裁保全申请书 
申请人： 
被申请人： 
请求事项： 
事实和理由： 
申请人已就       争议向你会提交仲裁申请书。根据《中华人民共和国诉讼法》及《中华人民共和国仲裁法》之有关规定，特向你会申请对被申请人采取冻结存款（或查封、扣押财产）保全措施。如因采取保全措施不当，造成被申请人财产损失，由我单位承担责任。 
此致 
               仲裁委员会 
                                                                                                                              申请人： 
                                                                                                                         法定代表人： 
                                                                                                                            年    月    日
附：相关证据材料        份