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["XX律师事务所补充报送投保名单一览表"]
["        律师事务所（盖章）"]
["序号","姓名","身份证号/执业证号","单位","保险种类"]
[1,"张三","14401000010000000","广东XX律师事务所","例：执业险"]
[2,"李四","440100000000000000","广东XX律师事务所","例：重疾险"]
[3]
[4]
[5]
["注：1.投保名单遗漏的，填写本表；\n    2.核查参保时间范围：2021年5月10日至5月28日通过市律协参加全省律师统保的参保人员信息。（2021年5月28日以后新执业律师无需核查）；；"]