1、人民調解案件卷   宗  卷      名：                                      

2、        卷      號：                                    &#

3、160;         人民調解員：                  調解日期：                    

4、60; 立   卷  人：                 立卷日期：                     保管期限：      

5、60;                              備      注：                &#

6、160;                                                  &

7、#160;         卷 內 目 錄序號文書名稱頁號備注1人民調解申請書或人民調解受理登記表  2人民調解調查記錄  3人民調解證據材料  4人民調解記錄  5人民調解協議書或人民調解口頭協議登記表  6人民調解回訪記錄  7司法確認有關材料  8卷宗情況說明  9封底  人民調解申請書申請人姓名  &

8、#160;            性別          民族            年齡            職業或職務 &#

9、160;                      聯系方式                          

10、0;    單位或住址                                             

11、;                     被申請人姓名             性別         民族     &

12、#160;        年齡           職業或職務                             

13、    聯系方式                       單位或住址                     

14、60;                                             糾紛簡要情況    &#

15、160;                                                  &

16、#160;                                                 &

17、#160;                                                  

18、                                                   

19、;                                                  

20、;                        當事人申請事項 1、                         

21、                                 2、                 

22、60;                                    3、               

23、;                                        人民調解委員會已將申請人民調解的相關規定告知我，現自愿申請人民調解委員會進行調解。   

24、                                 申請人（簽名蓋章或摁指印）               

25、0;                       年     月    日                   

26、0;                                        人民調解受理登記表        年 

27、;      月       日，人民調解委員會依當事人申請（人民調解委員會主動調解），經當事人同意，調解         、        之間的糾紛。糾紛類型：           &#

28、160;                                      案件來源：當事人申請人民調解委員會主動調解糾紛簡要情況：       

29、60;                                                   &

30、#160;                                                 &

31、#160;                                                  

32、                                                   

33、;                                                  

34、0;                                                 

35、0;                                                  

36、60;                                                  &#

37、160;                      當事人（簽名）                          &

38、#160;        登記人（簽名）                                        

39、                                      人民調解委員會           

40、0;                               年     月     日         

41、                           備注：此表由人民調解委員會填寫 人民調解調查記錄 時     間：             &#

42、160;            地     點：                          參 加 人：      

43、60;                被調查人：                          記    錄：    

44、0;                                                  

45、60;                                                  &#

46、160;                                                  &

47、#160;                                                  

48、                                                  

49、                                                   

50、;                                                  

51、0;                                                  

52、60;                                                  &#

53、160;                                                 &#

54、160;                                                  &

55、#160;                                                  

56、                                                   

57、;                                                  

58、;                                                  

59、0;                                                  

60、60;                                                  &#

61、160;                                                 &#

62、160;                                                  &

63、#160;                                                  

64、                                                   

65、;                                                  

66、0;                                                 

67、0;                                                  

68、60;                                                  &#

69、160;                                                  &

70、#160;                                                 &

71、#160;                                                  

72、                                                   

73、;                                                  

74、0;                                                 

75、0;                                                  

76、60;                                                  &#

77、160;                                                  &

78、#160;                                                  

79、                                                  

80、                                                   

81、;                                                  

82、0;                                                  

83、60;                                                 

84、60;                                                  &#

85、160;                                                  &

86、#160;                                                  

87、                                                  

88、                                                   

89、;                                                  

90、0;                                                  

91、60;                                                 

92、60;                                                  &#

93、160;                                                  &

94、#160;                                                  

95、                                                   

96、;                                                  

97、;                                                  

98、0;                                                  

99、60;                                                  &#

100、160;                                                 &#

101、160;                                                  &

102、#160;                                                  

103、                                                   

104、;                                                  

105、;                                                  

106、0;                                                  

107、60;                                                  &#

108、160;                                                  &

109、#160;                                                 &

110、#160;                                                  

111、                                                   

112、;                                                  

113、0;                                                 

114、0;                                                  

115、60;                                                  &#

116、160;                                                  &

117、#160;                                              調 查 人（簽名） 

118、0;                      被調查人（簽名）                        記 錄 人（簽名） 

119、;                         人民調解記錄時   間：                       

120、;地   點：                      當 事 人：                          

121、0;                   參 加 人：                              

122、60;人民調解委員會已將人民調解的相關規定告知各方當事人。調解記錄：                                             &

