主動放棄申報僱員工傷補償聲明書本人 (中英文姓名), 持有香港身份證

主動放棄申報僱員工傷補償聲明書

本人 (中英文姓名), 持有
香港身份證 ( ), 現聲明本人於
(日/月/年) 在 (地點) 工作時不慎弄傷,
(傷及的位置), 惟傷勢並不嚴重。

本人 現主動放棄向 和新國際(香港)有限公司辦理 申報 之程序, 不會以其他途徑向和新國際(香港)有限公司, 有關分判商, 總承建商或任何一方的保險公司索取受傷補償或任何民事法律訴訟, 一切後果均由本人負責。

特此聲明!

結果 (英文) 1:

Give up reporting employee compensation statementI (in English),Hong Kong identity card (s), it is hereby declared, I (Day/month/year) at (location) is accidentally injured, (Hurt), but the injury is not serious.I now give up and new international (Hong Kong) limited declaration procedure, in any other way, and the new international (Hong Kong) limited, relating to subcontractors, General contractors or injury to any side of the insurance company to obtain compensation or any civil legal proceedings, I am responsible for all the consequences.Hereby statement!

結果 (英文) 2:

Initiative to give employees' compensation statement to declare himself (English name), hold Hong Kong identity card (), it is hereby declared himself in (day / month / year) at (location) work accidentally injured, (injuries position ), but was not seriously injured. We hereby declare the procedure to give up and the new International (Hong Kong) Limited to handle, and not in other ways to the New International (Hong Kong) Limited, the relevant sub-contractor, general contractor or any party to an insurance company to obtain compensation for injuries any civil or legal proceedings, is responsible for all the consequences by himself. Hereby declare!

結果 (英文) 3:

Declaration of compensation for employees' compensation for the initiative to give upI (name in Chinese and English), holdingHongkong identity card (), I hereby declare that I am(day / month / year) in (place) work carelessly hurt,(injury and location), but the injury is not serious.I now take the initiative to give up to and the new international (Hong Kong) Co., Ltd. for handling the declaration procedure, not in other ways to and New International (Hong Kong) Co., Ltd., the subcontractor, general contractor or any insurance company claim compensation for injuries or any civil litigation, all the consequences were by themselves responsible.Hereby declare!