简易纠纷调解协议书.docx

简易纠纷调解协议书

第一篇：简易纠纷调解协议书简易纠纷调解协议书编号：_______________当事人（自然人姓名、性别、年龄、民族、职业、单位或住址，法人及社会组织的名称、地址、法定代表人姓名和职务）：________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________纠纷简要情况：__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________经调解，自愿达成如下协议：______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________履行协议的方式、地点、期限：____________________________________________________________________________________________________________________________________________________________________________________________当事人（签名或盖章）:_______________________________________________调解员（签名或盖章）:_______________________________________________调解日期：年月日简易纠纷调解协议书玉环经济开发区人民调解委员会年月日第二篇：纠纷调解协议书纠纷调解协议书纠纷调解协议书1甲方：(单位)签约人：乙方：身份证号：住址：前言：乙方在__年__月__日到甲方处从事普工工作。在__年__月__日，乙方在工作过程中发生工伤事故，造成其右眼受伤，现已医疗终结出院。现甲、乙双方