Duthao2TT2014BQP Phuluc

Ph lc
MU BIU X PHT VI PHM HNH CHNH TRONG LNH VC

QUC PHNG, C YU
(Ban hnh km theo Thng t s
/2014/TT-BQP ngy thng nm 2014
ca B trng B Quc phng)
M s
Mu biu
Theo quy
nh N
81/2013/NCP ngy
19/7/2013
I. MU QUYT NH
MQ 01 Quyt nh x pht vi vi phm hnh chnh theo th

tc x pht khng lp bin bn.
Quyt nh x pht vi phm hnh chnh (dng cho

MQ 02 c trng hp mt hoc nhiu c nhn/t chc
thc hin mt hoc nhiu hnh vi VPHC).
MQ 03 Quyt nh hon thi hnh quyt nh pht tin.
MQ 04
Quyt nh gim/min (phn cn li hoc ton b)

tin pht vi phm hnh chnh.
MQ 05 Quyt nh v vic np tin pht nhiu ln
X
X
Quyt nh cng ch thi hnh quyt nh x pht

vi phm hnh chnh
Quyt nh tch thu tang vt, phng tin vi phm

MQ 07 hnh chnh khng xc nh c ch s hu,
ngi qun l, ngi s dng hp php
Quyt nh p dng bin php khc phc hu qu

MQ 08 (trng hp khng ra quyt nh x pht vi phm
hnh chnh)
Quyt nh tiu hy tang vt vi phm hnh chnh

hnh chnh)
Quyt nh tch thu tang vt vi phm hnh chnh

hnh chnh)
MQ 11 Quyt nh thi hnh mt phn quyt nh x pht
MQ 06
Mu b
sung
M s
Mu biu
Theo quy
nh N
81/2013/NCP ngy
19/7/2013
Mu b
sung
vi phm hnh chnh (trong trng hp ngi b x

pht cht/mt tch; t chc b gii th/ph sn)
MQ 12 Quyt nh tm gi ngi theo th tc hnh chnh
MQ 13
Quyt nh ko di thi hn tm gi ngi theo

th tc hnh chnh
MQ 14
Quyt nh tm gi tang vt, phng tin, giy

php, chng ch hnh ngh theo th tc hnh chnh
MQ 15
Quyt nh ko di thi hn tm gi tang vt,

phng tin VPHC, giy php, chng ch hnh ngh
MQ 16 Quyt nh khm ngi theo th tc hnh chnh
MQ 17
Quyt nh khm phng tin vn ti, vt theo

th tc hnh chnh
MQ 18
Quyt nh khm ni ct giu tang vt, phng

tin vi phm hnh chnh
MQ 19
Quyt nh khm ni ct giu tang vt, phng

tin vi phm hnh chnh l ch
MQ 20
Quyt nh chuyn h s v VPHC c du hiu ti

phm truy cu trch nhim hnh s
MQ 21
Quyt nh gia hn tm gi tang vt, phng tin

vi phm hnh chnh
MQ 22
Quyt nh x pht vi phm hnh chnh bng hnh

thc cnh co
MQ 23
Quyt nh gia hn thi hn ra quyt nh x pht

vi phm hnh chnh
MQ 24
Quyt nh thnh lp Hi ng x l tang vt,

phng tin vi phm hnh chnh
Quyt nh thnh lp Hi ng nh gi tang vt,

phng tin vi phm hnh chnh
Quyt nh tm nh ch thi hnh quyt nh x
MQ 26 pht vi phm hnh chnh
MQ 25
MQ 27 Quyt nh hy quyt nh x pht VPHC
X
X
X
2
M s
Mu biu
Theo quy
nh N
81/2013/NCP ngy
19/7/2013
Mu b
sung
X
MQ 28 Quyt nh p gii ngi vi phm

II. MU BIN BN
MBB 01 Bin bn vi phm hnh chnh
MBB 02 Bin bn v phin gii trnh trc tip
Bin bn v vic c nhn/t chc vi phm hnh

MBB 03 chnh khng nhn Quyt nh x pht vi phm
hnh chnh
MBB 04
Bin bn cng ch thi hnh quyt nh x pht vi

phm hnh chnh
MBB 05
Bin bn tm gi tang vt, phng tin, giy php,

chng ch hnh ngh theo th tc hnh chnh
MBB 06
Bin bn tch thu tang vt, phng tin vi phm hnh

chnh
MBB 07
Bin bn tiu hy tang vt, phng tin vi phm hnh

chnh
MBB 08
Bin bn bn giao ngi b tm gi theo th tc hnh

chnh
MBB 09 Bin bn khm ngi theo th tc hnh chnh
MBB 10
Bin bn khm phng tin vn ti, vt theo

th tc hnh chnh
MBB 11
Bin bn khm ni ct giu tang vt, phng tin

vi phm hnh chnh
MBB 12
Bin bn nh gi tang vt, phng tin vi phm

hnh chnh
Bin bn tm gi tang vt, phng tin vi phm

MBB 13 hnh chnh (trng hp khng xc nh c ch
s hu)
Bin bn tr li tang vt, phng tin vi phm

hnh chnh b tm gi
MBB 15 Bin bn nim phong/m nim phong tang vt,
MBB 14
M s
Mu biu
Theo quy
nh N
81/2013/NCP ngy
19/7/2013
Mu b
sung
phng tin b tm gi
MBB 16 Bin bn ghi li khai
MBB 17 Bin bn lm vic
MBB 18 Bin bn giao nhn
III. MU VN BN KHC
VBGQ
Vn bn giao quyn x l vi phm hnh chnh
TBTGN
Thng bo v vic tm gi ngi theo th tc

hnh chnh
X
X
TBTGGT Thng bo v vic tm gi giy t
Thng bo v vic tc quyn s dng giy php,

