Judetul:__________________________________________

Angajator:________________________________________
Sediul/Adresa:____________________________________
Contul IBAN/Banca:________________________________
Codul Unic de Inregistrare:___________________________
Telefon/Fax:______________________________________

CATRE,

Agentia Judeteana pentru Ocuparea Fortei de Munca Dolj

SOLICITARE
subventie in temeiul art. 80/85 din Legea nr. 76/2002

SC___________________cu sediul in __________________________________________

CUI___________,reprezentata legal prin dna./dl._______________________in calitate de

___________________ solicit acordarea sumelor cuvenite pentru masurile de stimulare prevazute de
dispozitiile art. 80/85 din Legea nr. 76/2002 privind sistemul asigurarilor pentru somaj si stimularea
ocuparii fortei de munca, cu modificarile si completarile ulterioare, pentru un nr. de
____________persoane.

Anexez prezentei cereri urmatoarele documente:

1. ______________________________________________
2. ______________________________________________
3. ______________________________________________
4. ______________________________________________
5. ______________________________________________
6. ______________________________________________
7. ______________________________________________
8. ______________________________________________
9. ______________________________________________
10. ______________________________________________
11. ______________________________________________
12. ______________________________________________
13. ______________________________________________
14. ______________________________________________
15. ______________________________________________
16. ______________________________________________

Data Angajator

___________ prin reprezentant legal

__________________