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{"sheet":"(はじめにお読み下さい)申請書の使い方","index":0,"n_rows":17,"n_cols":4,"rows_kept":17,"cut":false,"hidden":false,"merged":[[1,0,1,3]]}
[]
["本申請書の使い方、申請の手順"]
[]
["手順","県の作業","事業者（法人本部）の作業","各事業所の作業"]
[1,"本Excelを管内の介護サービス事業者に配布"]
[{"$f":"A5+1","v":2},null,"本Excelを各事業所に配布し、以下の様式への記入を依頼。\n・様式２（個票）\n・様式３（職員票）\n※Excelファイルを開封した際は、｢コンテンツの有効化｣をクリック"]
[{"$f":"A6+1","v":3},null,null,"以下の作業を行った上で、事業者（法人本部）へ返送。\n【様式２（個票）】\n・水色セル：必要情報を入力\n・緑色セル：プルダウンから選択\n【様式３（職員票）】\n・当該事業所の従事者から、慰労金代理受領委任状を受領\n・当該委任状の提出のあった職員について、様式３に取りまとめ(青色及び緑色のセルに入力)"]
[4,null,"各事業所の個票のシートを１つのExcelファイルに集約し、個票シート名を「個票●」（●は１からの通し番号）に修正。"]
[5,null,"各事業所の様式３（職員表）を法人単位で一覧表として取りまとめ。\n兼務する複数の介護サービス事業所等から重複して申請している者がいないかを確認。\n※氏名（漢字、カナ）、生年月日が一致する者がいる場合、「重複申請者確認用」欄に「可」と表示されません。重複でないか確認し、確認出来たら「可」と入力ください\n※記入欄が不足する場合は、6行目～85行目を行ごとコピーし、86行目に右クリック→「コピーしたセルの挿入」で挿入。"]
[6,null,"様式２（個票）の内容が、別添（サービス別一覧）に正しく反映されていることを確認。\n※別添の記入欄が不足する場合は、6行目～20行目を行ごとコピーし、21行目に右クリック→「コピーしたセルの挿入」で挿入。"]
[7,null,"様式１（申請額一覧）の「リスト作成」ボタンを押す（事業所番号単位のリストが自動生成される）。\n※この機能は100事業所分まで対応しています。"]
[8,null,"【様式４（口座情報）】\n・各事業所ごとの支払い先となる口座情報を入力（７の作業をしてからでないと事業所番号等が転記されないので注意）。"]
[9,null,"申請書に、申請者の法人名、代表者名、日付を入力。"]
[10,null,"Excelファイル名を代表となる事業所の事業所番号に変更。"]
[11,null,"完成したExcelファイルをアップロード。\n郵送で提出する場合には、封筒に「新型コロナ支援交付金(介護分)申請書在中」と明記。"]
[12,"事業者からExcelファイルの内容を審査"]
[13,"必要な作業を行い、事業者に助成金を交付"]

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["別記様式第１号（第７条関係）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　令和",null,null,"年",null,null,"月",null,null,"日"]
[]
["石川県知事",null,null,null,null,null,null,null,"殿"]
[]
[null,null,null,null,null,null,null,"（法人名）"]
[null,null,null,null,null,null,null,"（役職・代表者名）"]
[]
["令和２年度新型コロナウイルス感染症緊急包括支援交付金（介護分）に係る交付申請書"]
[]
["　標記について、次により交付金を交付されるよう関係書類を添えて申請する。"]
[]
[null,"　　申　請　額　：　",null,null,null,null,null,null,null,null,{"$f":"SUM(申請額一覧!M5:M105)","v":0},null,null,null,null,null,null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(K14=SUM(別添!$N$5:$N$29),\"○\",\"! 別添(事業所一覧)の合計額と一致しません\")","v":"○"}]
[]
[null,"（内訳）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(BH18=BH19,\"○\",\"! 職員表の合計人数と個票の合計人数が一致しません\")","v":"○"}]
[null,null,"1．介護慰労金事業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(申請額一覧!$H$5:$H$105)","v":0},null,null,null,null,"千円"]
[null,null,"2．感染症対策を徹底した上での介護サービス提供支援事業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(申請額一覧!$J$5:$J$105)","v":0},null,null,null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,null,"職員表計",null,null,"20万円",null,null,{"$f":"COUNTIFS(職員表!O6:O86,20)","v":0},null,"人","5万円",null,null,{"$f":"COUNTIFS(職員表!O6:O86,5)","v":0},null,"人","合計",null,null,{"$f":"SUM(AV18,BB18)","v":0},null,"人"]
[null,null,"3．在宅サービス事業所による利用者への再開支援への助成事業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(申請額一覧!$K$5:$K$105)","v":0},null,null,null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,null,"個表計",null,null,"20万円",null,null,{"$f":"SUM(別添!AM5:AM30)","v":0},null,"人","5万円",null,null,{"$f":"SUM(別添!AN5:AN30)","v":0},null,"人","合計",null,null,{"$f":"SUM(AV19,BB19)","v":0},null,"人"]
[null,null,"4．在宅サービス事業所における環境整備への助成事業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(申請額一覧!$L$5:$L$105)","v":0},null,null,null,null,"千円"]
[]
[null,"（添付書類）"]
[null,"１　事業所・施設別申請額一覧（様式１及び別添）"]
[null,"２　新型コロナウイルス感染症緊急包括支援交付金（介護分）に関する事業実施計画書"]
[null,null,null,"（事業所単位）（様式２）"]
[null,"３　介護慰労金受給職員表（法人単位）（様式３）"]
