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工傷意外通知書 - labour.gov.hk

1 A. / / / B. 2 / / C. 3 D. 4 / E. / _____(Ver. 08/13) F. 5 / / / 1 2 3 4 5

請在適用方格內劃上「 」號 請轉後頁 勞工處檔案編號: 工傷意外通知書 . 本人(下稱僱員)在受僱工作期間因工遭遇意外受傷,詳情如下(附註1):

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