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[]
["１．","シート「基本情報登録」で事業所の基本情報を入力してください。"]
["２．","シート「入力」で、入力欄を備考を参考に入力してください。"]
["３．","入力欄は漢字入力等は自動でオン・オフします。"]
["４．","数値のみを入力する欄は日本語入力がオフになっています。"]
[]
[null,"共通記載欄",null,null,null,"欄は必須項目です。"]
[null,null,null,null,null,"欄は該当する場合入力して下さい。"]
[]
[null,"Ａ変更",null,null,null,"欄は変更がある場合入力して下さい。"]
[]
[null,"Ｂ終了",null,null,null,"欄は終了予定日より早くなった場合入力して下さい。"]
[]
["５．","入力が終わったらシート「入力」の［印刷］ボタンを押してください。"]
[null,"シート「健保正」・「健保副」・「年金正」の3枚が印刷されます。"]
[]
["※変更・終了の届出をする場合、共通記載欄の入力が必須です。"]
["※変更・終了前に提出した時と同じ内容を共通記載欄に入力して変更・終了欄を入力下さい。"]
[]
["○","産前産後休業期間とは、出産日以前42日（多胎妊娠の場合は98日）～出産日後56日の間に、妊娠または出産を理由に労務に"]
[null,"従事しない期間のことです。"]
["○","保険料が免除となるのは、産前産後休業開始日の属する月分から、終了日翌日の属する月の前月分までとなります。"]

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[]
[null,"提出年月日",{"$f":"TODAY()","v":"2022-11-02"},null,"TODAY関数が入力されています。提出日を変更する場合のみ入力してください。"]
[null,"年金整理記号","南",null,"年金記号の「南」、「北」、「豊中」を入力してください。"]
[null,null,"ＷＥＤ",null,"年金記号の「ＷＥＤ」、「ＳＦＨ」を入力してください"]
[null,"年金納入告知書番号","00687",null,"「00687」のように必ず５ケタの数字を入力してください。"]
[null,"健康保険記号","532",null,"健康保険の記号を入力してください。"]
[null,"郵便番号","542-0066",null,"「542-0066」と－（ハイフン）を入力してください。"]
[null,"事業所所在地","大阪府大阪市中央区瓦屋町2-3-1",null,"住所が長い場合は、Alt+Enterで折り返してください。"]
[null,"事業所名称","大阪自動車整備健康保険組合",null,"事業所名を入力してください。"]
[null,"事業主氏名","理事長　健保　太郎",null,"代表者名を入力してください。"]
[null,"電話番号","06-6762-6371",null,"「06-6762-6371」と－（ハイフン)を入力してください。"]

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[]
[null,"入力項目",null,"入力欄","備考"]
["共通記載欄","必須項目","保険証の番号",5402,"健康保険証の番号を入力"]
[null,null,"個人番号(基礎年金番号)",123456789012,"被保険者の個人番号か基礎年金番号を入力"]
[null,null,"被保険者氏名","大阪健保　整子","被保険者氏名を入力"]
[null,null,"被保険者フリガナ","オオサカケンポ　セイコ","被保険者フリガナを入力"]
[null,null,"被保険者生年月日","1998-01-02","「H10.1.2」のように和暦で入力して下さい。"]
[null,null,"出産予定年月日","2022-11-21","「R4.11.21」のように和暦で入力して下さい。"]
[null,null,"出産種別",0,"単体の場合「0」、多胎の場合「1」を入力。"]
[null,null,"産前産後休業開始年月日","2022-10-11","「R4.10.11」のように和暦で入力して下さい。"]
[null,null,"産前産後休業終了予定年月日","2023-01-16","「R5.1.16」のように和暦で入力して下さい。"]
[null,null,"出産年月日","2022-11-20","「R4.11.20」のように和暦で入力して下さい。"]
[null,null,"備考",null,"備考"]
[]
["Ａ変更","該当する場合入力","変更後の出産(予定)年月日","2022-11-20","「R4.11.20」のように和暦で入力して下さい。"]
[null,null,"変更後の出産種別",0,"単体の場合「0」、多胎の場合「1」を入力。"]
[null,null,"変更後の産前産後休業開始年月日","2022-10-10","「R4.10.10」のように和暦で入力して下さい。"]
[null,null,"変更後の産前産後休業終了予定年月日","2023-01-15","「R5.1.15」のように和暦で入力して下さい。"]
[]
["Ｂ終了","該当する場合入力","産前産後終了年月日","2023-01-10","「R5.1.10」のように和暦で入力して下さい。"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"産前産後休業取得者\n申出書／変更（終了）届",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"常務理事",null,null,null,null,null,null,null,null,null,null,"事務長",null,null,null,null,null,null,null,null,null,null,"部長",null,null,null,null,null,null,null,null,null,null,"課長",null,null,null,null,null,null,null,null,null,null,"係長",null,null,null,null,null,null,null,null,null,null,"係"]
[]
[]
[]
[]
[]
[]
[]
[]
[{"$f":"基本情報登録!C2","v":"2022-11-02"}]
[]
[]
[]
[]
[]
["提出者記入欄",null,null,null,null,"記号",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C6","v":"532"}]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"届書記入の個人番号に誤りがないことを確認しました。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受付印"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒",null,null,{"$f":"基本情報登録!C7","v":"542-0066"}]
[]
