编辑: 牛牛小龙人 2019-07-02
"退休人员死亡待遇申领表(样表) "退休人员基本情况","姓名","李xx","性别","x","出生年月","x年x月","死亡时间","x年x月x日" ,"身份证号码","43030419xxxxxxxxxx",,

,"原工作单位","xxxxx",,

"领取人基本情况","姓名","刘xx","性别","x","与死者关系","夫/妻/儿子/女儿","联系电话","13xxxxxxxxx" ,"身份证号码","43030419xxxxxxxxxx",,

,"工作单位","xx单位/无",,

"社区(乡镇劳动保障站)意见",,

,,

"(盖章)",,

,,

,"经办人:",,

,"年月日",,

,,

"市社会养老保险管理服务局审核意见" ,,

,,

,,

,"单位(章)", ,"经办人:",,

,"审核人:",,

,"年月日", "申领待遇应提供的资料:","

1、死亡证(原件、复印件),无死亡证的,由村、街道社区出具的死亡时间证明;

2、火化证(原件、复印件)及发票原件(查验),长期居住在非火化区的,提供村和乡派出所出具的长期居住的证明;

3、继承人身份证原件及复印件(附电话号码);

4、继承人中国工商银行活期存折复印件(姓名、账号、开户行);

5、反映继承关系的证明(档案、户口薄复印件、结婚证或公安机关证明等);

6、继承人签字的承诺书.

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

"单位在职参保人员死亡待遇申领表(样表) "参保人员基本情况","姓名","刘xx","性别","男","出生年月","x年x月","死亡时间","x年x月x日" ,"身份证号码","43030419xxxxxxxxxx",,

,"原工作单位","xxxxx",,

"领取人基本情况","姓名","吴xx","性别","男","与死者关系","夫/妻/儿子/女儿","联系电话","135xxxxxxxx" ,"身份证号码","43030419xxxxxxxxxx",,

,"工作单位","xx单位/无",,

"参保单位意见",,

,,

"(盖章)",,

,,

,"经办人:",,

,"年月日",,

,,

"区社会养老保险管理服务局审核意见" ,,

,,

,,

,"单位(章)", ,"经办人:",,

,"审核人:",,

,"年月日", "申领待遇应提供的资料:","

1、死亡证(原件、复印件),无死亡证的,由村、街道社区出具的死亡时间证明;

2、火化证(原件、复印件)及发票原件(查验),长期居住在非火化区的,提供村和乡派出所出具的长期居住的证明;

3、继承人身份证原件及复印件(附电话号码);

4、继承人中国银行活期存折复印件(姓名、账号、开户行);

5、反映继承关系的证明(档案、户口薄复印件、结婚证或公安机关证明等);

6、继承人签字的承诺书. "个人参保者死亡待遇申领表(样表) "参保人员基本情况","姓名","王xx","性别","女","出生年月","x年x月","死亡时间","x年x月x日" ,"身份证号码","43030419xxxxxxxxxx",,

,"原工作单位","xxxxxx",,

"领取人基本情况","姓名","李xx","性别","男","与死者关系","夫/妻/儿子/女儿","联系电话","135xxxxxxxx" ,"身份证号码","43030419xxxxxxxxxx",,

,"工作单位","xx单位/无",,

"市就业服务局审核意见","属领取失业保险金期间死亡,已支付丧葬补助金元,抚恤金元",,

,,

,,

, ,"不属领取失业保险金期间死亡",,

,,

,,

, ,,

,,

,,

,"单位(章)", ,"经办人:",,

,"审核人:",,

下载(注:源文件不在本站服务器,都将跳转到源网站下载)
备用下载
发帖评论
  • 下一篇: 1
  • 上一篇: A4-1
相关话题
发布一个新话题