TBTQSD chng ch hnh ngh i vi t chc c nhn vi
phm hnh chnh
Thng k tang vt, phng tin vi phm hnh

chnh
TKTVPT
Ghi ch:
T Mu quyt nh MQ 01 n MQ 20, Mu bin bn t MBB 01 n
MBB 11 v Mu vn bn giao quyn x l vi phm hnh chnh p dng theo
Ph lc Mt s biu mu trong x pht vi phm hnh chnh (Ban hnh km theo
Ngh nh s 81/2013/N-CP ngy 19 thng 7 nm 2013 ca Chnh ph)
MQ 21
TN C QUAN CH QUN
TN C QUAN RA QUYT NH(1)
CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc
S: ../Q- GHTGTVPT
(2), ngy thng nm
QUYT NH
Gia hn tm gi tang vt, phng tin vi phm hnh chnh
Cn c iu 125 Lut X l vi phm hnh chnh;
Ti: .. Chc v: ....................................................
n v:......................................................................................................
QUYT NH:
iu 1. Gia hn thi hn tm gi tang vt phng tin vi phm hnh chnh ca:
ng (B)/t chc:..
Ngy, thng, nm sinh: .......................Quc tch:............................
Ngh nghip/lnh vc hot ng:..............................................................
a ch:......................................................................................................
Giy CMND hoc h chiu/Q thnh lp hoc KKD s:.....................
Cp ngy: Ni cp:..........................................
b tm gi tang vt, phng tin vi phm hnh chnh theo Quyt nh s
../Q-TGTVPT ngy thng nm
Thi gian gia hn l ............ ngy, k t ngy ... thng ... nm ...
L do: Xt cn c thm thi gian xc minh nhng tnh tit lm cn c ra
quyt nh x pht vi phm hnh chnh.
iu 2. Quyt nh ny c hiu lc k t ngy k.
iu 3. Quyt nh ny c giao cho:
1. ng (B)/t chc: . chp hnh.
2. (3). t chc thc hin Quyt nh ny./.
Ni nhn:
- Nh iu 3;
- Lu: H s.
NGI RA QUYT NH
(K tn, ng du)
(Ghi r chc v, h tn)
__________
(1)
Ghi tn theo con du hnh chnh ca n v.
(2)
Ghi tn tnh, thnh ph trc thuc Trung ng.
(3)
Ghi h tn, chc v ngi t chc thc hin vic tm gi.
MQ 22
TN C QUAN CH QUN

S:. /Q-XPVPHC
(2), ngy thng nm
QUYT NH
X pht vi phm hnh chnh bng hnh thc cnh co
Cn c(3) ..................................................................................................;
Xt hnh vi vi phm hnh chnh do:(4)......................................thc hin;
Ti: Chc v:....
n v:......................................................................................................
QUYT NH:
iu 1. X pht vi phm hnh chnh bng hnh thc cnh co i vi:
ng (B)/t chc: .. .
Ngy, thng, nm sinh: .......................Quc tch:............................
a ch:......................................................................................................
Cp ngy: . Ni cp:.....................................
Bin php khc phc hu qu:..................................................................
..................................................................................................................
L do: c hnh vi vi phm hnh chnh................................................
quy nh ti (5)...................................
iu 2. Quyt nh ny c hiu lc thi hnh k t ngy k.
iu 3. Quyt nh ny c giao cho:
1. ng (B)/t chc chp hnh.
3. (6) t chc thc hin Quyt nh ny./.
7
NGI RA QUYT NH
Ni nhn:
(K tn, ghi r chc v, h tn)
- Nh iu 3;
- Lu: H s.
____________
(1)
(2)
(3)
Ghi iu ca Ngh nh quy nh v x pht vi phm hnh chnh trong lnh vc quc
phng, c yu.
(4)
Ghi r h tn ngi/t chc vi phm.
(5)
Ghi tm tt hnh vi vi phm; im, khon, iu ca Ngh nh quy nh v x pht vi phm

hnh chnh trong lnh vc quc phng, c yu.
(6)
Ghi h tn, chc v ngi thi hnh Quyt nh hoc gi cho c quan, t chc c lin quan.
MQ 23
TN C QUAN CH QUN

S: ./Q-GHTHXPVPHC
(2), ngy thng nm
QUYT NH
Gia hn thi hn ra quyt nh x pht vi phm hnh chnh
Cn c Bin bn vi phm hnh chnh s /BB-VPHC do ...lp
hi gi ngy thng nm ti .;
Xt ngh ca........................................................................................,
Ti: Chc v: ...............................................
n v:......................................................................................................
QUYT NH:
iu 1. Gia hn thi hn ra quyt nh x pht vi phm hnh chnh i vi:
ng (B)/t chc:
Ngy, thng, nm sinh:..; Quc tch:................................
a ch:......................................................................................................
Cp ngy: .. Ni cp:....................................
Thi hn l .ngy, k t ngy thng nm
L do: Cn c thm thi gian xc minh, thu thp chng c ra quyt nh
x pht vi phm hnh chnh.
iu 3. Giao cho(3). t chc thc hin Quyt nh ny./.
NGI RA QUYT NH
Ni nhn:
- Nh iu 3;
- Lu: H s.
(K tn, ng du)
(Ghi r chc v, h tn)
____________
(1)
(2)
(3)
Ghi h tn, chc v ngi thi hnh Quyt nh.
10
MQ 24
TN C QUAN CH QUN