[null,null,null,null,null,"事業所\n所在地"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C8","v":"大阪府大阪市中央区瓦屋町2-3-1"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"事業所\n名称",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C9","v":"大阪自動車整備健康保険組合"}]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"事業主\n氏名",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C10","v":"理事長　健保　太郎"}]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"電話番号",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C11","v":"06-6762-6371"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会保険労務士記載欄"]
[]
[]
[]
["新規申出の場合は共通記載欄に必要項目を記入して下さい。\n変更・終了の場合は、共通記載欄に産前産後休業取得時に提出していただいた内容を記入の上、A変更・B終了の必要項目を記入して下さい。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["共通記載欄（取得申出）",null,null,null,null,1,null,null,null,"番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D3),入力!D3,\"\")","v":5402},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,"個人番号\n(基礎年金番号)"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,3,null,null,null,"被保険者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾌﾘｶﾞﾅ",null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D6),入力!D6,\"\")","v":"オオサカケンポ　セイコ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,"被保険者\n生年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D7),入力!D7,\"\")","v":"1998-01-02"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D5),入力!D5,\"\")","v":"大阪健保　整子"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,5,null,null,null,"出産予定\n年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D8),入力!D8,\"\")","v":"2022-11-21"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,null,null,null,"出産種別",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D9),IF(入力!D9=0,\"単胎\",IF(入力!D9=1,\"多胎\",\"\")),\"\")","v":"単胎"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,7,null,null,null,"産前産後休業\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D10),入力!D10,\"\")","v":"2022-10-11"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,null,null,null,"産前産後休業\n終了予定年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D11),入力!D11,\"\")","v":"2023-01-16"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"以下9は、この申出を出産後に提出する場合のみ記入して下さい。"]
[]
[]
[]
[]
[null,null,null,null,null,9,null,null,null,"出産年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D12),入力!D12,\"\")","v":"2022-11-20"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,10,null,null,null,"備考",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D13),入力!D13,\"\")","v":""}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["出産(予定)日・産前産後休業終了(予定)日を変更する場合　※必ず共通記載欄も記入して下さい。"]
[]
[]
[]
[]
[]
["Ａ変更",null,null,null,null,11,null,null,null,"変更後の\n出産(予定)\n年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D15),入力!D15,\"\")","v":"2022-11-20"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,null,null,null,"変更後の\n出産種別",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D16),IF(入力!D16=0,\"単胎\",IF(入力!D16=1,\"多胎\",\"\")),\"\")","v":"単胎"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,13,null,null,null,"産前産後休業\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D17),入力!D17,\"\")","v":"2022-10-10"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,null,null,null,"産前産後休業\n終了予定年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D18),入力!D18,\"\")","v":"2023-01-15"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["予定より早く産前産後休業を終了した場合　※必ず共通記載欄も記入して下さい。"]
[]
[]
[]
[]
[]
["Ｂ終了",null,null,null,null,15,null,null,null,"産前産後休業\n終了年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D20),入力!D20,\"\")","v":"2023-01-10"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"○",null,null,null,"産前産後休業期間とは、出産日以前42日（多胎妊娠の場合は98日）～出産日後56日の間に、妊娠または出産を理由に労務に"]
[]
[]
[]
[null,null,null,null,null,"従事しない期間のことです。"]
[]
[]
[]
[]
