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["装订线"]
["………………………………………………………………………………………………………………………………………………………………"]
["北京市工伤保险基金支付月报表（工表二）"]
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["报表日期：    年      月"]
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["组织机构代码：",{"$nulls":3},"单位名称（公章）：",{"$nulls":3},"单位：个、人、元（保留两位小数）"]
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["项目",null,"序号","人数","金额",null,"项目",null,"序号","人次","金额"]
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["支付单位个数",null,1,1,"——","——","合计",null,"8=9+10+11+12+13+14+15+16"]
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["一至四级",null,3,{"$nulls":3},"其中","补养老金差额",10]
["五至六级",null,4,{"$nulls":3},"一次性伤残补助金",null,11]
["七至十级",null,5,{"$nulls":3},"护理费",null,12]
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["单位负责人：",null,null,"填报人：",null,null,"电话：",null,"填报日期："]
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["填表说明："]
[null,"1、此表一式二份，单位、社保经（代）办机构各一份；"]
[null,"2、各项工伤保险待遇金额：指达到致残等级人员须经社保经（代）办机构核准的各项待遇；"]
[null,"3、平衡关系：2=3+4+5+6，8=9+11+12+13+14+15+16，8=2+15。（人数和人次除外）；"]
[null,"4、1栏的人数填报支付单位个数。"]

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["装订线"]
["………………………………………………………………………………………………………………………………………………………………"]
["北京市工伤保险基金支付月报表（工表二）"]
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["报表日期：    年      月"]
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["组织机构代码：",{"$nulls":3},"单位名称（公章）：",{"$nulls":3},"单位：个、人、元（保留两位小数）"]
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["合计",null,"2=3+4+5+6",{"$nulls":3},"伤残津贴",null,9]
["一至四级",null,3,{"$nulls":3},"其中","补养老金差额",10]
["五至六级",null,4,{"$nulls":3},"一次性伤残补助金",null,11]
["七至十级",null,5,{"$nulls":3},"护理费",null,12]
["因工死亡",null,6,{"$nulls":3},"丧葬补助金",null,13]
[{"$nulls":6},"一次性工亡补助金",null,14]
["其中","直接死亡",7,{"$nulls":3},"供养亲属抚恤金",null,15]
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["单位负责人：",null,null,"填报人：",null,null,"电话：",null,"填报日期："]
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["填表说明："]
[null,"1、此表一式二份，单位、社保经（代）办机构各一份；"]
[null,"2、各项工伤保险待遇金额：指达到致残等级人员须经社保经（代）办机构核准的各项待遇；"]
[null,"3、平衡关系：2=3+4+5+6，8=9+11+12+13+14+15+16，8=2+15。（人数和人次除外）；"]
[null,"4、1栏的人数填报支付单位个数。"]

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["装订线"]
["………………………………………………………………………………………………………………………………………………………………"]
["北京市工伤保险基金支付月报表（工表二）"]
[]
["报表日期：    年      月"]
[]
["组织机构代码：",{"$nulls":3},"单位名称（公章）：",{"$nulls":3},"单位：个、人、元（保留两位小数）"]
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["支付单位个数",null,1,1,"——","——","合计",null,"8=9+10+11+12+13+14+15+16"]
["合计",null,"2=3+4+5+6",{"$nulls":3},"伤残津贴",null,9]
["一至四级",null,3,{"$nulls":3},"其中","补养老金差额",10]
["五至六级",null,4,{"$nulls":3},"一次性伤残补助金",null,11]
["七至十级",null,5,{"$nulls":3},"护理费",null,12]
["因工死亡",null,6,{"$nulls":3},"丧葬补助金",null,13]
[{"$nulls":6},"一次性工亡补助金",null,14]
["其中","直接死亡",7,{"$nulls":3},"供养亲属抚恤金",null,15]
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[]
["单位负责人：",null,null,"填报人：",null,null,"电话：",null,"填报日期："]
[]
["填表说明："]
[null,"1、此表一式二份，单位、社保经（代）办机构各一份；"]
[null,"2、各项工伤保险待遇金额：指达到致残等级人员须经社保经（代）办机构核准的各项待遇；"]
[null,"3、平衡关系：2=3+4+5+6，8=9+11+12+13+14+15+16，8=2+15。（人数和人次除外）；"]
[null,"4、1栏的人数填报支付单位个数。"]