S: /Q-TLHXLTVPTVPHC
(2), ngy thng nm
QUYT NH
Thnh lp Hi ng x l tang vt, phng tin vi phm hnh chnh
Cn c vo Bin bn .s./. .do..lp
hi. gi .ngy thng nm.ti ..;
Cn c Quyt nh(3).s /.do lp hi
gi ngy thng nm ti ..;
Xt cn x l tang vt, phng tin vi phm hnh chnh,
Ti: Chc v: ..
n v:......................................................................................................
QUYT NH:
iu 1. Thnh lp Hi ng x l tang vt, phng tin vi phm hnh
chnh gm cc thnh vin:
1) . Chc v: . C quan/n v:...;
2) . Chc v: . C quan/n v:. .;
3) . Chc v: . C quan/n v:. .;
4) . Chc v: . C quan/n v:. .;
5) . Chc v: . C quan/n v:. . .
iu 2. Hi ng c trch nhim x l tang vt, phng tin vi phm hnh
chnh theo ng quy nh ca php lut. Hi ng t gii th sau khi thc
hin xong nhim v.
11

Cc thnh vin trong Hi ng v t chc, c nhn c lin quan chu trch
nhim thi hnh Quyt nh ny./.
NGI RA QUYT NH
Ni nhn:
- Nh iu 3;
- Lu: H s.
(K tn, ng du)
(Ghi r chc v, h tn)
____________
(1)
(2)
Ghi a danh hnh chnh cp tnh.
(3)
Ghi Quyt nh x pht hoc Quyt nh tch thu tang vt, phng tin vi phm hnh chnh.
12
MQ 25
TN C QUAN CH QUN

S: ./Q-TLHGTVPTVPHC
(2), ngy thng nm
QUYT NH
Thnh lp Hi ng nh gi tang vt, phng tin vi phm hnh chnh
Cn c Khon 3 iu 60, iu 82 Lut X l vi phm hnh chnh;
Cn c Quyt nh tm gi tang vt, phng tin vi phm hnh chnh s
/Q-TGTVPT ngy thng nm do .....k;
Cn c Bin bn tm gi tang vt, phng tin vi phm hnh chnh s
/BB-TGTVPT ngy thng nm do .lp;
Xt cn phi nh gi tang vt, phng tin b tm gi, lm cn c xc nh
khung tin pht, thm quyn x pht,
Ti: Chc v: ..
n v:......................................................................................................
QUYT NH:
iu 1. Thnh lp Hi ng nh gi tang vt, phng tin vi phm hnh
chnh gm cc thnh vin:
1) . Chc v: . C quan/n v:. .;
2) . Chc v: . C quan/n v:. .;
3) . Chc v: . C quan/n v:. .;
4) . Chc v: . C quan/n v:. . .
iu 2. Hi ng c trch nhim nh gi tang vt, phng tin vi phm
hnh chnh theo ng quy nh ca php lut. Hi ng t gii th sau khi thc
hin xong nhim v.
Cc thnh vin trong Hi ng v t chc, c nhn c lin quan chu trch
nhim thi hnh Quyt nh ny./.
13
NGI RA QUYT NH
Ni nhn:
- Nh iu 3;
- Lu: H s.
(K tn, ng du)
(Ghi r chc v, h tn)
____________
(1)
(2)
14
MQ 26
TN C QUAN CH QUN

S: ../Q-TCTHQXPVPHC
(2), ngy thng nm
QUYT NH
Tm nh ch thi hnh quyt nh x pht vi phm hnh chnh
Xt hnh vi vi phm hnh chnh c du hiu ti phm,
Ti: Chc v: ..
n v:......................................................................................................
QUYT NH:
iu 1. Tm nh ch thi hnh Quyt nh x pht vi phm hnh chnh s
/Q-XPHC ngy thng nm ca ..
i vi ng (B)/t chc: ..
Ngy, thng, nm sinh: .; Quc tch:................................
a ch:......................................................................................................
Cp ngy: .. Ni cp:....................................
L do: chuyn h s v vi phm cho c quan tin hnh t tng hnh s
c thm quyn truy cu trch nhim hnh s.
iu 3. Giao cho:(3).. Chc v: n v:
. cng t chc thc hin Quyt nh ny./.
NGI RA QUYT NH
Ni nhn:
(K tn, ng du)
15
- Nh iu 3;
- Lu: H s.
(Ghi r chc v, h tn)
____________
(1)
(2)
(3)
MQ 27
TN C QUAN CH QUN