[null,"○",null,null,null,"この申出書を出産予定日より前に提出された場合で、実際の出産日が予定日と異なった場合は、再度『産前産後休業取得者"]
[]
[]
[]
[null,null,null,null,null,"変更届』(当届書の「共通記載欄」と「Ａ変更」欄に記入 ）を提出して下さい。休業期間の基準日である出産年月日がずれ"]
[]
[]
[]
[null,null,null,null,null,"ることで、開始・終了年月日が変更になります。"]
[]
[]
[]
[]
[null,"○",null,null,null,"産前産後休業取得申出時に記載した終了年月日より早く産休を終了した場合は『産前産後休業終了届』（当届書の「共通記"]
[]
[]
[]
[null,null,null,null,null,"載欄」と「Ｂ終了」欄に記入）を提出して下さい。"]
[]
[]
[]
[]
[null,"○",null,null,null,"保険料が免除となるのは、産前産後休業開始日の属する月分から、終了日翌日の属する月の前月分までとなります。"]

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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険　産前産後休業取得者（取得・変更・終了）確認通知書"]
[]
[]
[]
[]
[]
[]
[]
[{"$f":"基本情報登録!C2","v":"2022-11-02"}]
[]
[]
[]
[]
[]
["提出者記入欄",null,null,null,null,"記号",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C6","v":"532"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒",null,null,{"$f":"基本情報登録!C7","v":"542-0066"}]
[]
[null,null,null,null,null,"事業所\n所在地"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C8","v":"大阪府大阪市中央区瓦屋町2-3-1"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下記のとおり産前産後休業取得者を確認したので"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通知します。"]
[]
[]
[]
[null,null,null,null,null,"事業所\n名称",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C9","v":"大阪自動車整備健康保険組合"}]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"大阪自動車整備健康保険組合理事長"]
[]
[null,null,null,null,null,"事業主\n氏名",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C10","v":"理事長　健保　太郎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"電話番号",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C11","v":"06-6762-6371"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["共通記載欄（取得申出）",null,null,null,null,1,null,null,null,"番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D3),入力!D3,\"\")","v":5402},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,"個人番号\n(基礎年金番号)"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,3,null,null,null,"被保険者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾌﾘｶﾞﾅ",null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D6),入力!D6,\"\")","v":"オオサカケンポ　セイコ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,"被保険者\n生年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D7),入力!D7,\"\")","v":"1998-01-02"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D5),入力!D5,\"\")","v":"大阪健保　整子"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,5,null,null,null,"出産予定\n年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D8),入力!D8,\"\")","v":"2022-11-21"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,null,null,null,"出産種別",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D9),IF(入力!D9=0,\"単胎\",IF(入力!D9=1,\"多胎\",\"\")),\"\")","v":"単胎"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,7,null,null,null,"産前産後休業\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D10),入力!D10,\"\")","v":"2022-10-11"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,null,null,null,"産前産後休業\n終了予定年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D11),入力!D11,\"\")","v":"2023-01-16"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"以下9は、この申出を出産後に提出する場合のみ記入して下さい。"]
[]
[]
[]
[]
[null,null,null,null,null,9,null,null,null,"出産年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D12),入力!D12,\"\")","v":"2022-11-20"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,10,null,null,null,"備考",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D13),入力!D13,\"\")","v":""}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["出産(予定)日・産前産後休業終了(予定)日を変更する場合　※必ず共通記載欄も記入して下さい。"]
[]
[]
[]
[]
[]
