Labor relationship confirmation application

applicant:

Respondent:

Application: Confirm that there is a labor relationship between the respondent and the applicant according to law.

Facts and reasons:

In the year and month, the applicant was assigned to work at the respondent, and was arranged to do the monthly salary. The two parties did not sign a written labor contract. On the day of the month, the applicant had an accident at work, resulting in the applicant. Sent to the hospital on the spot. After the accident, the unit did not pay the worker for work-related injury insurance, nor did it apply for a work-related injury for the applicant, which made it unable to enjoy the work-related injury treatment and caused significant harm and loss to the applicant.

The applicant believes that the respondent's behavior violates the Labor Contract Law, the Work Injury Insurance Regulations and other relevant laws and regulations, resulting in the applicant's legitimate rights and interests are not guaranteed. In order to protect the lawful rights and interests of the applicant, it is now applying to the arbitration committee for arbitration, requesting that the applicant and the respondent have a labor relationship, and hope that your committee will support the applicant's arbitration request in accordance with the law.

Sincerely

Labor dispute arbitration committee

applicant: