{"text_format":"1","workbook":"xlsx","n_sheets":6,"sheets":["説明","基本情報登録","入力","健保正","健保副","年金正"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":0,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"説明","index":0,"n_rows":36,"n_cols":6,"rows_kept":36,"cut":false,"hidden":false,"merged":[[31,1,33,18],[35,1,36,18],[10,1,10,2],[10,3,10,4],[5,1,6,2],[5,3,5,4],[6,3,6,4],[8,1,8,2],[8,3,8,4],[12,1,12,2],[12,3,12,4]]}
["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。"]
[]
[null,"Ｃ育休等取得内訳",null,null,null,"欄は特殊な場合のみ使用します。"]
[null,"※Ｃ育休等取得内訳は同月に複数に分けて育児休業を取得する場合に使用しますので該当する場合はご連絡ください。"]
[]
["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。"]
[]
["○","役員・経営担当者等の使用者の方は、原則、保険料免除には該当しませんので注意して下さい。"]
["○","育児休業等による保険料免除の期間は以下の４つの区分があります。４つの区分それぞれに申出が必要となりますので、ご注意ください。"]
[null,"①１歳未満の子を養育するための育児休業　　　　　　　　　　　　　　　　　　　　　→　０歳～１歳誕生日前日まで"]
[null,"②保育所待機等の特別な事情がある場合の１歳から１歳６ヶ月に達するまでの育児休業　→　１歳誕生日～１歳６ヶ月前日まで"]
[null,"③保育所待機等の特別な事情がある場合の１歳６ヶ月から２歳に達するまでの育児休業　→　１歳６ヶ月目～２歳誕生日前日まで"]
[null,"④１歳から３歳までの子を養育するための育児休業に準ずる期間　　　　　　　　　　　→　１歳誕生日→３歳誕生日前日まで"]
["○","パパママ育休プラスとは、父母ともに育児休業を取得する場合、育児休業取得可能期間を子が１歳から１歳２ヶ月に達するまでに延長する"]
[null,"制度です。なお、父母１人ずつが取得できる休業期間（母親の産後休業期間を含む。）上限は１年間となります。"]
[]
["※","延長とは「0～1歳」「1歳～1歳6ヶ月」「1歳6ヶ月～2歳」「1歳～3歳」の4つの区分のそれぞれの期間内で終了予定日を延長する場合をいいます。"]
[null,"例：子が「0歳～1歳」の区分における育児休業として、当初「産後57日目から８ヶ月まで」の期間を申出していたが、「産後57日目から1歳(誕生日の前日)まで」の期間に変更する場合。\n⇒「延長」となりますので「共通記載」欄及び「Ａ延長」欄を記入して下さい。"]
[]
[]
[]
[null,"例：ア.1歳誕生日前日までの育休申出をされていた方が、続けて、イ.1歳6ヶ月前日までの育休申出をされる場合。\n⇒延長ではなく新規申出となりますので、上段の「共通記載」欄にあらためて記入して下さい。"]

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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\n「－（ハイフン）」は入力しないでください。"]
[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","1997-01-02","「H9.1.2」のように和暦で入力して下さい。"]
[null,null,"被保険者性別",2,"1：男　2：女"]
[null,null,"養育する子の氏名","大阪健保　太郎","養育する子の氏名を入力"]
[null,null,"養育する子のフリガナ","オオサカケンポ　タロウ","養育する子のフリガナを入力"]
[null,null,"養育する子の生年月日","2022-10-01","「R4.10.1」のように和暦で入力して下さい。"]
[null,null,"育児休業開始年月日","2022-11-27","「R4.11.27」のように和暦で入力して下さい。※基本産後57日目となります。"]
[null,null,"育児休業終了予定年月日","2023-09-30","「R5.9.30」のように和暦で入力して下さい。※基本1歳の誕生日の前日となります。"]
[null,null,"区分",1,"実子の場合「1」、その他の場合「2」を入力。"]
[null,"必要な場合","区分が「2」の場合養育開始年月日","2022-10-01","実子以外の場合養育開始年月日を「H30.10.10」のように和暦で入力して下さい。"]
[null,null,"育児休業等取得日数",14,"「育児休業等開始年月日」と「育児休業等終了（予定）年月日の翌日」が同月内の場合のみ記入してください。"]
[null,null,"就業予定日数",16,"「育児休業等開始年月日」と「育児休業等終了（予定）年月日の翌日」が同月内の場合のみ記入してください。"]
[null,null,"パパママ育休プラス該当区分",1,"パパママ育休プラスに該当する場合「１」を入力してください。"]
[]
["Ａ延長","該当する場合入力","育児休業等終了予定年月日(変更後)","2024-03-31","「R6.3.31」のように和暦で入力して下さい。"]
[]
[]
[null,"必要な場合",null,10,"延長後の「育児休業等終了（予定）年月日の翌日」が「育児休業開始年月日」と同月内の場合は、変更後の育児休業等取得日数欄も記入してください。"]
[]
["Ｂ終了","該当する場合入力","育児休業等終了年月日","2024-01-31","「R6.1.31」のように和暦で入力して下さい。"]
[]
[]
[null,"必要な場合",null,10,"「育児休業等終了年月日の翌日」が「育児休業等開始年月日」と同月内の場合は、変更後の育児休業等取得日数欄も記入してください。"]
[]
["Ｃ育休等取得内訳","１．「育児休業等開始年月日」と「育児休業等終了（予定）年月日の翌日」が同月内、かつ複数回育児休業等を取得する場合","育児休業等開始年月日","2022-10-01","「R4.10.1」のように和暦で入力して下さい。"]
[null,null,"育児休業等終了(予定)年月日","2022-10-07","「R4.10.7」のように和暦で入力して下さい。"]
[null,null,"育児休業等取得日数",4,"育児休業取得日数を「4」のように数値のみ入力してください。"]
[null,null,"就業予定日数",3,"育児休業期間中に就業日があれば日数を「3」のように数値のみ入力してください。"]
[null,"２．「育児休業等開始年月日」と「育児休業等終了（予定）年月日の翌日」が同月内、かつ複数回育児休業等を取得する場合","育児休業等開始年月日","2022-10-11","「R4.10.11」のように和暦で入力して下さい。"]
[null,null,"育児休業等終了(予定)年月日","2022-10-15","「R4.10.15」のように和暦で入力して下さい。"]
[null,null,"育児休業等取得日数",4,"育児休業取得日数を「4」のように数値のみ入力してください。"]
[null,null,"就業予定日数",1,"育児休業期間中に就業日があれば日数を「1」のように数値のみ入力してください。"]
[null,"３．「育児休業等開始年月日」と「育児休業等終了（予定）年月日の翌日」が同月内、かつ複数回育児休業等を取得する場合","育児休業等開始年月日","2022-10-18","「R4.10.18」のように和暦で入力して下さい。"]
[null,null,"育児休業等終了(予定)年月日","2022-10-21","「R4.10.21」のように和暦で入力して下さい。"]
