人民调解文书格式及使用说明

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1、--            人民调解委员会   调解卷宗   卷   名：                                    卷   号：                                    人民调解员：             调解日期：             立卷人：             立卷日期：             ----保管期限：                                    备   注：                                    

2、 卷内目录 序号文书名称页号备注1人民调解申请书或人民调解受理登记表  2人民调解调查记录  3人民调解证据材料  4人民调解记录  ----5人民调解协议书或人民调解口头协议登记表  6人民调解回访记录  7司法确认有关材料  8卷宗情况说明  9封底   人民调解申请书 申请人姓名               性别     民族             年龄           职业或职务                       联系方式                              单位或住址              

3、                                                ----被申请人姓名             性别     民族             年龄           职业或职务                       联系方式                              单位或住址                                                              纠纷简要情况                                 

4、                                                                                                                                                                                                                                                     当事人申请事项1、                    

5、                     当事人申请事项2、                                         ----当事人申请事项3、                                         人民调解委员会已将申请人民调解的相关规定告知我，现自愿申请人民调解委员会进行调解。  申请人（签名盖章或按指印）                          年      月      日人民调解受理登记表            年   月   日，人民调解委员会依当事人申请（人民调解委员会

6、主动调解），经当事人同意，调解          、         之间的纠纷。纠纷类型：                                                       案件来源：①当事人申请②人民调解委员会主动调解----纠纷简要情况：                                                                                                                                           

7、                                                                                                                                                                                                                                                                                  

8、