Employees’ Compensation Insurance Application
勞工保險申請書
From :
To : Phoenix Insurance
Contact Person :
Attn.: Insurance Department
Telephone :
Tel : 2541 5110
Fax Number :
Fax : 2541 7110
E-Mail :
E-Mail : info@phoenixins.com.hk
* Name of Company
(公司名稱) :
* Contact Person
(聯絡人名稱) :
*Contact Number
(聯絡電話) :
Corresponding Address
(郵寄地址) :
Email Address
(電郵地址) :
Business Nature
(業務性質) :
Period of Insurance
(受保期) :
*All Employees within the scope of the Employee’s Compensation Ordinance must be included.
(所有屬於僱員補償條例之員工均須包括在內) :
Description of employers
僱員工作類別
Estimated Number of Employees
僱員人數估計
Estimated Annual Salaries including overtime wages, allowance & bonus
年薪、工資及其他收入估計
Estimated Total 估計總年資:
*Do you have any employees working outside geographical limit of Hong Kong or working temporarily abroad? If so, please give details.
閣下是否有僱員暫時在香港以外範圍工作? 若有，請列明 。
*Do you have any Employees’ Compensation Insurance Claim(s) in the past three years? If “Yes”, please specify details.
閣下於過往三年內曾否作出僱員保險索償? 若有，請列明 。
*Do you have any employees involving construction site / overhead work? If so, please give details.
閣下是否有僱員涉及地盤或高空工作? 若有，請列明 。