[null,null,"育児休業等取得日数",2,"育児休業取得日数を「2」のように数値のみ入力してください。"]
[null,null,"就業予定日数",1,"育児休業期間中に就業日があれば日数を「1」のように数値のみ入力してください。"]
[null,"４．「育児休業等開始年月日」と「育児休業等終了（予定）年月日の翌日」が同月内、かつ複数回育児休業等を取得する場合","育児休業等開始年月日","2022-10-25","「R4.10.25」のように和暦で入力して下さい。"]
[null,null,"育児休業等終了(予定)年月日","2022-10-29","「R4.10.29」のように和暦で入力して下さい。"]
[null,null,"育児休業等取得日数",4,"育児休業取得日数を「4」のように数値のみ入力してください。"]
[null,null,"就業予定日数",1,"育児休業期間中に就業日があれば日数を「1」のように数値のみ入力してください。"]

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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,"育児休業等取得者\n申出書(新規・延長)／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,{"$f":"基本情報登録!C11","v":"06-6762-6371"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会保険労務士記載欄"]
[]
[]
[]
["新規申出の場合は共通記載欄に必要項目を記入して下さい。\n延長・終了の場合は、共通記載欄に育児休業取得時に提出していただいた内容を記入のうえ、A延長・B終了の必要項目を記入して下さい。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"　≪「10育児休業等開始年月日」と「11育児休業等終了（予定）年月日の翌日」が同月内の場合≫\n\n・共通記載欄の12育児休業等取得日数欄と13就業予定日数欄を必ず記入してください。\n・同月内に複数回の育児休業を取得した場合は、10育児休業等開始年月日欄に、初回の育児休業等開始年月日を、\n11育児休業等終了予定年月日欄に最終回の育児休業等終了予定年月日を記入のうえ、C.育休等取得内訳を記入してください。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["共通記載欄（新規申出）",null,null,null,null,1,null,null,null,"番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$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,5,null,null,null,"被保険者性別",null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D8),IF(入力!D8=1,\"男\",IF(入力!D8=2,\"女\",\"\")),\"\")","v":"女"},null,null,null,null,null,null,null,null,2,null,null,null,"個人番号\n(基礎年金番号)"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,3,null,null,null,"被保険者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾌﾘｶﾞﾅ",null,null,null,null,null,{"$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,{"$f":"IF(ISNUMBER(入力!D7),入力!D7,\"\")","v":"1997-01-02"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D5),入力!D5,\"\")","v":"大阪健保　整子"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,6,null,null,null,"養育する\n子の氏名",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,{"$f":"IF(ISTEXT(入力!D10),入力!D10,\"\")","v":"オオサカケンポ　タロウ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,null,null,null,"養育する子の\n生年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D11),入力!D11,\"\")","v":"2022-10-01"}]
[]
[]
[null,null,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,{"$f":"IF(ISTEXT(入力!D9),入力!D9,\"\")","v":"大阪健保　太郎"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,8,null,null,null,"区分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D14),IF(入力!D14=1,\"1.実子\",IF(入力!D14=2,\"2.その他\",\"\")),\"\")","v":"1.実子"},null,null,null,null,null,null,null,null,null,null,null,null,null,"※「2.その他」の場合は、9養育開始年月日(実子以外)も記入して下さい。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9,null,null,null,"養育開始年月日\n(実子以外)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D15),入力!D15,\"\")","v":"2022-10-01"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,10,null,null,null,"育児休業等\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D12),入力!D12,\"\")","v":"2022-11-27"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,11,null,null,null,"育児休業等終了\n(予定)年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D13),入力!D13,\"\")","v":"2023-09-30"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,12,null,null,null,"育児休業等取得日数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D16),入力!D16,\"\")","v":14},null,null,null,null,null,null,"日",null,null,13,null,null,null,"就業予定日数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D17),入力!D17,\"\")","v":16},null,null,null,null,null,null,"日",null,null,14,null,null,null,"パパママ育休\nプラス該当区分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力!D18=1,\"☑該当\",\"\")","v":"☑該当"},null,null,null,null,null,null,null,null,null,15,null,null,null,"備考",null,null,null,null,null,{"$f":"IF(入力!D17=2,\")\",\"\")","v":""}]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"※「育児休業等開始年月日」と「育児休業等終了（予定）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※「育児休業等開始年月日」と「育児休業等終了（予定）"]
