2025年度工傷事故賠償協(xié)議書簽訂注意事項及流程

甲方：XXX乙方：XXX20XXCOUNTRACTCOVER專業(yè)合同封面RESUME甲方：XXX乙方：XXX20XXCOUNTRACTCOVER專業(yè)合同封面RESUMEPERSONAL

2025年度工傷事故賠償協(xié)議書簽訂注意事項及流程本合同共三部分組成，僅供學習使用，第一部分如下：甲方（賠償義務方）：_____________________________乙方（賠償權利方）：_____________________________鑒于甲方在2025年度內(nèi)發(fā)生的工傷事故，現(xiàn)甲乙雙方本著公平、自愿的原則，就甲方對乙方應承擔的工傷事故賠償事宜達成如下協(xié)議：一、工傷事故基本情況1.工傷事故發(fā)生時間：_____________________________2.工傷事故發(fā)生地點：_____________________________3.事故原因：_____________________________4.事故造成的傷害程度：_____________________________二、賠償范圍及標準1.醫(yī)療費用：包括但不限于醫(yī)療費、誤工費、住院伙食補助費、護理費、交通費、營養(yǎng)費等，具體標準參照《工傷保險條例》及國家、地方相關政策執(zhí)行。2.一次性傷殘補助金：根據(jù)《工傷保險條例》規(guī)定，按傷殘等級支付一次性傷殘補助金。3.一次性工傷醫(yī)療補助金：根據(jù)《工傷保險條例》規(guī)定，按傷殘等級支付一次性工傷醫(yī)療補助金。4.一次性傷殘就業(yè)補助金：根據(jù)《工傷保險條例》規(guī)定，按傷殘等級支付一次性傷殘就業(yè)補助金。5.生活護理費：根據(jù)《工傷保險條例》規(guī)定，按傷殘等級及生活護理依賴程度支付生活護理費。三、賠償方式及期限1.甲方應在接到乙方提交的工傷認定決定書之日起______日內(nèi)，向乙方支付上述賠償款項。2.甲方應在支付賠償款項的同時，將賠償款項的支付憑證交付乙方。3.若因甲方原因?qū)е沦r償款項未按時足額支付，甲方應按每日萬分之五向乙方支付滯納金。四、爭議解決1.雙方在履行本協(xié)議過程中發(fā)生的爭議，應通過友好協(xié)商解決。2.若協(xié)商不成，任何一方均有權向甲方所在地人民法院提起訴訟。五、其他約定1.本協(xié)議自雙方簽字（或蓋章）之日起生效。2.本協(xié)議一式兩份，甲乙雙方各執(zhí)一份，具有同等法律效力。3.本協(xié)議未盡事宜，由雙方另行協(xié)商解決。甲方（賠償義務方）：_____________________________乙方（賠償權利方）：_____________________________簽訂日期：_____________________________附件：1.工傷認定決定書2.住院病歷3.其他相關證明材料___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________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