BNG Kấ H S Loi h s: Hng ch ngh dng sc phc hi sc kho 1. Tờn n v (cỏ nhõn): Mó n v:. 2. in thoi:Email Fax STT Loi giy t, biu mu Soỏ lửụùng 1. H s yờu cu: 1.1. Danh sỏch ngi lao ng ngh hng tr cp ngh dng sc phc hi sc kho sau m au theo mu C68a-HD, 03 bn. 1.2. Danh sỏch ngi lao ng ngh hng tr cp ngh dng sc phc hi sc kho sau thai sn theo mu C69a-HD, 03 bn. 1.3. Danh sỏch ngi lao ng ngh hng tr cp ngh dng sc phc hi sc kho sau iu tr tai nn lao ng, bnh ngh nghip theo mu C70a-HD, 03 bn. 2. File d liu: Gi qua Email IMS Chuyn bng a Chuyn bng USB Ngy tr kt qu /./. Caựn boọ TNHS (Ký, ghi rừ h tờn) TP.HCM, ngy./ ./. Ngi np h s (Ký, ghi rừ h tờn) CNG HềA X HI CH NGHA VIT NAM c lp T do Hnh phỳc S HS: 603//CBHXH-DSPHSK