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DECLARAÇÃO
EQUIPAMENTOS DE PROTEÇÃO INDIVIDUAL – EPIs
Declaro para os devidos fins que nesta data recebi da empresa XXX Ltda., situada à
Rua Santana, 1500 - Centro em Itu/SP, os equipamentos de proteção abaixo
relacionados:
1 -
2 -
3 -
4 -
A empresa neste ato fornece gratuitamente os referidos equipamentos, considerados
de uso obrigatório, cuja restituição deverá ocorrer no estado em que se encontrarem
ao ensejo da extinção do contrato de trabalho; na hipótese da não devolução dos
equipamentos, o empregado sujeita-se a indenizar o empregador pelo valor
correspondente e comprovado por Nota Fiscal de aquisição, mediante desconto nas
respectivas verbas rescisórias.
Por ser verdade, firmo o presente termo.
, de de .
C
CTPS: Série:
Empresa Empregado

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EPIs fornecidos pela empresa XXX Ltda

  • 1. DECLARAÇÃO EQUIPAMENTOS DE PROTEÇÃO INDIVIDUAL – EPIs Declaro para os devidos fins que nesta data recebi da empresa XXX Ltda., situada à Rua Santana, 1500 - Centro em Itu/SP, os equipamentos de proteção abaixo relacionados: 1 - 2 - 3 - 4 - A empresa neste ato fornece gratuitamente os referidos equipamentos, considerados de uso obrigatório, cuja restituição deverá ocorrer no estado em que se encontrarem ao ensejo da extinção do contrato de trabalho; na hipótese da não devolução dos equipamentos, o empregado sujeita-se a indenizar o empregador pelo valor correspondente e comprovado por Nota Fiscal de aquisição, mediante desconto nas respectivas verbas rescisórias. Por ser verdade, firmo o presente termo. , de de . C CTPS: Série: Empresa Empregado