[]
[]
[null,null,null,null,null,null,null,null,null,"年月日の翌日」が同月内の場合のみ記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年月日の翌日」が同月内の場合のみ記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※パパママ育休プラスに該当する場合　☑　してください。"]
[]
[]
[]
["終了予定日を延長する場合　※必ず共通記載欄も記入して下さい。"]
[]
[]
[]
[]
[]
["Ａ延長",null,null,null,null,16,null,null,null,"育児休業等終了(予定)年月日(変更後)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D20),入力!D20,\"\")","v":"2024-03-31"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※延長後の「16育児休業等終了（予定）年月日の翌日」が「10育児休業開始年月日」と同月内の場合は、17変更後の育児休業等取得日数欄も記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,17,null,null,null,"変更後の\n育児休業等取得日数",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D23),入力!D23,\"\")","v":10},null,null,null,null,null,null,"日"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["予定より早く育児休業を終了した場合　※必ず共通記載欄も記入して下さい。"]
[]
[]
[]
[]
[]
["Ｂ終了",null,null,null,null,18,null,null,null,"育児休業等\n終了年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D25),入力!D25,\"\")","v":"2024-01-31"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※「18育児休業等終了年月日の翌日」が「10育児休業等開始年月日」と同月内の場合は、19変更後の育児休業等取得日数欄も記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,19,null,null,null,"変更後の\n育児休業等取得日数",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D28),入力!D28,\"\")","v":10},null,null,null,null,null,null,"日"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["「育児休業等開始年月日」と「育児休業等終了（予定）年月日の翌日」が同月内、かつ複数回育児休業等を取得する場合　※必ず共通記載欄も記入してください。"]
[]
[]
[]
[]
[]
["Ｃ育休等取得内訳",null,null,null,null,1,null,null,20,null,null,null,"育児休業等\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D30),入力!D30,\"\")","v":"2022-10-01"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,21,null,null,null,"育児休業等終了\n(予定)年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D31),入力!D31,\"\")","v":"2022-10-07"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,22,null,null,null,"育児休業等\n取得日数",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D32),入力!D32,\"\")","v":4},null,null,null,null,null,"日",null,null,23,null,null,null,"就業予定\n日数",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D33),入力!D33,\"\")","v":3},null,null,null,null,null,"日"]
[]
[]
[]
[]
[]
[null,null,null,null,null,2,null,null,24,null,null,null,"育児休業等\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D34),入力!D34,\"\")","v":"2022-10-11"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,25,null,null,null,"育児休業等終了\n(予定)年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D35),入力!D35,\"\")","v":"2022-10-15"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,26,null,null,null,"育児休業等\n取得日数",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D36),入力!D36,\"\")","v":4},null,null,null,null,null,"日",null,null,27,null,null,null,"就業予定\n日数",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D37),入力!D37,\"\")","v":1},null,null,null,null,null,"日"]
[]
[]
[]
[]
[]
[null,null,null,null,null,3,null,null,28,null,null,null,"育児休業等\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D38),入力!D38,\"\")","v":"2022-10-18"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,29,null,null,null,"育児休業等終了\n(予定)年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D39),入力!D39,\"\")","v":"2022-10-21"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,30,null,null,null,"育児休業等\n取得日数",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D40),入力!D40,\"\")","v":2},null,null,null,null,null,"日",null,null,31,null,null,null,"就業予定\n日数",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D41),入力!D41,\"\")","v":1},null,null,null,null,null,"日"]
[]
[]
[]
[]
[]
[null,null,null,null,null,4,null,null,32,null,null,null,"育児休業等\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D42),入力!D42,\"\")","v":"2022-10-25"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,33,null,null,null,"育児休業等終了\n(予定)年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D43),入力!D43,\"\")","v":"2022-10-29"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,34,null,null,null,"育児休業等\n取得日数",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D44),入力!D44,\"\")","v":4},null,null,null,null,null,"日",null,null,35,null,null,null,"就業予定\n日数",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D45),入力!D45,\"\")","v":1},null,null,null,null,null,"日"]

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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険　育児休業等取得者（新規・延長・終了）確認通知書"]
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[]
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[]
[]
[]
[{"$f":"基本情報登録!C2","v":"2022-11-02"}]
[]
[]
[]
[]
[]
["提出者記入欄",null,null,null,null,"記号",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C6","v":"532"}]
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[]
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[]
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[]
[]
[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,"下記のとおり育児休業等取得者を確認したので"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,{"$f":"基本情報登録!C11","v":"06-6762-6371"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"　≪「10育児休業等開始年月日」と「11育児休業等終了（予定）年月日の翌日」が同月内の場合≫\n\n・共通記載欄の12育児休業等取得日数欄と13就業予定日数欄を必ず記入してください。\n・同月内に複数回の育児休業を取得した場合は、10育児休業等開始年月日欄に、初回の育児休業等開始年月日を、\n11育児休業等終了予定年月日欄に最終回の育児休業等終了予定年月日を記入のうえ、C.育休等取得内訳を記入してください。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["共通記載欄（新規申出）",null,null,null,null,1,null,null,null,"番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$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,5,null,null,null,"被保険者性別",null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D8),IF(入力!D8=1,\"男\",IF(入力!D8=2,\"女\",\"\")),\"\")","v":"女"},null,null,null,null,null,null,null,null,2,null,null,null,"個人番号\n(基礎年金番号)"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,3,null,null,null,"被保険者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾌﾘｶﾞﾅ",null,null,null,null,null,{"$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,{"$f":"IF(ISNUMBER(入力!D7),入力!D7,\"\")","v":"1997-01-02"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D5),入力!D5,\"\")","v":"大阪健保　整子"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,6,null,null,null,"養育する\n子の氏名",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,{"$f":"IF(ISTEXT(入力!D10),入力!D10,\"\")","v":"オオサカケンポ　タロウ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,null,null,null,"養育する子の\n生年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D11),入力!D11,\"\")","v":"2022-10-01"}]
[]
[]
[null,null,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,{"$f":"IF(ISTEXT(入力!D9),入力!D9,\"\")","v":"大阪健保　太郎"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,8,null,null,null,"区分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D14),IF(入力!D14=1,\"1.実子\",IF(入力!D14=2,\"2.その他\",\"\")),\"\")","v":"1.実子"},null,null,null,null,null,null,null,null,null,null,null,null,null,"※「2.その他」の場合は、9養育開始年月日(実子以外)も記入して下さい。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9,null,null,null,"養育開始年月日\n(実子以外)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D15),入力!D15,\"\")","v":"2022-10-01"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,10,null,null,null,"育児休業等\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D12),入力!D12,\"\")","v":"2022-11-27"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,11,null,null,null,"育児休業等終了\n(予定)年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D13),入力!D13,\"\")","v":"2023-09-30"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,12,null,null,null,"育児休業等取得日数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D16),入力!D16,\"\")","v":14},null,null,null,null,null,null,"日",null,null,13,null,null,null,"就業予定日数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D17),入力!D17,\"\")","v":16},null,null,null,null,null,null,"日",null,null,14,null,null,null,"パパママ育休\nプラス該当区分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力!D18=1,\"☑該当\",\"\")","v":"☑該当"},null,null,null,null,null,null,null,null,null,15,null,null,null,"備考",null,null,null,null,null,{"$f":"IF(入力!D17=2,\")\",\"\")","v":""}]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"※「育児休業等開始年月日」と「育児休業等終了（予定）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※「育児休業等開始年月日」と「育児休業等終了（予定）"]
[]
[]
[null,null,null,null,null,null,null,null,null,"年月日の翌日」が同月内の場合のみ記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年月日の翌日」が同月内の場合のみ記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※パパママ育休プラスに該当する場合　☑　してください。"]
[]
[]
[]
["終了予定日を延長する場合　※必ず共通記載欄も記入して下さい。"]
[]
[]
[]
[]
[]
["Ａ延長",null,null,null,null,16,null,null,null,"育児休業等終了(予定)年月日(変更後)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D20),入力!D20,\"\")","v":"2024-03-31"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※延長後の「16育児休業等終了（予定）年月日の翌日」が「10育児休業開始年月日」と同月内の場合は、17変更後の育児休業等取得日数欄も記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,17,null,null,null,"変更後の\n育児休業等取得日数",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D23),入力!D23,\"\")","v":10},null,null,null,null,null,null,"日"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["予定より早く育児休業を終了した場合　※必ず共通記載欄も記入して下さい。"]
[]
[]
[]
[]
[]
["Ｂ終了",null,null,null,null,18,null,null,null,"育児休業等\n終了年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D25),入力!D25,\"\")","v":"2024-01-31"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※「18育児休業等終了年月日の翌日」が「10育児休業等開始年月日」と同月内の場合は、19変更後の育児休業等取得日数欄も記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,19,null,null,null,"変更後の\n育児休業等取得日数",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D28),入力!D28,\"\")","v":10},null,null,null,null,null,null,"日"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["「育児休業等開始年月日」と「育児休業等終了（予定）年月日の翌日」が同月内、かつ複数回育児休業等を取得する場合　※必ず共通記載欄も記入してください。"]
[]
[]
[]
[]
[]
["Ｃ育休等取得内訳",null,null,null,null,1,null,null,20,null,null,null,"育児休業等\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D30),入力!D30,\"\")","v":"2022-10-01"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,21,null,null,null,"育児休業等終了\n(予定)年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D31),入力!D31,\"\")","v":"2022-10-07"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,22,null,null,null,"育児休業等\n取得日数",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D32),入力!D32,\"\")","v":4},null,null,null,null,null,"日",null,null,23,null,null,null,"就業予定\n日数",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D33),入力!D33,\"\")","v":3},null,null,null,null,null,"日"]
[]
[]
[]
[]
[]
[null,null,null,null,null,2,null,null,24,null,null,null,"育児休業等\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D34),入力!D34,\"\")","v":"2022-10-11"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,25,null,null,null,"育児休業等終了\n(予定)年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D35),入力!D35,\"\")","v":"2022-10-15"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,26,null,null,null,"育児休業等\n取得日数",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D36),入力!D36,\"\")","v":4},null,null,null,null,null,"日",null,null,27,null,null,null,"就業予定\n日数",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D37),入力!D37,\"\")","v":1},null,null,null,null,null,"日"]
