行政处罚决定审批表

案件名称：                                                

当 事 人：                                                

立案时间：                   承办人员：         、        

处罚告知书编号：                  告知时间：              

告知处罚内容：                                                                                     

主要违法事实：                                            

                                                                             当事人陈述、申辩（听证）意见和理由：                      

                                                                             承办处（科、股）室意见：                                   

负责人：                

年   月   日

                                                                             领导（集体研究）审批意见：                                

负责人：                

年   月   日