M u sô 03/TNĐB
Ban hanh theo Thông tư sô 63/2020/TT-BCA
ngày 19/6/2020
.....................................................(1)
.....................................................(2)
S :...................
C NG HOÀ XÃ H I CH NGHĨA VI T NAM
Đc l p - T do - H nh phúc
…….…, ngày……tháng……năm………
QUY T ĐNH PHÂN CÔNG CÁN B ĐI U TRA, XÁC MINH,
GI I QUY T TAI N N GIAO THÔNG
Tôi: ...............................................................................................................................................................................................................
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Ch c v : ..................................................................................................................................................................................................
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Căn c :..................................................................................................., Biên b n v vi c s : .....................................,
QUY T ĐNH :
Phân công ông/bà:
1. .....................................................................................................................................................................................................................
2. .....................................................................................................................................................................................................................
3. .....................................................................................................................................................................................................................
thu c C quan: ơ .................................................................................................................................................................................................
Ti n hành ếđi u tra, xác minh, gi i quy t ế (1) .......................................................................................do(2):……
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N i dung(1):............................................................................................................................................................................................
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Cán b đi u tra, xác minh, gi i quy t v tai n n giao thông đc phân công có ế ượ
nhi m v , quy n h n và trách nhi m th c hi n các bi n pháp đi u tra, xác minh quy đnh
t i Thông t s 63/2020/TT-BCA ngày 19/6/2020. ư
N i nh n:ơ
- Cán b xác minh đc phân công; ượ
- H s 02 b n. ơ
LÃNH ĐO ĐN V Ơ
(ký, đóng d u, ghi rõ h tên ch c v )
(1) Ghi rõ: Tin báo v v tai n n giao thông;
(2) N u là tin báo v tai n n giao thông c a cá nhân thì ghi rõ: H tên cá nhân, ngày tháng năm sinh, s CMND/Th CCCD/H chi u, ngh nghi p, n iế ế ơ
làm vi c, n i c trú. N u là tin báo v tai n n giao thông c a c quan, t ch c thì ghi rõ tên, đa ch c a c quan, t ch c cung c p thông tin v v tai n n. ơ ư ế ơ ơ