请书用人单位：(名称、地址、联系人、联系方式等) 劳动者(姓名、性别、出生年月、身份证号码、地址、联系方式等) 1、申请鉴定事由 2、职业有害因素接触情况 3、临床表现和就诊情况 4、职业病种类 5、承诺声明如实提供职业病诊断所需各项资料,若提供虚假资料,愿承担相应法律责任。用人单位或本人签字(盖章)： XX年X月X日如果您情况比较复杂，本网站也提供律师在线咨询服务，欢迎您进行法律咨询。
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