S: ../Q-HQXPVPHC
(2), ngy thng nm
QUYT NH
Hy quyt nh x pht vi phm hnh chnh
Cn c vo Quyt nh khi t v n hnh s s/.. ngy thng
.nmdo.k;
Xt hnh vi vi phm hnh chnh c du hiu ti phm,
Ti: Chc v: ..
n v:......................................................................................................
QUYT NH:
iu 1. Hy Quyt nh x pht vi phm hnh chnh s /Q-XPHC
ngy thng nm ca ......
i vi ng (B)/t chc: .. ........
Ngy, thng, nm sinh: ; Quc tch:.................................
a ch:......................................................................................................
Cp ngy: .. Ni cp:....................................
L do: chuyn h s v vi phm cho c quan tin hnh t tng hnh s
c thm quyn truy cu trch nhim hnh s.
16

NGI RA QUYT NH
Ni nhn:
- Nh iu 3;
- Lu: H s.
(K tn, ng du)
(Ghi r chc v, h tn)
____________
(1)
(2)
(3)
17
MQ 28
TN C QUAN CH QUN

S:.. /Q-AGNVP
(2), ngy thng nm
QUYT NH
p gii ngi vi phm hnh chnh
Xt trng hp ngi c hnh vi vi phm hnh chnh khng t nguyn
chp hnh yu cu ca ngi c thm quyn,
Ti: Chc v: ..
n v:......................................................................................................
QUYT NH:
iu 1. p gii i vi ng (B): ..
Ngy, thng, nm sinh: ...; Quc tch:..........................................
a ch:......................................................................................................
Cp ngy: .. Ni cp:....................................
L do: p gii ngi vi phm v
gii quyt theo quy nh ca php lut.
NGI RA QUYT NH
18
Ni nhn:
(K tn, ng du)
(Ghi r chc v, h tn)
- Nh iu 3;
- Lu: H s.
____________
(1)
(2)
(3)
MBB 12
TN C QUAN CH QUN
TN C QUAN LP BIN BN(1)

S: /BB-GTVPTVPHC
(2), ngy thng nm
BIN BN
nh gi tang vt, phng tin vi phm hnh chnh
Cn c Quyt nh thnh lp Hi ng nh gi tang vt, phng tin, vi
phm hnh chnh s .. /Q-TLH ngy thng nm do k.
Hm nay, hi gi ngy thng nm ., ti (3) .................
................................................................................................................
Hi ng nh gi tang vt, phng tin vi phm hnh chnh gm: (4)
(H tn, chc v, c quan/n v)
................................................................................................................
................................................................................................................
................................................................................................................
Vi s chng kin ca: (H tn, a ch, ngh nghip, chc v, CMND s
nu c)
................................................................................................................
................................................................................................................
................................................................................................................
Tin hnh nh gi tang vt, phng tin vi phm hnh chnh ca:
ng (B)/t chc: ..
Ngy, thng, nm sinh:.Quc tch..............................
Ngh nghip/lnh vc hot ng:............................................................
19
a ch: ...................................................................................................
Giy CMND hoc h chiu/Q thnh lp hoc KKD s: .....
Cp ngy: . Ni cp: . .
Tang vt, phng tin nh gi gm:
ring):
(5)
(nu nhiu th lp bn thng k
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
Gi tr tang vt, phng tin Hi ng xc nh nh sau:(6)
S Tang vt, phng

TT tin c nh gi
S lng,
trng lng
Chng loi
nhn hiu,
xut x
n
gi
Thnh
tin
Ghi
ch
Tng cng
Vic nh gi tang vt, phng tin kt thc vo hi gi ngy
thng nm ..
Bin bn gm .. trang, c lp thnh .. bn c ni dung v gi tr
nh nhau; c li cho nhng ngi tham gia nghe, xem li, cng nhn l
ng v cng k tn xc nhn. Mt bn c giao cho ngi/i din t chc c
tang vt, phng tin vi phm c nh gi.
NGI HOC D T CHC
VI PHM
(K, ghi r h tn)
NGI LP BIN BN
(K, ghi r h tn)
CC THNH VIN HI NG
NGI CHNG KIN
(K, ghi r h tn)
(K, ghi r h tn)
____________
(1)

20
(2)
(3)
Ghi a ch ni lp bin bn.
(4)
Ghi r h tn, chc v, n v ca Ch tch v cc thnh vin khc ca Hi ng;
(5)
Ghi r tn, s lng, trng lng, c im, tnh trng, nhn hiu, xut x, chng loi tang
vt, phng tin.
(6)
Ghi r tn, s lng, trng lng, chng loi, nhn hiu, xut x, n gi, gi tr tang vt,
phng tin c nh gi VND v tng s tin nh gi ton b tang vt, phng tin.
MBB 13
TN C QUAN CH QUN

