FICHA DE ATENDIMENTO

Atendido por _________________

NOME _______________________________________________________________
NATURALIDADE ______________ NACIONALIDADE ______________________
ESTADO CIVIL _________________ FUNO/CARGO ______________________
MATRCULA ____________ IDENTIDADE ________________________________
CPF _____________________ LOTAO __________________________________
END. DA LOTAO ___________________________________________________
CEP _____________ TEL.(___) ___________________________________________
ENDEREO RESIDENCIAL _____________________________________________
BAIRRO _______________ MUNICPIO ___________________________________
CEP _____________ TEL. (___) __________________________________________
ASSUNTO ____________________________________________________________
BREVE HISTRICO ___________________________________________________
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ASSINATURA ________________________________________________________
DATA DE ATENDIMENTO ____/____/____
DOCUMENTOS APRESENTADOS________________________________________
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DOCUMENTOS A SEREM COMPLEMENTADOS __________________________
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SIND-JUSTIADEP. JURDICO DISTRIBUIO FEITA EM ____/____/____ RUBRICA ________

ADVOGADO _____________________

(Uso exclusivo do Departamento Jurdico)