[null,"４　事業所口座情報（様式４）"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【申請内容に関する連絡先】"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 申請法人住所",null,null,null,null,null,null,null,"〒"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 部署名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 担当者氏名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 連絡先",null,null,null,"電話番号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"e-mail"]

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["（様式１）事業所・施設別申請額一覧"]
[]
["No.","介護保険\n事業所番号","事業所・施設名","電話番号","郵便番号","住所","法人名","補助予定額（千円）",null,null,null,null,null,"審査\n結果","振込先口座"]
[null,null,null,null,null,null,null,"介護\n慰労金","20万円\n対象者の\n有無","感染対策\n費用助成\n事業","個別再開\n支援助成\n事業","再開環境\n整備助成\n事業","合計",null,"金融機関名","支店名\n（通帳記号）","金融機関コード","支店コード\n（店番）","分類","口座番号","口座名義（フリガナ）","口座名義"]
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["（別添）事業所・施設別申請額一覧（サービス別一覧）"]
[]
["No.","介護保険\n事業所番号","事業所・施設名","サービス種別","電話番号","郵便番号","住所","法人名","補助予定額（千円）"]
[null,null,null,null,null,null,null,null,"介護\n慰労金","20万円\n対象者の\n有無","感染対策\n費用助成\n事業","個別再開\n支援助成\n事業","再開環境\n整備助成\n事業","合計"]
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["（注）行が不足する場合には、「本申請書の使い方」に従って、行を追加すること。列の挿入は絶対に行わないこと。"]
[null,null,"　"]

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["（様式２）"]
[]
["新型コロナウイルス感染症緊急包括支援交付金（介護分）に関する事業実施計画書（事業所単位）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（１）①　",null,null,"（２）②"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"共通",null,"単価","共通"]
["施設概要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通所介護事業所（通常規模型）",892,"/事業所",null,200,"/事業所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通所介護事業所（大規模型（Ⅰ））",1137,"/事業所",null,200,"/事業所"]
["介護保険事業所番号",null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通所介護事業所（大規模型（Ⅱ））",1480,"/事業所",null,200,"/事業所"]
["所在地",null,null,"郵便番号",null,null,null,"都道府県名",null,null,null,"住所",null,null,null,null,null,null,null,null,null,null,null,null,null,"連絡先",null,null,"電話番号",null,null,null,null,"担当部署名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"地域密着型通所介護事業所(療養通所介護事業所を含む)",384,"/事業所",null,200,"/事業所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知症対応型通所介護事業所",375,"/事業所",null,200,"/事業所"]
["提供サービス",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"サービス種類コード",null,null,null,null,null,null,null,"定員",null,null,null,null,"人",null,"職員数\n(派遣含む)",null,null,null,null,"人",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通所リハビリテーション事業所（通常規模型）",939,"/事業所",null,200,"/事業所"]
["事業区分",null,null,null,null,null,null,null,null," 介護慰労金事業　→　1を記載",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  感染対策費用助成事業　→ 2を記載",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通所リハビリテーション事業所（大規模型（Ⅰ））",1181,"/事業所",null,200,"/事業所"]
[null,null,null,null,null,null,null,null,null," 個別再開支援助成事業　→ 3を記載",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　再開環境整備助成事業　→ 4を記載",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通所リハビリテーション事業所（大規模型（Ⅱ））",1885,"/事業所",null,200,"/事業所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"短期入所生活介護事業所",{"$f":"CD13*個票1!$AC$10","v":0},"/定員",44,200,"/事業所"]
["口座情報",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"短期入所療養介護事業所",{"$f":"CD14*個票1!$AC$10","v":0},"/定員",44,200,"/事業所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"訪問介護事業所",534,"/事業所",null,200,"/事業所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"訪問入浴介護事業所",564,"/事業所",null,200,"/事業所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"訪問看護事業所",518,"/事業所",null,200,"/事業所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"訪問リハビリテーション事業所",227,"/事業所",null,200,"/事業所"]
["支出予定額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"定期巡回・随時対応型訪問介護看護事業所",508,"/事業所",null,200,"/事業所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"夜間対応型訪問介護事業所",204,"/事業所",null,200,"/事業所"]
