How to write a work injury application and how to write a work injury application?

That's pretty much it, but I don't know if it meets your local rules.

Application for recognition of work-related injury of employees.

Applicant: Gender, date of birth, nationality, place of origin, living in the street, is an employee of the company.

Legal representative: Position.

Request Matters The labor department is requested to determine that the applicant's injuries at the time are work-related injuries in accordance with the law.

Facts & Reasons:

The applicant is an employee of the company, was recruited into the company to work in the year, and during the working hours of the year, month, and day, because of a work accident in the company, the applicant was seriously injured. After the applicant was injured, he was hospitalized in a city hospital** and has been in the hospital for ** months now, spending medical expenses.

In accordance with the provisions of the Regulations on Work-related Injury Insurance, the labor department hereby applies to the labor department to investigate and verify the applicant's injury, and determine that the injury is a work-related injury in accordance with the law.

Sincerely, the Municipal Labor Insurance Department.

Applicant (Signature):

Remarks: Description: 1. The following materials should be attached to the declaration of work-related injury identification materials:

Quick report of the employee's work-related injury (death) accident, the diagnosis of the first work-related injury of the designated hospital or medical institution, the "Occupational Disease Diagnosis Manual" issued by the occupational disease diagnosis institution after diagnosis, the circumstantial evidence of witnesses of the work-related accident, the analysis and handling opinions of the work-related accident of the enterprise, and the personnel file of the employee himself.

2. This form shall be filled in in quadruplicate, step by step, and after being identified, one shall be deposited in the enterprise, one shall be deposited in the competent department, one shall be sent to the work-related injury insurance agency, and one shall be deposited in the work-related injury identification department of the labor and social security administrative organs, and the number shall be uniformly compiled by the work-related injury identification department.

You can directly bring the accident proof materials such as the accident history, the testimony and diagnosis of the witness, and the case to the local social security bureau for declaration.

The Social Insurance Section of the county-level labor bureau has a ready-made application for work-related injury determination. The contents are: name, age, working hours, time of injury, cause of injury, etc.

The Labor Bureau has a form application**, fill it out according to the form, and do not need to write it.

Applicant; Respondent's [name of unit].

Application requests; Injury facts.

Signature. Date.

Legal analysis: The application for work-related injury insurance shall specify the following matters:

1. The title is "Application for Work-related Injury Compensation";

2. Indicate the basic information of the applicant and the respondent (employer);

3. Briefly state the basic situation of the work-related injury;

4. List the expenses for applying for compensation;

5. The applicant is in person and dated.

Legal basis: "Regulations of the People's Republic of China on Work-related Injury Insurance" Article 30 Employees who are injured in accidents or suffer from occupational diseases due to work shall enjoy medical treatment for work-related injuries. Employees who are injured at work shall seek medical treatment in a medical institution that has signed a service agreement, and in case of emergency, they can first go to the nearest medical institution for first aid.

**If the expenses required for work-related injuries meet the requirements of work-related injury insurance diagnosis and treatment items, work-related injury insurance drug lists, and work-related injury insurance hospitalization service standards, they shall be paid from work-related injury insurance**. The catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs, and the hospitalization service standards of work-related injury insurance shall be prescribed by the social insurance administrative department in conjunction with the health administrative department, the food and drug supervision and administration department and other departments.

If it is a request for recognition of work-related injury, go to the labor bureau to get the application form; If you are required to apply for work-related injury benefits, go to the Social Security Bureau to get the application form. ]

You can fill in the application form according to the requirements of the work-related injury identification department. Then prepare the hospital diagnosis certificate, labor relationship certificate and other documents, and you can make a decision. ]