劳动争议仲裁申请书1劳动争议仲裁申请书申诉人:姓名性别年龄被诉人:法定代表人:地址:请求事项:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________事实和理由:(包括证据和证据来源,证人姓名和住址等情况):_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________此致第1页共3页劳动争议仲裁委员会申诉人(单位):___________(签名或盖章)__________年