["１．介護慰労金事業",null,null,null,null,null,null,null," ※対象職員の氏名等について、様式３を作成すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申請額①",null,null,null,{"$f":"(20*M22+5*V22)*10+AE22","v":0},null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅介護支援事業所",148,"/事業所",null,200,"/事業所"]
["慰労金の区分・人数",null,null,null,null,null,null,"20万円対象",null,null,null,null,null,null,null,"人","5万円対象",null,null,null,null,null,null,null,"人","振込手数料",null,null,null,null,null,null,null,"千円（千円未満切り捨て）",null,null,null,null,null,null,{"$f":"IF(M22=0,,\"有\")","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"福祉用具貸与事業所",148,"/事業所",null,200,"/事業所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅療養管理指導事業所",33,"/事業所",null,200,"/事業所"]
["2．感染症対策を徹底した上での介護サービス提供支援事業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助上限額",null,null,null,null,"申請額","今回申請分②",null,null,null,null,{"$f":"MIN(X25,ROUNDDOWN(H37/1000,0))","v":0},null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"小規模多機能型居宅介護事業所",475,"/事業所",null,200,"/事業所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(H10,個票1!CA5:CB41,2,FALSE),\"\")","v":""},null,null,"千円",null,null,"既申請分",null,null,null,null,null,null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(X25>=AI26,\"○\",\"！（補助上限額を超過しています）\")","v":"○"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"看護小規模多機能型居宅介護事業所",638,"/事業所",null,200,"/事業所"]
["【感染拡大防止対策や介護サービスの提供体制の確保のための経費】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年度合計額",null,null,null,null,{"$f":"SUM(AI24:AK25)","v":0},null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護老人福祉施設",{"$f":"CD26*個票1!$AC$10","v":0},"/定員",38,"-"]
["科目",null,null,null,null,null,null,"所要額（円）",null,null,null,null,"用途・品目・数量等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"地域密着型介護老人福祉施設",{"$f":"CD27*個票1!$AC$10","v":0},"/定員",40,"-"]
["賃金・報酬",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護老人保健施設",{"$f":"CD28*個票1!$AC$10","v":0},"/定員",38,"-"]
["謝金",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護医療院",{"$f":"CD29*個票1!$AC$10","v":0},"/定員",48,"-"]
["会議費",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護療養型医療施設",{"$f":"CD30*個票1!$AC$10","v":0},"/定員",43,"-"]
["旅費",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知症対応型共同生活介護事業所",{"$f":"CD31*個票1!$AC$10","v":0},"/定員",36,"-"]
["需用費",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"養護老人ホーム（定員30人以上）",{"$f":"CD32*個票1!$AC$10","v":0},"/定員",37,"-"]
["役務費",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"養護老人ホーム（定員29人以下）",{"$f":"CD33*個票1!$AC$10","v":0},"/定員",35,"-"]
["委託料",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"軽費老人ホーム（定員30人以上）",{"$f":"CD34*個票1!$AC$10","v":0},"/定員",37,"-"]
["使用料及び賃借料",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"軽費老人ホーム（定員29人以下）",{"$f":"CD35*個票1!$AC$10","v":0},"/定員",35,"-"]
["備品購入費",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有料老人ホーム（定員30人以上）",{"$f":"CD36*個票1!$AC$10","v":0},"/定員",37,"-"]
["合計",null,null,null,null,null,null,{"$f":"SUM(H28:L36)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有料老人ホーム（定員29人以下）",{"$f":"CD37*個票1!$AC$10","v":0},"/定員",35,"-"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"サービス付き高齢者向け住宅（定員30人以上）",{"$f":"CD38*個票1!$AC$10","v":0},"/定員",37,"-"]
["3．在宅サービス事業所による利用者への再開支援への助成事業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申請額③",null,null,null,{"$f":"IFERROR(IF(H10=\"居宅介護支援事業所\",(X42*AI42+X43*AI43+X44*AI44+X45*AI45)/1000,(X40*AI40+X41*AI41)/1000),\"\")","v":0},null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"サービス付き高齢者向け住宅（定員29人以下）",{"$f":"CD39*個票1!$AC$10","v":0},"/定員",35,"-"]
