3
20
TEKFQ1116F00000095
北京经济技术开发区人力资源和社会保障服务中心（劳动人事争议仲裁院）
劳动能力鉴定申请
TEKFQ1116F000000953002014007005
0
4c129d65-2a1d-4024-819e-e56d95e5ac80
ce0e2660-a289-4b0c-8a6f-d8e85e1e7cce
3
20
经开区人力资源和社会保障服务中心（劳动人事争议仲裁院）
110115403000
北京经济技术开发区人力资源和社会保障服务中心（劳动人事争议仲裁院）
北京经济技术开发区人力资源和社会保障服务中心（劳动人事争议仲裁院）:法定工作日: 上午: 09:00 - 12:00; 下午: 13:30 - 17:30;
北京经济技术开发区人力资源和社会保障服务中心（劳动人事争议仲裁院）:北京经济技术开发区荣昌东街甲5号隆盛大厦A座西区三层313室
1.职工发生工伤，经治疗伤情相对稳定后存在残疾、影响劳动能力的，或者停工留薪期满（含劳动能力鉴定委员会确认的延长期限），工伤职工或者其用人单位应当及时向设区的市级劳动能力鉴定委员会提出劳动能力鉴定申请。因申请领取病残津贴进行劳动能力鉴定的，因病或非因工致残人员或者其用人单位应当向待遇领取地或者最后参保地的设区的市级劳动能力鉴定委员会提出劳动能力鉴定申请。
(来源：2025年5月13日人力资源社会保障部、国家卫生健康委令第55号公布第七条）
2.申请劳动能力鉴定应当填写劳动能力鉴定申请表，并提交下列材料：
（一）有效的诊断证明、按照医疗机构病历管理有关规定复印或者复制的检查、检验报告等完整病历资料；
（二）被鉴定人的居民身份证或者社会保障卡等其他有效身份证明原件。
(来源：2025年5月13日人力资源社会保障部、国家卫生健康委令第55号公布第九条）
3.材料齐全，填写完整。
4.提交的证件或批复文件齐全完整，如提交复印件，应完整清晰并与原件一致。
5.申请材料所载基本信息与提交的证件或批复文件所载内容一致。
6.申请材料按要求签字、盖章，且签章内容与申请材料所载内容、提交的证照证件或批复文件所载内容一致。
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1
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