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发布机构:科技和工业信息化局
名 称:沙河市科技和工业信息化局行政检查参考文书样式

发文日期:2019-04-15
文 号:

沙河市科技和工业信息化局行政检查参考文书样式

 

沙河市科技和工业信息化局
行政检查参考文书样式
 
一、检查通知书
    二、执法检查现场告知书
三、询问笔录
四、检查笔录
五、陈述、申辩笔录
六、查终结报告
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   检查通知书
                                         编号:


(被检查企业、公司全称):
     根据《              》第    条、《             》等相关规定要求,我机构定于         日,对贵公司进行_____________________情况进行检查。届时请你企业负责人或委托人及相关的人员到场配合检查工作。
检查内容
 
 
被检查企业、公司需提供的材料
 
 
 
 
联系地址
 
  
 
联系电话
 
    
 
    
 


 
                                                  检查单位、科室(公章)
                                         年     月    日
 
注:1. 接到本通知书后请及时与本机构联系。
2. 本通知书一式两份,一份送达被检查企业,一份存档。
 
执法检查现场告知书
                                        编号:
被检查企业、公司全称
     我们是沙河市工业和信息化局检查人员       、________,行政执法证编号为             。依据《              》第    条和《检查通知书》(编号:    )等相关规定要求实施此次检查,现向贵企业(公司告知情况如下:
一、行政执法检查人员应当两人以上实施现场检查,并向被检查企业公司有关人员出示《行政执法证》。
二、行政执法检查人员在执法中不准接受礼品、礼金、礼券,不参加宴请或营业性娱乐活动,不准利用工作之便承接中介项目、参与营销活动。行政执法检查人员对被检查企业公司合法的技术及经营管理情况有保密义务。
三、贵企业(公司有权对行政执法人员的检查过程进行监督,对行政执法检查人员的违法违纪行为,可向               举报投诉,地址:                  ,举报电话:               ,邮箱:                      
四、对本次检查,贵企业(公司是否有要求回避的检查人员。□是 □否
五、贵企业(公司应当配合行政执法人员的检查,无正当理由拒绝、阻碍行政执法人员检查工作的,依据相关规定处理。
告知人(签名):              被告知人(签名):
        年   月    日                  年    月   日      

询 问 笔 录
                                                                                      
检查事项                                                       
时间:                     分至      分。
地点:                                             
被调查(询问)人:             性别:        年龄:          
身份证号码:                        
工作单位:                             职务:           电话:           
住  址:                                      邮编:                       
调查(询问)人及执法证编号:              、              记录人:               
执法人员表明身份、出示证件及为被调查(询问)人确认的记录: 我们是××(执法机关名称)的行政执法人员,这是我们的执法证件(向当事人出示证件,并记录持证人员姓名和证件号),请您过目确认。
被调查(询问)人对执法人员出示证件、表明身份的确认记录:                           
告知陈述(申辩)和申请回避的权利:                                                                                        
                                                                                   
询问内容:                                                                                     
                                                                                                          
                                                                                        
  (以下是调查(询问)笔录尾页)                                                                                             
应注明“调查(询问)笔录上述内容,记录属实。”                                               
被调查(询问)人签字:          年  月  日                                                       
调查(询问)人签字:                            年  月  日                      
记录人签字:            年  月  日                                             
第  页共  页

   
                                                                                                  
被检查单位                                                       
企业(公司)社会信用代码:                         
                                             
电话:                      邮编:                 
法定代表人:                   职务:              
时间:                     分至      分。
检查场所:                                             
查人及执法证编号:              、              记录人:         
现场情况:                                                                               
                                                                                                              
                                                                                                                                                                                                                                                                                                                                                                                                     
                                                                                                                                                                  
                                                                                   
                                                                           (以下是检查笔录尾页)                                                                          
被检查企业(公司)或现场负责人注明:“笔录上述内容,情况属实。”                               
被检查企业(公司)或现场负责人签字:                                           
见证人签字:                                日                             
检查人签字:                            记录人签字:                 
                                                                               第  页共  页
 

 
陈述(申辩)笔录
                                                                   
时间:                   分至       
地点:                                                                      
陈述(申辩)人:                  身份证号:                            
工作单位:                            电话:                            
住址:                                邮编:                            
与本案关系:                                                             
记录人:                        工作单位:                                
陈述(申辩)的目的:                                                      
                                                                           
陈述(申辩)的事实和理由:                                                 
                                                                           
                                                                             
                                                                           
                                                                              
                                                                           
                                                                             
                                                                           
  应由陈述、申辩人注明“陈诉申辩笔录上述内容,记录属实。”                                                                                                                                                                                                                                                                 
                                                                 
陈述(申辩)人签字:                          记录人:               
                                                                 
                                                     第  页 共  页
 
 
 
 
查终结报告
 
检查依据目的、内容,检查科室、人员、时间、地点,检查方式等。
当事人的基本情况。
检查的经过及事实情况。
检查意见或结论
 
 
                            检查科室(人员
                            年    月    日