["利用者１人あたり単価\n　（居宅介護支援以外共通）",null,null,null,null,null,null,null,null,null,"電話による確認",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($H$10=\"介護予防・生活支援サービス事業の事業者\",\"\",1500)","v":1500},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護予防・生活支援サービス事業の事業者"]
[null,null,null,null,null,null,null,null,null,null,"訪問による確認",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($H$10=\"介護予防・生活支援サービス事業の事業者\",\"\",3000)","v":3000},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活支援ハウス"]
[null,"居宅介護支援のみ\n右欄に記載",null,null,null,null,null,null,null,null,"電話による確認",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($H$10=\"介護予防・生活支援サービス事業の事業者\",\"\",1500)","v":1500},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人"]
[null,null,null,null,null,null,null,null,null,null,"電話による確認（看護師等が協力した場合）",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($H$10=\"介護予防・生活支援サービス事業の事業者\",\"\",4500)","v":4500},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人"]
[null,null,null,null,null,null,null,null,null,null,"訪問による確認",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($H$10=\"介護予防・生活支援サービス事業の事業者\",\"\",3000)","v":3000},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人"]
[null,null,null,null,null,null,null,null,null,null,"訪問による確認（看護師等が協力した場合）",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($H$10=\"介護予防・生活支援サービス事業の事業者\",\"\",6000)","v":6000},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人"]
[]
["4．在宅サービス事業所における環境整備への助成事業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助上限額",null,null,null,null,"申請額","今回申請分④",null,null,null,null,{"$f":"MIN(X48,ROUNDDOWN(H60/1000,0))","v":0},null,null,"千円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(H10,個票1!CA5:CE41,5,FALSE),\"\")","v":""},null,null,"千円",null,null,"既申請分",null,null,null,null,null,null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(X48>=AI49,\"○\",\"！（補助上限額を超過しています）\")","v":"○"}]
["【在宅サービス事業所における環境整備のための経費】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年度合計額",null,null,null,null,{"$f":"SUM(AI47:AK48)","v":0},null,null,"千円"]
["科目",null,null,null,null,null,null,"所要額（円）",null,null,null,null,"用途・品目・数量等"]
["賃金・報酬"]
["謝金"]
["会議費"]
["旅費"]
["需用費"]
["役務費"]
["委託料"]
["使用料及び賃借料"]
["備品購入費"]
["合計",null,null,null,null,null,null,{"$f":"SUM(H51:L59)","v":0}]
[]
["（注）２．及び４．の事業の申請額（今回申請分）は、補助上限額と所要額を比較していずれか低い方の額が入力される。"]

{"sheet":"職員表","index":5,"n_rows":85,"n_cols":24,"rows_kept":85,"cut":false,"hidden":false,"merged":[[3,21,3,23],[3,15,3,18],[3,19,3,20],[3,0,4,0],[3,6,4,6],[3,7,3,9],[3,14,4,14],[3,1,4,1],[3,2,4,2],[3,3,4,3],[3,10,3,13]]}
["（様式３）介護慰労金受給職員表（法人単位）"]
[]
["※　本表は法人単位でまとめて記載すること。"]
[null,"氏名\n（漢字）","氏名\n（全角カナ）","生年月日\n（西暦）",null,null,"本人の住所","主たる勤務先",null,null,"分類",null,null,null,"慰労金\n(万円)","確認事項",null,null,null,"支払実績",null,"重複ﾁｪｯｸ"]
[null,null,null,null,"（確認用）","（確認用）",null,"事業所番号","サービス種類コード","事業所・施設の名称","施設区分","対応区分","(計算用)","他の施設等との期間通算がある場合その施設名",null,"委任状の有無","他法人での慰労金の申請の有無","業務委託による\n従事者","重複\n申請者確認用","支払年月日\n(西暦)","支払金額\n（円）","氏名","カナ","生年月日"]
[{"$f":"ROW()-5","v":1},null,null,null,{"$f":"B6&C6&D6","v":""},{"$f":"IF(E6=\"\",\"\",COUNTIF($E$6:$E$85,E6))","v":""},null,null,null,null,null,null,{"$f":"K6&L6","v":""},null,{"$f":"IFERROR(VLOOKUP(M6,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,{"$f":"IF(B6=\"\",\"\",IF(COUNTIF(V6:X6,\">=\"&2),\"！\",\"可\"))","v":""},null,null,{"$f":"IF(B6=\"\",\"\",COUNTIF($B$6:$B85,B6))","v":""},{"$f":"IF(C6=\"\",\"\",COUNTIF($C$6:$C85,C6))","v":""},{"$f":"IF(D6=\"\",\"\",COUNTIF($D$6:$D85,D6))","v":""}]