S: /BB-TGTVPTVPHC
(2), ngy thng nm
BIN BN
Tm gi tang vt, phng tin vi phm hnh chnh
(Trng hp khng xc nh c ch s hu)
Cn c Khon 4 iu 126 Lut X l vi phm hnh chnh;
Xt cn bo m cho vic qun l v x l i vi tang vt, phng tin vi
phm hnh chnh khng xc nh c ch s hu, ngi qun l, ngi s
dng hp php,
................................................................................................................
Chng ti gm: (h tn, chc v, n v)
................................................................................................................
................................................................................................................
Vi s chng kin ca: (h tn, a ch, chc v, CMND s nu c) (4)
................................................................................................................
................................................................................................................
Tin hnh tm gi tang vt, phng tin vi phm hnh chnh khng xc
nh c ch s hu, ngi qun l, ngi s dng hp php nh sau: (5)
................................................................................................................
................................................................................................................
Tang vt, phng tin b tm gi gm: (6) (nu nhiu th lp bn thng k
ring)
21
................................................................................................................
................................................................................................................
................................................................................................................
kin trnh by ca ngi chng kin: (7)
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
Ngoi nhng tang vt, phng tin nu trn, chng ti khng tm gi thm
th g khc.
Bin bn lp xong hi gi ngy thng nm .., gm .. trang,
c lp thnh .. bn c ni dung, gi tr nh nhau; c li cho nhng
ngi c tn trn cng nghe, cng nhn l ng, cng k tn di y.
NGI CHNG KIN
NGI LP BIN BN
(K, ghi r h tn)
(K, ghi r h tn)
NGI RA QUYT NH TM GI
(K, ng du)
(Ghi r Chc v, h tn)
Ghi ch: S dng trong trng hp khng xc nh ch s hu, ngi qun l, s dng hp
php
(1)
Ghi tn theo con du hnh chnh ca n v
(2)
(3)
(4)
Nu ngi chng kin l i din chnh quyn a phng th ghi r h tn, chc v ca h.
(5)
Ghi tm tt ni dung din bin v vic vi phm hnh chnh.
(6)
Ghi r tn, s lng, trng lng tang vt, phng tin; m t c im, tnh trng, nhn
hiu, xut x, chng loi cc tang vt, phng tin.
(7)
Ghi kin ca ngi chng kin v ni dung din bin v vic vi phm hnh chnh, v cc
tang vt, phng tin vi phm hnh chnh.
22
MBB 14
TN C QUAN CH QUN

S: /BB-TLTVPT
(2), ngy thng nm
BIN BN
Tr li tang vt, phng tin vi phm hnh chnh b tm gi
Cn c Quyt nh(3). s ../Q-... ngy thng nm .. do
.. Chc v: n v: k,
................................................................................................................
Chng ti gm: (H tn, chc v, n v)
................................................................................................................
................................................................................................................
................................................................................................................
nu c)(5)
................................................................................................................
................................................................................................................
................................................................................................................
Tin hnh tr li tang vt, phng tin vi phm hnh chnh b tm gi cho:
ng (B)/t chc:
Ngy, thng, nm sinh:Quc tch:.............................
Ngh nghip (lnh vc hot ng):.........................................................
a ch: ...................................................................................................
23
Giy CMND hoc h chiu/Q thnh lp hoc KKD s: ..

Cp ngy: . Ni cp:
L do tr li:(6)
................................................................................................................
................................................................................................................
Tang vt, phng tin tr li gm: (nu nhiu th lp bn thng k ring)(7)
................................................................................................................
................................................................................................................
................................................................................................................
ng (B)/i din t chc c tn trn nhn v cng nhn nguyn trng.
kin ca ngi/i din t chc vi phm:
................................................................................................................
................................................................................................................
kin ca ngi chng kin:
................................................................................................................
................................................................................................................
Vic tr li tang vt, phng tin kt thc vo hi gi ngy thng
nm ..
Bin bn gm .. trang, c lp thnh .. bn c ni dung, gi tr nh
nhau; c li cho nhng ngi tham gia nghe, xem li, cng nhn l ng v
cng k tn di y; giao cho ngi/i din t chc c tang vt, phng
tin mt bn.
kin b sung khc (nu c):
................................................................................................................
NGI NHN
NGI GIAO
(K, ghi r h tn)
(K, ghi r h tn)
NGI CHNG KIN
NGI LP BIN BN
(K, ghi r h tn)
(K, ghi r h tn)
NGI RA QUYT NH X PHT

HOC QUYT NH TM GI TANG VT, PHNG TIN
24
(K, ng du)
(Ghi r chc v, h tn)
____________
(1)
Ghi tn theo con du hnh chnh ca n v
(2)
(3)
Ghi Quyt nh x pht hoc Quyt nh tm gi tang vt, phng tin vi phm hnh chnh.
(4)
(5)
Ghi r h tn, quc tch, a ch, ngh nghip, s giy CMND hoc h chiu i vi c
nhn b tm gi tang vt, phng tin/tn, a ch, lnh vc hot ng, s Q thnh lp hoc
KKD i vi t chc b tm gi tang vt, phng tin.
(6)
Ghi r l do tr li tang vt, phng tin nh: tang vt, phng tin khng b tch thu,
khng b tiu hy hoc bn u gi sung qu nh nc
(7)
vt, phng tin b tm gi.
25
MBB 15
TN C QUAN CH QUN

S: /BB-NP/MNP
(2), ngy thng nm
BIN BN
Nim phong/m nim phong tang vt, phng tin b tm gi
Thi hnh Quyt nh tm gi tang vt, phng tin vi phm hnh chnh s
../ ngy thng nm . do .............................................
Chc v: .. n v: ........................................................... k.
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
nu c)
................................................................................................................
................................................................................................................
................................................................................................................
Tin hnh nim phong/m nim phong tang vt, phng tin vi phm
hnh chnh ca:(4)
ng (B)/t chc:
Ngy, thng, nm sinh:..Quc tch.................................
26
Ngh nghip (lnh vc hot ng):.........................................................

