人民调解协议书
______________人民调解委员会
()甬人调字第号
当事人基本情况:
上列当事人于_______年____月_____日发生_________________________纠纷,甲方于______年____月____日申请我委予以调解。我委于_______年____月____日开始对纠纷进行调解。调解前,我委已经告知各方当事人有关人民调解的性质和参与调解的权利与义务。经调解,各方当事人认同纠纷的简要事实、争议事项、各方责任如下:__________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ 经调解,各方当事人自愿达成以下协议:_____________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________
本协议共____页第____页
___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________本协议履行的方式为:_____________________________________________________________ 本协议履行的地点为:_____________________________________________________________ 本协议履行的时限为:_______________________________________________________ 本协议书正本共_____份,各方当事人各执一份,本人民调解委员会存档一份,送______________________备份______份,其效力相同。
《人民调解法》第三十一条规定,经人民调解委员会调解达成的调解协议具有法律约束力,当事人应当按照约定履行。
甲方当事人签名:_____________________甲方当事人签名:________________________乙方当事人签名:______________________乙方当事人签名:__________________________ 见证人签名:__________________________________________________________________
主持调解员签名:________________ 人民调解员签名:_________________________
___________________人民调解委员会(公章)
年月日
本协议共____页第____页