[]
[]
[]
[]
[]
[null,null,null,null,null,3,null,null,28,null,null,null,"育児休業等\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D38),入力!D38,\"\")","v":"2022-10-18"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,29,null,null,null,"育児休業等終了\n(予定)年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D39),入力!D39,\"\")","v":"2022-10-21"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,30,null,null,null,"育児休業等\n取得日数",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D40),入力!D40,\"\")","v":2},null,null,null,null,null,"日",null,null,31,null,null,null,"就業予定\n日数",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D41),入力!D41,\"\")","v":1},null,null,null,null,null,"日"]
[]
[]
[]
[]
[]
[null,null,null,null,null,4,null,null,32,null,null,null,"育児休業等\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D42),入力!D42,\"\")","v":"2022-10-25"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,33,null,null,null,"育児休業等終了\n(予定)年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D43),入力!D43,\"\")","v":"2022-10-29"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,34,null,null,null,"育児休業等\n取得日数",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D44),入力!D44,\"\")","v":4},null,null,null,null,null,"日",null,null,35,null,null,null,"就業予定\n日数",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D45),入力!D45,\"\")","v":1},null,null,null,null,null,"日"]

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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,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,"育児休業等取得者\n申出書(新規・延長)／終了届"]
[]
[]
[]
[2,null,null,null,2,null,null,null,6,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,{"$f":"基本情報登録!C11","v":"06-6762-6371"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会保険労務士記載欄"]
[]
[]
[]
["新規申出の場合は共通記載欄に必要項目を記入して下さい。\n延長・終了の場合は、共通記載欄に育児休業取得時に提出していただいた内容を記入のうえ、A延長・B終了の必要項目を記入して下さい。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"　≪「10育児休業等開始年月日」と「11育児休業等終了（予定）年月日の翌日」が同月内の場合≫\n\n・共通記載欄の12育児休業等取得日数欄と13就業予定日数欄を必ず記入してください。\n・同月内に複数回の育児休業を取得した場合は、10育児休業等開始年月日欄に、初回の育児休業等開始年月日を、\n11育児休業等終了予定年月日欄に最終回の育児休業等終了予定年月日を記入のうえ、C.育休等取得内訳を記入してください。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["共通記載欄（新規申出）",null,null,null,null,1,null,null,null,"被保険者\n整理番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$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,5,null,null,null,"被保険者性別",null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D8),IF(入力!D8=1,\"男\",IF(入力!D8=2,\"女\",\"\")),\"\")","v":"女"},null,null,null,null,null,null,null,null,2,null,null,null,"個人番号\n(基礎年金番号)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$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":"1997-01-02"}]
[]
[]
[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,{"$f":"IF(ISTEXT(入力!D5),入力!D5,\"\")","v":"大阪健保　整子"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,6,null,null,null,"養育する\n子の氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾌﾘｶﾞﾅ",null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D10),入力!D10,\"\")","v":"オオサカケンポ　タロウ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,null,null,null,"養育する子の\n生年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D11),入力!D11,\"\")","v":"2022-10-01"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,{"$f":"IF(ISTEXT(入力!D9),入力!D9,\"\")","v":"大阪健保　太郎"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,8,null,null,null,"区分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D14),IF(入力!D14=1,\"1.