答辩人：______________________________
地址：________________________________
对________________________________________的复议请求，现答辩如下：
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
综上所述， ________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
鉴此，_____________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
此致
______________________
（公安机关章）
年 月 日
附：