Modèle de bon de délégation

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Attributions et Fonctionnement CSE /

Modèle de document

CSE (Comité Social et Economique)

Publié le 01 janvier 1970

Mis à jour le 05 janvier 2024

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Modèle de modèle de bon de délégation

BON DE DELEGATION

NOM :em …………………………………………………………………………………………………………………………………………………em

PRENOM : …………………………………………………………………………………………………………………………………………..

SERVICE : …………………………………………………………………………………………………………………………………………….

MANDAT :

? Délégation du Personnel du Comité Social et Economique

? Délégué Syndical

? Représentant syndical au CSE

? Elu du Conseil d’Entreprise

DATE DE L’ABSENCE : ………………………………………………………………………………………………………………………….

HEURE DE DEPART : ……………………………………………………………………………………………………………………………

DUREE PRESUMEE DE L’ABSENCE : …………………………………………………………………………………………………….

HEURE DU RETOUR (à remplir par le salarié à son retour) : ……………………………………………………………….

NOMBRE D’HEURES DEJA PRISES AU TITRE DU MANDAT : …………………………………………………………………

CREDIT D’HEURES RESTANT : ………………………………………………………………………………………………………………

Date Signature du salarié Signature du responsable

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