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Applicant Name of the injured person Name of the injured person ID number Current residential address Zip code Contact** Name of the unit where the injured person works Address of the unit ** Contact person Zip code Work-related injury certificate (or work-related injury ** confirmation) document number Time of work-related injury (or work-related injury**) Injury situation and location: Reason for application: Applicant's signature (seal):
Year, Month and Date Remarks: Confirmation of Extension of Leave of Absence with Pay Expert Advice: Signature:
Date: Opinion of the Appraisal Body: (Stamped) Date:
There are many situations that we do not anticipate when we work, and sometimes we need to act according to our actual situation to defend our rights. At this time, we need to write something, and the specific writing method needs to be learned, and I will introduce to you today the specific writing method of the leave of absence application.
The first thing we need to write is our name, age, ethnicity and address, etc., which is to confirm our basic information and ensure the authenticity of the information.
We also need to indicate the specific sponsor and the specific address of the unit, which is a thing that we must indicate, because this is also the evidence that we prove the source, and we also need to indicate the name of the legal representative of the unit, which is also a specific evidence that we need to determine.
Then we have to write down our application, what kind of specific situation, which can also handle the procedures for us to leave work and keep pay, we also have to write down the process of the matter, but also explain our current situation, and explain our difficulties, which is also a complete application.
The above method I said is a basic way to write an application for suspension of work and salary, due to the different regions, there should be some subtle differences, you can consult the local labor and social security department or you can also consult the personnel department and labor department of the unit.
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The staff of the Human Rites Bureau will teach you how to write.
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Legal analysis: The wage standard for the period of suspension of work with pay shall be calculated according to the original wage standard. The period of suspension with pay is generally not to exceed 12 months, and where the injury is serious or special circumstances require an extension, the extension must not exceed 12 months.
After the work-related injury is assessed, the original benefits shall be suspended and the employees shall enjoy the disability benefits.
Legal basis: "Regulations on Work-related Injury Insurance" Article 33 If an employee is injured in an accident or suffers from an occupational disease due to work and needs to suspend work to receive medical treatment for work-related injuries, the original salary and benefits shall remain unchanged during the period of suspension of work and salary, and shall be paid by the employer on a monthly basis. The period of leave without pay is generally not more than 12 months.
If the injury is serious or the circumstances are special, it may be appropriately extended upon confirmation by the labor ability appraisal committee at the districted city level, but the extension shall not exceed 12 months. After the work-related injury is assessed, the original benefits shall be suspended and the disability benefits shall be enjoyed in accordance with the relevant provisions of this Chapter. If the injured employee still needs to be ** after the expiration of the period of suspension of work with pay, he or she shall continue to enjoy the medical treatment of work-related injury.
If an injured employee who is unable to take care of himself needs nursing care during the period of suspension of work with pay, the unit to which he or she belongs shall be responsible.
According to the Regulations on Work-related Injury Insurance, the extension of leave without pay can be up to 12 months, or one year. >>>More
The wages for the period of work-related injury and leave without pay are based on the fact that the employee needs to suspend work for medical treatment due to an accident injury at work, and the original salary and benefits remain unchanged during the period of suspension with pay, which shall be paid by the employer. Article 33 of the Regulations on Work-related Injury Insurance stipulates that if an employee is injured in an accident or suffers from an occupational disease due to work and needs to suspend work to receive medical treatment for work-related injury, the original salary and benefits shall remain unchanged during the period of suspension of work and salary, and shall be paid by the employer on a monthly basis. The period of leave without pay is generally not more than 12 months. >>>More
Explain that it is not possible to go to work in another company without terminating the employment relationship between the two parties; If an employee is injured in an accident or suffers from an occupational disease due to work and needs to suspend work to receive medical treatment for work-related injuries, the original salary and benefits shall remain unchanged during the period of suspension with pay, and shall be paid by the employer on a monthly basis. The period of leave without pay is generally not more than 12 months.
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Article 18 The following materials shall be submitted to submit an application for determination of work-related injury: >>>More