a ch: ...................................................................................................
Giy CMND hoc h chiu/Q thnh lp hoc KKD s: .
Cp ngy: . Ni cp: ..............
Tang vt, phng tin nim phong/m nim phong gm (5) (nu nhiu th
lp bn thng k ring):
................................................................................................................
................................................................................................................
................................................................................................................
Bin php nim phong/m nim phong:
................................................................................................................
................................................................................................................
................................................................................................................
kin ca ngi/i din t chc vi phm:
................................................................................................................
................................................................................................................
................................................................................................................
kin ca ngi chng kin:
................................................................................................................
................................................................................................................
Vic nim phong/m nim phong tang vt, phng tin kt thc vo hi
gi ngy thng nm ..
nhau; c li cho nhng ngi tham gia nghe, xem li, cng nhn l ng v
cng k tn di y; giao cho ngi/i din t chc c tang vt, phng
tin b nim phong/m nim phong mt bn.
kin b sung khc (nu c):
................................................................................................................
................................................................................................................
NGI HOC I DIN
T CHC VI PHM
(K, ghi r h tn)
NGI LP BIN BN
(K, ghi r h tn)
27
NGI CHNG KIN
(K, ghi r h tn)
NGI NIM PHONG/M NIM

PHONG
(K, ghi r h tn)
____________
(1)
(2)
(3)
(4)
Ghi r h tn, quc tch, a ch, ngh nghip, s giy CMND hoc h chiu i vi c
nhn b tm gi tang vt, phng tin/tn, a ch, lnh vc hot ng, s Q thnh lp hoc
KKD i vi t chc b tm gi tang vt, phng tin.
(5)
vt, phng tin nim phong/m nim phong.
28
MBB 16
TN C QUAN CH QUN

S: /BB-GLK
(2), ngy thng nm
BIN BN GHI LI KHAI

Hm nay, ngy thng nm ., ti (3) .......................................
................................................................................................................
Chng ti gm:(H tn, chc v, n v)
................................................................................................................
................................................................................................................
................................................................................................................
Tin hnh ghi li khai ca:
H v tn: .............. Quc tch: .. Nam/N.
Tn gi khc:
Ngy, thng, nm sinh:.ti: ........................................
Ni ng k HKTT: ...............................................................................
Ch hin nay: ......................................................................................
Ngh nghip: Dn tc: .. Tn gio: ...................
Giy CMND hoc h chiu s: ..............................................................
Cp ngy: .. Ni cp: .....................................................
HI V P
................................................................................................................
................................................................................................................
................................................................................................................
29
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
Vic ghi li khai kt thc vo hi gi ngy thng nm
....................................................................................................
Bin bn gm .. trang, c li cho nhng ngi tham gia nghe, xem
li, cng nhn l ng v k tn xc nhn.
NGI KHAI
NGI PHIN DCH
NGI LP BIN BN
(K, ghi r h tn)
(nu c)
(K, ghi r h tn)
(K, ghi r h tn)
____________
(1)
(2)
(3)
30
MBB 17
TN C QUAN CH QUN

S: /BB-LV
(2), ngy thng nm
BIN BN LM VIC
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
Tin hnh lm vic vi:
ng (B)/i din t chc: .................... Quc tch: ..
Tn gi khc: Ngy, thng, nm sinh: ................. .
Ni ng k HKTT: ...............................................................................
Ch hin nay:..
Ngh nghip: Chc v:...........................
Giy CMND hoc h chiu s: ..............................................................
Ngy cp: .. Ni cp: .....................................................
NI DUNG LM VIC
................................................................................................................
................................................................................................................
................................................................................................................
Bui lm vic kt thc vo hi gi ngy thng nm .
Bin bn gm .. trang, c li cho nhng ngi tham gia nghe, xem
li, cng nhn l ng v k tn xc nhn.
31
NGI THAM GIA LM VIC(4)
NGI LP BIN BN
(K, ghi r h tn)
(K, ghi r h tn)
____________
(1)
(2)
(3)
(4)
Nu nhiu c quan, n v cng lm vic th i din tng c quan, n v k, ghi r h tn.
32
MBB 18
TN C QUAN CH QUN

S: /BB-GN
(2), ngy thng nm
BIN BN GIAO, NHN

.. (3)
Thi hnh Quyt nh(4) ................................................ s /
ngy .. thng .. nm . do ............................................................
Chc v: n v: .................................... k.
................................................................................................................
Chng ti gm:
A. i din bn giao:(6)
................................................................................................................
................................................................................................................
................................................................................................................
B. i din bn nhn:(7)
................................................................................................................
................................................................................................................
................................................................................................................
Vi s chng kin ca:(8) (h tn, a ch, chc v, CMND s nu c).
................................................................................................................
................................................................................................................
Tin hnh bn giao:
- L do bn giao:(9)
................................................................................................................
................................................................................................................
33
................................................................................................................
- Ni dung bn giao:
V ngi (nu c):(10)
................................................................................................................
................................................................................................................
................................................................................................................
V h s v vi phm hnh chnh:(11) (km theo bn thng k h s nu c)
................................................................................................................
................................................................................................................
................................................................................................................
V tang vt, phng tin, giy t vi phm hnh chnh: (12) (km theo bn
thng k nu c):
................................................................................................................
................................................................................................................
Vic bn giao kt thc vo hi gi ngy thng nm
nhau; c li cho nhng ngi c tn trn cng nghe, cng nhn l ng v
cng k tn di y; giao cho i din bn nhn mt bn.
NGI CHNG KIN
NGI LP BIN BN
(K, ghi r h tn)
(K, ghi r h tn)
I DIN BN NHN
I DIN BN GIAO
(K, ghi r h tn)
(K, ng du)
(Ghi r Chc v, h tn)
Ghi ch: S dng trong trng hp chuyn giao v vic, tang vt, phng tin cho cc c
quan c thm quyn x pht vi phm hnh chnh, c quan iu tra theo quyt nh chuyn v
vi phm hnh chnh truy cu trch nhim hnh s hoc cc c quan nh nc qun l, s
dng v chuyn giao tang vt, phng tin bn u gi.
(1)
(2)
(3)
Ghi r giao nhn ngi, h s, tang vt, phng tin, v vi phm hnh chnh.
(4)
Ghi Quyt nh chuyn giao v vi phm hnh chnh x l hnh s; chuyn quyt nh x
pht vi phm hnh chnh thi hnh; chuyn v vic vi phm hnh chnh cho c quan c
thm quyn ..
(5)

