<p class="MsoNormal" align="center" style="margin-left:0cm;text-align:center;"> <b><span style="font-size:16px;">法律援助审批表</span></b> </p> <p class="MsoNormal" align="center" style="margin-left:0cm;text-align:center;"> <span style="font-size:16px;"> 援审字[ ]第</span><span style="font-size:16px;"> </span><span style="font-size:16px;">号</span><b><span></span></b> </p> <table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" align="center" style="border:none;width:80%;"> <tbody> <tr> <td width="559" colspan="7" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" style="text-align:center;"> <b><span style="font-size:14.0pt;font-family:宋体;">申请人基本情况<span></span></span></b> </p> </td> </tr> <tr> <td width="47" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">姓名<span></span></span> </p> </td> <td width="75" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> <td width="66" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">案由<span></span></span> </p> </td> <td width="131" colspan="2" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> <td width="94" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">申请日期<span></span></span> </p> </td> <td width="146" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> </tr> <tr> <td width="122" colspan="2" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;"> </span><span style="font-size:12.0pt;font-family:宋体;">文化程度<span></span></span> </p> </td> <td width="437" colspan="5" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">A文盲<span> </span>B小学<span> </span>C中学<span> </span>D大专以上 您的选择：<span></span></span> </p> </td> </tr> <tr> <td width="122" colspan="2" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">人群类别<span></span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">（可重复交叉）<b><span> </span></b></span> </p> </td> <td width="437" colspan="5" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">A女性<span> </span>B未成年人 C残疾人<span> D</span>老年人（<span>60</span>岁以上）<span></span></span> </p> <p class="MsoNormal" style="margin-left:271.7pt;text-indent:-271.7pt;"> <span style="font-size:12.0pt;font-family:宋体;">E农民<span> </span>F农民工<span> G</span>少数民族<span> </span>H军人军属<span> </span></span><span style="font-family:宋体;font-size:12pt;line-height:1.5;">I一般贫困者</span><span style="font-family:宋体;font-size:12pt;line-height:1.5;"> </span> </p> <p class="MsoNormal" style="margin-left:271.7pt;text-indent:-271.7pt;"> <span style="font-family:宋体;font-size:12pt;line-height:1.5;">J外国籍人或无国籍人 </span><span style="font-family:宋体;font-size:12pt;line-height:1.5;">K其他（注明）</span><u> </u> </p> <p class="MsoNormal" style="margin-left:271.7pt;text-indent:-271.7pt;"> <span><span style="font-size:16px;line-height:24px;"><strong>您的选择：</strong></span></span> </p> </td> </tr> <tr> <td width="559" colspan="7" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <b><span style="font-size:14.0pt;font-family:宋体;">经济状况<span></span></span></b> </p> </td> </tr> <tr> <td width="268" colspan="4" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">是否符合法律援助经济困难标准<b><span></span></b></span> </p> </td> <td width="290" colspan="3" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;"> </span><span style="font-size:12.0pt;font-family:宋体;">A是<span> B</span>否 <strong>您的选择：</strong></span> </p> </td> </tr> <tr> <td width="559" colspan="7" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <b><span style="font-size:14.0pt;font-family:宋体;">案件来源</span></b><span style="font-size:14.0pt;font-family:宋体;"></span> </p> </td> </tr> <tr> <td width="559" colspan="7" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">A当事人直接申请<span> </span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">B</span><span style="font-size:12.0pt;font-family:宋体;">转交申请</span><span style="font-size:12.0pt;font-family:宋体;">（B1人民法院B2人民检察院B3公安机关B4监狱B5看守所B6劳动教养管理所B7强制隔离戒毒所）<span></span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">C其他来源（注明）<u><span style="color:#0D0D0D;"> <span> </span></span></u><span style="color:#0D0D0D;"></span></span> </p> <p class="MsoNormal"> <span><span style="font-size:16px;line-height:24px;"><strong>您的选择：</strong></span></span> </p> </td> </tr> <tr> <td width="559" colspan="7" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <b><span style="font-size:14.0pt;font-family:宋体;">申请事项<span></span></span></b> </p> </td> </tr> <tr> <td width="559" colspan="7" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">A刑事案件<b><span></span></b></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">B请求国家赔偿<span> </span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">C请求给予最低生活保障待遇或社会保险待遇<span> </span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">D请求发给抚恤金、救济金<span> </span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">E请求给付赡养费、抚养费、扶养费<span> </span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">F请求支付劳动报酬<span> </span>G主张因见义勇为行为产生的民事权益<span> </span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">H工伤<span> </span>I交通事故<span> J</span>医疗纠纷<span> </span></span><span style="font-size:12pt;font-family:宋体;">K婚姻家庭（不含</span><span style="font-size:12pt;font-family:宋体;">请求给付赡养费、抚养费、扶养费）</span><span style="font-family:宋体;font-size:12pt;line-height:1.5;">L其他（注明）</span><u><span style="color:#0D0D0D;"> </span></u> </p> <p class="MsoNormal"> <span style="color:#0D0D0D;font-size:16px;"><strong>您的选择：</strong></span> </p> </td> </tr> <tr> <td width="559" colspan="7" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <b><span style="font-size:14.0pt;font-family:宋体;">申请事项所处阶段<span></span></span></b> </p> </td> </tr> <tr> <td width="559" colspan="7" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">A尚未进入法律程序<span> </span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">B侦查<span> </span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">C审查起诉<span> </span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">D诉讼（D1一审 D2二审 D3审判监督程序）<span> </span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">E仲裁<span> </span>F调解<span> </span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">G行政处理<span> </span>H行政复议<span> </span>I国家赔偿<span></span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">J死刑复核<span></span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">K申诉<span></span></span> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;">L执行<b><span></span></b></span> </p> <p class="MsoNormal"> <span><span style="font-size:16px;line-height:24px;"><strong>您的选择：</strong></span></span> </p> </td> </tr> <tr> <td width="47" style="border:none;"> </td> <td width="75" style="border:none;"> </td> <td width="66" style="border:none;"> </td> <td width="80" style="border:none;"> </td> <td width="51" style="border:none;"> </td> <td width="94" style="border:none;"> </td> <td width="146" style="border:none;"> </td> </tr> </tbody> </table> <p class="MsoNormal"> <br /> </p>