监督检查报告书

                                                                                 检查事项名称：                                                

检查事项来源：                                                当事人：              法定代表人（负责人）：              

检查日期：      年     月     日至     年     月      日

承办人：           、           

                                                                             监督检查的事实和证据：                                   

发现的主要问题：                                          

处理意见：                                                 

领导审批：                                                

负责人:                 

年   月    日