34
(6)
Ghi r h tn, chc v, n v ngi giao.
(7)
Ghi r h tn, chc v, n v ngi nhn.
TBTGN
TN C QUAN CH QUN
TN C QUAN(1)

S: /TB-TGN
(2), ngy thng nm
THNG BO
V vic tm gi ngi vi phm hnh chnh
Knh gi: ........................................
Cn c Quyt nh tm gi ngi theo th tc hnh chnh s ./Q-TGN
ngy thng nm . do ............................................................... k.
(3)
.. tin hnh tm gi ngi theo th tc hnh chnh i vi:
ng (B): ...............................................................................................
Ngy, thng, nm sinh:..; Quc tch: .....................................
Ngh nghip: ..........................................................................................
Ni ng k HKTT: ...............................................................................
Giy CMND/h chiu:............................................................................
Cp ngy: .. Ni cp: .........................
V c hnh vi vi phm hnh chnh(4)
quy nh ti(5) .....................................
Thi gian tm gi: gi, k t gi ngy thng nm .. n
gi ngy thng nm .
a im tm gi: .................................................................................
Vy xin thng bo ng (B)/qu c quan bit.
NGI RA THNG BO
(K, ng du)
(Ghi r chc v, h tn)
____________
(1)
(2)
Ghi a danh hnh chnh cp tnh.

35
(3)
Ghi tn n v tm gi ngi.
(4)
Ghi tm tt hnh vi vi phm.
(5)
Ghi im, khon, iu ca Ngh nh quy nh v x pht vi phm hnh chnh trong lnh
vc quc phng c yu
TBTGGT
TN C QUAN CH QUN
TN C QUAN(1)

S: /TB-TGGT
(2), ngy thng nm
THNG BO
V vic tm gi giy t
Knh gi:
m bo thi hnh Quyt nh x pht vi phm hnh chnh s Q-XPHC
ngy thng nm . do ............................................................... k.
(3)
.. tin hnh tm gi giy t ca:
ng (B)/t chc:
Ngy, thng, nm sinh:Quc tch: .................................
Ngh nghip/lnh vc hot ng: ...........................................................
a ch: ...................................................................................................
Giy CMND hoc h chiu/Q thnh lp hoc KKD s:...................
Cp ngy: .. Ni cp: .........................
Giy t b tm gi gm:(4)
................................................................................................................
................................................................................................................
L do tm gi: ng (B)/t chc: . c
hnh vi vi phm hnh chnh: (5) ......................................................................
Quy nh ti(6): ........................................................................................
ng (B)/t chc . c nhn li giy t b tm gi
khi thi hnh xong Quyt nh x pht vi phm hnh chnh.
Vy xin thng bo qu c quan/t chc bit.
36
NGI RA THNG BO
(K, ng du)
(Ghi r Chc v, h tn)
____________
(1)
(2)
(3)
Ghi c quan, n v ra Quyt nh tm gi.
(4)
Ghi r loi, s lng giy t b tm gi.
(5)
(6)
vc quc phng, c yu.
37
TBTGGT
TN C QUAN CH QUN
TN C QUAN(1)

S: /TB-3
(2), ngy thng nm
THNG BO
V vic tc quyn s dng giy chng nhn, giy php c thi hn
Knh gi:
m bo thi hnh Quyt nh x pht vi phm hnh chnh s.../Q-XPHC
ngy thng nm . do ............................................................... k.
(4)
.. p dng hnh thc x pht (5)..