["Ａ変更",null,null,null,null,11,null,null,null,"変更後の\n出産(予定)\n年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D15),入力!D15,\"\")","v":"2022-11-20"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,null,null,null,"変更後の\n出産種別",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D16),IF(入力!D16=0,\"単胎\",IF(入力!D16=1,\"多胎\",\"\")),\"\")","v":"単胎"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,13,null,null,null,"産前産後休業\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D17),入力!D17,\"\")","v":"2022-10-10"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,null,null,null,"産前産後休業\n終了予定年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D18),入力!D18,\"\")","v":"2023-01-15"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["予定より早く産前産後休業を終了した場合　※必ず共通記載欄も記入して下さい。"]
[]
[]
[]
[]
[]
["Ｂ終了",null,null,null,null,15,null,null,null,"産前産後休業\n終了年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D20),入力!D20,\"\")","v":"2023-01-10"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"○",null,null,null,"産前産後休業期間とは、出産日以前42日（多胎妊娠の場合は98日）～出産日後56日の間に、妊娠または出産を理由に労務に"]
[]
[]
[]
[null,null,null,null,null,"従事しない期間のことです。"]
[]
[]
[]
[]
[null,"○",null,null,null,"この申出書を出産予定日より前に提出された場合で、実際の出産日が予定日と異なった場合は、再度『産前産後休業取得者"]
[]
[]
[]
[null,null,null,null,null,"変更届』(当届書の「共通記載欄」と「Ａ変更」欄に記入 ）を提出して下さい。休業期間の基準日である出産年月日がずれ"]
[]
[]
[]
[null,null,null,null,null,"ることで、開始・終了年月日が変更になります。"]
[]
[]
[]
[]
[null,"○",null,null,null,"産前産後休業取得申出時に記載した終了年月日より早く産休を終了した場合は『産前産後休業終了届』（当届書の「共通記"]
[]
[]
[]
[null,null,null,null,null,"載欄」と「Ｂ終了」欄に記入）を提出して下さい。"]
[]
[]
[]
[]
[null,"○",null,null,null,"保険料が免除となるのは、産前産後休業開始日の属する月分から、終了日翌日の属する月の前月分までとなります。"]

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["様式コード",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"厚生年金保険",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"産前産後休業取得者\n申出書／変更（終了）届"]
[]
[]
[]
[2,null,null,null,2,null,null,null,7,null,null,null,3]
[]
[]
[]
[]
[{"$f":"基本情報登録!C2","v":"2022-11-02"}]
[]
[]
[]
[]
[]
["提出者記入欄",null,null,null,null,"記号",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C3","v":"南"},null,null,null,null,null,null,null,{"$f":"基本情報登録!C4","v":"ＷＥＤ"},null,null,null,null,null,null,null,{"$f":"基本情報登録!C5","v":"00687"}]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"届書記入の個人番号に誤りがないことを確認しました。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受付印"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒",null,null,{"$f":"基本情報登録!C7","v":"542-0066"}]
[]
[null,null,null,null,null,"事業所\n所在地"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C8","v":"大阪府大阪市中央区瓦屋町2-3-1"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"事業所\n名称",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C9","v":"大阪自動車整備健康保険組合"}]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"事業主\n氏名",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C10","v":"理事長　健保　太郎"}]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"電話番号",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C11","v":"06-6762-6371"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会保険労務士記載欄"]
[]
[]
[]
