XLS《正面》

"编号" "年度用人单位劳动保障书面审查备案表" "单位公章:",,

"填表日期:年月日",,

,,

,"填表人:" "单位基本情况" "名称",,

,,

"详细地址",,

,,

"单位类型",,

,"主管部门",,

"所属行业",,

"邮政编码", "单位经济状况","正常生产经营停产停业出租经营其他",,

,,

,,

, "注册登记机关",,

,,

"注册登记证号",,

,,

"法人代表或负责人姓名",,

,,

"电话","手机:",,

, "劳资负责人","姓名",,

,"经办人","姓名:",,

, ,"电话",,

,,

"

电话:手机:",,

, "职工基本情况","总人数人,(其中:女职工人).

非全日制用工人;

聘用下岗、内退、离退休职工人;

兼职人数人;

劳务派遣职工人,劳务派遣单位名称:;

实习生、勤工助学人员人;

临时、季节性用工人;

其他人. "劳动合同与集体合同订立履行情况","已签订合同人数",,

,"是否签订集体合同",,

,"未签订合同人数", ,"其中一份劳动合同文本是否交劳动者本人",,

,,

"是否",,

"未签订合同原因", ,"终止、解除劳动合同人数",,

,,

"是否办理劳动用工备案手续",,

,"是否" "工资支付情况","年实际工资总额",,

"元","工资支付时间",,

,"每月号", ,"本年度职工个人最低月工资",,

,"元",,

"未达到最低工资标准人数",,

"人" ,"本年度拖欠职工工资",,

,"人",,

"工资发放形式:现金银行代发",,

,,

,,

"元",,

,,

"本年度招工","人","安置残疾人就业",,

"人",,

"残疾人就业保障金缴纳",,

"元" "职工培训情况","实行职业资格证书的技术工种个数:",,

,,

,"持职业资格证书人数:",,

"执行工时制度情况","是否实行标准工时制:是否",,

,,

,"实行非标准工时是否审批:是否",,

,"审批机关时效:实行综合工时制人数:实行不定时工时制人数: "招用工向劳动者收取费用情况","收取费用名目",,

,,

,,

, ,"收取人数",,

"人","收取金额",,

"每人元",,

"女工与未成年工保护情况","是否遵守女职工和未成年工特殊劳动保护规定:是否" ,"是否遵守禁止使用童工规定:是否" "工作时间和休息休假情况","是否遵守工作时间和休息休假,执行职工带薪年休假条例:是否" "用人单位建立内部劳动管理规章制度情况" "规章制度名称","订立时间",,

"是否通过职工代表大会",,

"是否通过职工代表大会",,

"规章制度名称",,

"订立时间",,

"是否通过职工代表大会", "

1、

4、",,

,,

, "

2、

5、",,

,,

, "

3、

6、",,

,,

, "社会保险情况(人,元) "项目","养老保险",,

"医疗保险",,

"医疗保险",,

"失业保险",,

"工伤保险",,

"生育保险", "应参保缴费人数" "实参保缴费人数" "上年度欠缴金额" "累计欠缴金额" "招用农民工情况" "招用人数:","招用时间:",,

,,

,"是否按时支付工资",,

,"最低工资",,

, "拖欠情况(另纸说明) "其他情况说明" "上年度是否被当地劳动保障行政部门立案处理记录",,

,"是否" "以上所申报各项内容真实、准确,提供凭据、资料真实有效,如有虚假,本单位愿承担相关责任. "法定代表人(签章)年月日" "劳动保障部门审查纪录" "主办监察员(签字)协办监察员(签字)审查时间:",,