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["附件5"]
["劳动人事争议调解办案补助审批表"]
["申报单位（调解组织）全称： "]
["申领补助总人数：  人，申领补助总案件数：   件，合计补助金额     元。"]
["申报单位（调解组织）意见："]
[]
["合计申领补助                   元"]
["(大写)："]
["经办人："]
["负责人：                                      ",null,"（公章）"]
["                                            年   月   日"]
["劳动人事争议仲裁委员会意见："]
[]
[]
["经办人：                            "]
["负责人：                                       "]
[null,null,"（公章）"]
["                                 年   月   日"]
["人力资源社会保障部门意见："]
["同意补助       元"]
["（大写）："]
["经办人：                                "]
["审批人：","              "]
[null,null,"（公章）"]
[null,"                         年   月   日  "]