["新規申出の場合は共通記載欄に必要項目を記入して下さい。\n変更・終了の場合は、共通記載欄に産前産後休業取得時に提出していただいた内容を記入の上、A変更・B終了の必要項目を記入して下さい。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["共通記載欄（取得申出）",null,null,null,null,1,null,null,null,"番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D3),入力!D3,\"\")","v":5402},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,"個人番号\n(基礎年金番号)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D4),入力!D4,\"\")","v":123456789012}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,3,null,null,null,"被保険者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾌﾘｶﾞﾅ",null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D6),入力!D6,\"\")","v":"オオサカケンポ　セイコ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,"被保険者\n生年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D7),入力!D7,\"\")","v":"1998-01-02"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D5),入力!D5,\"\")","v":"大阪健保　整子"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,5,null,null,null,"出産予定\n年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D8),入力!D8,\"\")","v":"2022-11-21"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,null,null,null,"出産種別",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D9),IF(入力!D9=0,\"単胎\",IF(入力!D9=1,\"多胎\",\"\")),\"\")","v":"単胎"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,7,null,null,null,"産前産後休業\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D10),入力!D10,\"\")","v":"2022-10-11"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,null,null,null,"産前産後休業\n終了予定年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D11),入力!D11,\"\")","v":"2023-01-16"}]
[]
[]
[]
[]
[]
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[null,null,null,null,null,"以下9は、この申出を出産後に提出する場合のみ記入して下さい。"]
[]
[]
[]
[]
[null,null,null,null,null,9,null,null,null,"出産年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D12),入力!D12,\"\")","v":"2022-11-20"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,10,null,null,null,"備考",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D13),入力!D13,\"\")","v":""}]
[]
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[]
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[]
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[]
["出産(予定)日・産前産後休業終了(予定)日を変更する場合　※必ず共通記載欄も記入して下さい。"]
[]
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["Ａ変更",null,null,null,null,11,null,null,null,"変更後の\n出産(予定)\n年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D15),入力!D15,\"\")","v":"2022-11-20"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,null,null,null,"変更後の\n出産種別",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D16),IF(入力!D16=0,\"単胎\",IF(入力!D16=1,\"多胎\",\"\")),\"\")","v":"単胎"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,13,null,null,null,"産前産後休業\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D17),入力!D17,\"\")","v":"2022-10-10"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,null,null,null,"産前産後休業\n終了予定年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D18),入力!D18,\"\")","v":"2023-01-15"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["予定より早く産前産後休業を終了した場合　※必ず共通記載欄も記入して下さい。"]
[]
[]
[]
[]
[]
["Ｂ終了",null,null,null,null,15,null,null,null,"産前産後休業\n終了年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D20),入力!D20,\"\")","v":"2023-01-10"}]
[]
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[]
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[null,"○",null,null,null,"産前産後休業期間とは、出産日以前42日（多胎妊娠の場合は98日）～出産日後56日の間に、妊娠または出産を理由に労務に"]
[]
[]
[]
[null,null,null,null,null,"従事しない期間のことです。"]
[]
[]
[]
[]
[null,"○",null,null,null,"この申出書を出産予定日より前に提出された場合で、実際の出産日が予定日と異なった場合は、再度『産前産後休業取得者"]
[]
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[null,null,null,null,null,"変更届』(当届書の「共通記載欄」と「Ａ変更」欄に記入 ）を提出して下さい。休業期間の基準日である出産年月日がずれ"]
[]
[]
[]
[null,null,null,null,null,"ることで、開始・終了年月日が変更になります。"]
[]
[]
[]
[]
[null,"○",null,null,null,"産前産後休業取得申出時に記載した終了年月日より早く産休を終了した場合は『産前産後休業終了届』（当届書の「共通記"]
[]
[]
[]
[null,null,null,null,null,"載欄」と「Ｂ終了」欄に記入）を提出して下さい。"]
[]
[]
[]
[]
[null,"○",null,null,null,"保険料が免除となるのは、産前産後休業開始日の属する月分から、終了日翌日の属する月の前月分までとなります。"]