.ca:
ng (B)/t chc: .
Ngy, thng, nm sinh: Quc tch: ................
Ngh nghip/lnh vc hot ng: ...........................................................
a ch: ...................................................................................................
Giy CMND hoc h chiu/Q thnh lp hoc KKD s:...................
Cp ngy: .. Ni cp: .........................
Giy t b tm gi gm:(6)
................................................................................................................
L do tm gi: ng (B)/t chc: . c
hnh vi vi phm hnh chnh: (7) ......................................................................
Quy nh ti(8): ........................................................................................
ng (B)/t chc . c nhn li giy t b tm gi
khi thi hnh xong Quyt nh x pht vi phm hnh chnh.
Vy xin thng bo qu c quan/t chc bit.
38
NGI RA THNG BO
(K, ng du)
(Ghi r Chc v, h tn)
____________
(1)
(2)
(3)
Ghi c quan, n v ra Quyt nh tm gi.
(5)
Ghi theo hnh thc x pht b sung: Tc quyn s dng giy chng nhn iu kin
tham gia hot ng cng nghip quc phng thi hn t thng n .thng hoc Tc
quyn s dng giy php s dng v kh t .thng n ..thng.
(6)
Ghi r loi, s lng giy t b tm gi.
(7)
(8)
vc quc phng, c yu.
39
TKTVPTVPHC
TN C QUAN CH QUN
TN C QUAN(1)

S: /TKTVPTGTVPHC
(2), ngy thng nm
BNG THNG K TANG VT,

PHNG TIN, GIY T VI PHM HNH CHNH
(Km theo .) (3)
STT
Tn tang vt,
phng tin, giy t
S lng,
trng
lng
NGI VI PHM
HOC I DIN T CHC VI PHM
(K, ghi r h tn)
Chng loi,
nhn hiu,
xut x
Tnh
trng
Ghi ch
NGI LP BIN BN
(K, ghi r h tn)
Ghi ch: S dng trong trng hp c nhiu tang vt, phng tin vi phm hnh chnh.
(1)
(2)

40
(3)
Ghi km theo Bin bn vi phm hnh chnh, Bin bn tm gi TVPT vi phm hnh chnh
hoc quyt nh tch thu TVPT vi phm hnh chnh.
41

Duthao2TT2014BQP Phuluc

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Duthao2TT2014BQP Phuluc

Uploaded by

Copyright:

Available Formats

Ph lc

MU BIU X PHT VI PHM HNH CHNH TRONG LNH VC

MQ 01 Quyt nh x pht vi vi phm hnh chnh theo th

Quyt nh x pht vi phm hnh chnh (dng cho

MQ 03 Quyt nh hon thi hnh quyt nh pht tin.

Quyt nh gim/min (phn cn li hoc ton b)

MQ 05 Quyt nh v vic np tin pht nhiu ln

Quyt nh cng ch thi hnh quyt nh x pht

Quyt nh tch thu tang vt, phng tin vi phm

Quyt nh p dng bin php khc phc hu qu

Quyt nh tiu hy tang vt vi phm hnh chnh

Quyt nh tch thu tang vt vi phm hnh chnh

MQ 11 Quyt nh thi hnh mt phn quyt nh x pht

vi phm hnh chnh (trong trng hp ngi b x

Quyt nh ko di thi hn tm gi ngi theo

Quyt nh tm gi tang vt, phng tin, giy

Quyt nh ko di thi hn tm gi tang vt,

MQ 16 Quyt nh khm ngi theo th tc hnh chnh

Quyt nh khm phng tin vn ti, vt theo

Quyt nh khm ni ct giu tang vt, phng

Quyt nh khm ni ct giu tang vt, phng

Quyt nh chuyn h s v VPHC c du hiu ti

Quyt nh gia hn tm gi tang vt, phng tin

Quyt nh x pht vi phm hnh chnh bng hnh

Quyt nh gia hn thi hn ra quyt nh x pht

Quyt nh thnh lp Hi ng x l tang vt,

Quyt nh thnh lp Hi ng nh gi tang vt,

MQ 27 Quyt nh hy quyt nh x pht VPHC

MQ 28 Quyt nh p gii ngi vi phm

MBB 01 Bin bn vi phm hnh chnh

MBB 02 Bin bn v phin gii trnh trc tip

Bin bn v vic c nhn/t chc vi phm hnh

Bin bn cng ch thi hnh quyt nh x pht vi

Bin bn tm gi tang vt, phng tin, giy php,

Bin bn tch thu tang vt, phng tin vi phm hnh

Bin bn tiu hy tang vt, phng tin vi phm hnh

Bin bn bn giao ngi b tm gi theo th tc hnh

MBB 09 Bin bn khm ngi theo th tc hnh chnh

Bin bn khm phng tin vn ti, vt theo

Bin bn khm ni ct giu tang vt, phng tin

Bin bn nh gi tang vt, phng tin vi phm

Bin bn tm gi tang vt, phng tin vi phm

Bin bn tr li tang vt, phng tin vi phm

MBB 15 Bin bn nim phong/m nim phong tang vt,

MBB 17 Bin bn lm vic

MBB 18 Bin bn giao nhn

Vn bn giao quyn x l vi phm hnh chnh

Thng bo v vic tm gi ngi theo th tc

TBTGGT Thng bo v vic tm gi giy t

Thng bo v vic tc quyn s dng giy php,

Thng k tang vt, phng tin vi phm hnh

CNG HA X HI CH NGHA VIT NAM

(2), ngy thng nm

Ghi tn theo con du hnh chnh ca n v.

Ghi tn tnh, thnh ph trc thuc Trung ng.

Ghi h tn, chc v ngi t chc thc hin vic tm gi.

CNG HA X HI CH NGHA VIT NAM

(2), ngy thng nm

(K tn, ghi r chc v, h tn)

Ghi tn theo con du hnh chnh ca n v.

Ghi tn tnh, thnh ph trc thuc Trung ng.

Ghi r h tn ngi/t chc vi phm.

Ghi tm tt hnh vi vi phm; im, khon, iu ca Ngh nh quy nh v x pht vi phm