123、#160;                                                  

124、                                                   

125、;                                                  

126、;                                                  

127、0;                                                  

128、60;                                                  &#

129、160;                                                 &#

130、160;                                                  &

131、#160;                                                  

132、                                                   

133、;                                                  

134、0;                                                 

135、0;                                                  

136、60;                                                  &#

137、160;                                                  &

138、#160;                                                 &

139、#160;                                                  

140、                                                   

141、;                                                  

142、0;                                                 

143、0;                                                  

144、60;                                                  &#

145、160;                                                  &

146、#160;                                                  

147、                                                  

148、                                                   

149、;                                                  

150、0;                                                  

151、60;                                                 

152、60;                                                  &#

153、160;                                                  &

154、#160;                                                  

155、                                                  

156、                                                   

157、;                                                  

158、0;                                                  

159、60;                                                 

160、60;                                                  &#

161、160;                                                  &

162、#160;                                                  

163、                                                   

164、;                                                  

165、;                                                  

166、0;                                                  

167、60;                                                  &#

168、160;                                                 &#

169、160;                                                  &

170、#160;                                                  

171、                                                   

172、;                                                  

173、;                                                  

174、0;                                                  

175、60;                                                  &#

176、160;                                                  &

177、#160;                                                 &

178、#160;                                                  

179、                                                   

180、;                                                  

181、0;                                                 

182、0;                                                  

183、60;                                                  &#

184、160;                                                  &

185、#160;                                                 &

186、#160;                                                  

187、                                                   

188、;                                                  

189、0;                                  調解結果：1、調解成功；2、調解不成；3、有待繼續調解當事人（簽名蓋章或摁指印）         

190、                當事人（簽名蓋章或摁指印）                     人  民 調  解  員（簽 名）    

191、60;              記       錄      人（簽 名）                       

192、;                                          年       月  

193、    日 人民調解協議書                               編號             &

194、#160;  當事人姓名：             性別：          民族：            年齡：            &

195、#160; 職業或職務：                           聯系方式：                     

196、            單位或住址：                                      

197、;                             當事人姓名：             性別：       &

198、#160;  民族：            年齡：              職業或職務：                     

199、0;     聯系方式：                                 單位或住址：          

200、0;                                                  

201、60;     糾紛主要事實、爭議事項：                                           &#

202、160;                                                  &

203、#160;                                                 &

204、#160;                                                  

205、                                                   

206、;                                                  

207、;                                                  

208、0;                                                  

209、60;                                                 

210、60;                                                  &#

211、160;                                                  &

212、#160;                                                 &

213、#160;                                                  

214、                                                  

215、                                                   

216、;                                                  

217、0;                           經調解，自愿達成如下協議：                     &#

218、160;                                                 &#

219、160;                                                  &

220、#160;                                                  

221、                                                  

222、                                                   

223、;                                                  

224、0;                                  履行方式、時限：              &#

225、160;                                            本協議一式     &#

226、160;    份，當事人、人民調解委員會各持一份。 當事人（簽名蓋章或摁指印）：               人民調解員（簽名）：               當事人（簽名蓋章或摁指印）：     

227、          記 錄 人（簽名）：                                      &#

228、160;                       （人民調解委員會印章）                         &#

229、160;                          年       月       日 人民調解口頭協議登記表       

230、;                                                  

231、0;                                編號                當事人姓名：  

232、           性別：          民族：            年齡：              職業或職務：   

233、                        聯系方式：                           

234、;      單位或住址：                                           

235、0;                       當事人姓名：             性別：          民族：  

236、60;         年齡：              職業或職務：                           聯系方式：

237、60;                                單位或住址：                 &#

238、160;                                                 糾紛

239、主要事實、爭議事項：                                                 &

240、#160;                                                  

241、                                                  

242、                                                   

243、;                                                  

244、0;                               經調解，自愿達成如下協議：                 &#

245、160;                                                 &#

246、160;                                                  &

247、#160;