実子\",IF(入力!D14=2,\"2.その他\",\"\")),\"\")","v":"1.実子"},null,null,null,null,null,null,null,null,null,null,null,null,null,"※「2.その他」の場合は、9養育開始年月日(実子以外)も記入して下さい。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9,null,null,null,"養育開始年月日\n(実子以外)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D15),入力!D15,\"\")","v":"2022-10-01"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,10,null,null,null,"育児休業等\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D12),入力!D12,\"\")","v":"2022-11-27"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,11,null,null,null,"育児休業等終了\n(予定)年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D13),入力!D13,\"\")","v":"2023-09-30"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,12,null,null,null,"育児休業等取得日数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D16),入力!D16,\"\")","v":14},null,null,null,null,null,null,"日",null,null,13,null,null,null,"就業予定日数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D17),入力!D17,\"\")","v":16},null,null,null,null,null,null,"日",null,null,14,null,null,null,"パパママ育休\nプラス該当区分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力!D18=1,\"☑該当\",\"\")","v":"☑該当"},null,null,null,null,null,null,null,null,null,15,null,null,null,"備考",null,null,null,null,null,{"$f":"IF(入力!D17=2,\")\",\"\")","v":""}]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"※「育児休業等開始年月日」と「育児休業等終了（予定）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※「育児休業等開始年月日」と「育児休業等終了（予定）"]
[]
[]
[null,null,null,null,null,null,null,null,null,"年月日の翌日」が同月内の場合のみ記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年月日の翌日」が同月内の場合のみ記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※パパママ育休プラスに該当する場合　☑　してください。"]
[]
[]
[]
["終了予定日を延長する場合　※必ず共通記載欄も記入して下さい。"]
[]
[]
[]
[]
[]
["Ａ延長",null,null,null,null,16,null,null,null,"育児休業等終了(予定)年月日(変更後)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D20),入力!D20,\"\")","v":"2024-03-31"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※延長後の「16育児休業等終了（予定）年月日の翌日」が「10育児休業開始年月日」と同月内の場合は、17変更後の育児休業等取得日数欄も記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,17,null,null,null,"変更後の\n育児休業等取得日数",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D23),入力!D23,\"\")","v":10},null,null,null,null,null,null,"日"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["予定より早く育児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,18,null,null,null,"育児休業等\n終了年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D25),入力!D25,\"\")","v":"2024-01-31"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※「18育児休業等終了年月日の翌日」が「10育児休業等開始年月日」と同月内の場合は、19変更後の育児休業等取得日数欄も記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,19,null,null,null,"変更後の\n育児休業等取得日数",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D28),入力!D28,\"\")","v":10},null,null,null,null,null,null,"日"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["「育児休業等開始年月日」と「育児休業等終了（予定）年月日の翌日」が同月内、かつ複数回育児休業等を取得する場合　※必ず共通記載欄も記入してください。"]
[]
[]
[]
[]
[]
["Ｃ育休等取得内訳",null,null,null,null,1,null,null,20,null,null,null,"育児休業等\n開始年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D30),入力!D30,\"\")","v":"2022-10-01"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,21,null,null,null,"育児休業等終了\n(予定)年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D31),入力!D31,\"\")","v":"2022-10-07"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,22,null,null,null,"育児休業等\n取得日数",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D32),入力!D32,\"\")","v":4},null,null,null,null,null,"日",null,null,23,null,null,null,"就業予定\n日数",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!D33),入力!D33,\"\")","v":3},null,null,null,null,null,"日"]
[]
[]
[]
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