劳动争议调解书 申诉人:____________________________ 委托代理人:________________________ 被诉人:____________________________ 委托代理人:________________________ 申诉事由及请求的情况: ____________________________________________________________________________________ ____________________________________________________________________________________ 调解达成
协议的内容: ____________________________________________________________________________________ ____________________________________________________________________________________ 申诉人:________________ 被诉人:________________ 仲裁员:________________ ______劳动争议仲裁委员会 ______年______月______日