[{"$f":"ROW()-5","v":2},null,null,null,{"$f":"B7&C7&D7","v":""},{"$f":"IF(E7=\"\",\"\",COUNTIF($E$6:$E$85,E7))","v":""},null,null,null,null,null,null,{"$f":"K7&L7","v":""},null,{"$f":"IFERROR(VLOOKUP(M7,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,{"$f":"IF(B7=\"\",\"\",IF(COUNTIF(V7:X7,\">=\"&2),\"！\",\"可\"))","v":""},null,null,{"$f":"IF(B7=\"\",\"\",COUNTIF($B$6:$B86,B7))","v":""},{"$f":"IF(C7=\"\",\"\",COUNTIF($C$6:$C86,C7))","v":""},{"$f":"IF(D7=\"\",\"\",COUNTIF($D$6:$D86,D7))","v":""}]
[3,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M8,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B8=\"\",\"\",COUNTIF($B$6:$B87,B8))","v":""},{"$f":"IF(C8=\"\",\"\",COUNTIF($C$6:$C87,C8))","v":""},{"$f":"IF(D8=\"\",\"\",COUNTIF($D$6:$D87,D8))","v":""}]
[4,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M9,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B9=\"\",\"\",COUNTIF($B$6:$B88,B9))","v":""},{"$f":"IF(C9=\"\",\"\",COUNTIF($C$6:$C88,C9))","v":""},{"$f":"IF(D9=\"\",\"\",COUNTIF($D$6:$D88,D9))","v":""}]
[5,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M10,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B10=\"\",\"\",COUNTIF($B$6:$B89,B10))","v":""},{"$f":"IF(C10=\"\",\"\",COUNTIF($C$6:$C89,C10))","v":""},{"$f":"IF(D10=\"\",\"\",COUNTIF($D$6:$D89,D10))","v":""}]
[6,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M11,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B11=\"\",\"\",COUNTIF($B$6:$B90,B11))","v":""},{"$f":"IF(C11=\"\",\"\",COUNTIF($C$6:$C90,C11))","v":""},{"$f":"IF(D11=\"\",\"\",COUNTIF($D$6:$D90,D11))","v":""}]
[7,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M12,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B12=\"\",\"\",COUNTIF($B$6:$B91,B12))","v":""},{"$f":"IF(C12=\"\",\"\",COUNTIF($C$6:$C91,C12))","v":""},{"$f":"IF(D12=\"\",\"\",COUNTIF($D$6:$D91,D12))","v":""}]
[8,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M13,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B13=\"\",\"\",COUNTIF($B$6:$B92,B13))","v":""},{"$f":"IF(C13=\"\",\"\",COUNTIF($C$6:$C92,C13))","v":""},{"$f":"IF(D13=\"\",\"\",COUNTIF($D$6:$D92,D13))","v":""}]
[9,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M14,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B14=\"\",\"\",COUNTIF($B$6:$B93,B14))","v":""},{"$f":"IF(C14=\"\",\"\",COUNTIF($C$6:$C93,C14))","v":""},{"$f":"IF(D14=\"\",\"\",COUNTIF($D$6:$D93,D14))","v":""}]
[10,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M15,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B15=\"\",\"\",COUNTIF($B$6:$B94,B15))","v":""},{"$f":"IF(C15=\"\",\"\",COUNTIF($C$6:$C94,C15))","v":""},{"$f":"IF(D15=\"\",\"\",COUNTIF($D$6:$D94,D15))","v":""}]
[11,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M16,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B16=\"\",\"\",COUNTIF($B$6:$B95,B16))","v":""},{"$f":"IF(C16=\"\",\"\",COUNTIF($C$6:$C95,C16))","v":""},{"$f":"IF(D16=\"\",\"\",COUNTIF($D$6:$D95,D16))","v":""}]
[12,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M17,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B17=\"\",\"\",COUNTIF($B$6:$B96,B17))","v":""},{"$f":"IF(C17=\"\",\"\",COUNTIF($C$6:$C96,C17))","v":""},{"$f":"IF(D17=\"\",\"\",COUNTIF($D$6:$D96,D17))","v":""}]
[13,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M18,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B18=\"\",\"\",COUNTIF($B$6:$B97,B18))","v":""},{"$f":"IF(C18=\"\",\"\",COUNTIF($C$6:$C97,C18))","v":""},{"$f":"IF(D18=\"\",\"\",COUNTIF($D$6:$D97,D18))","v":""}]
[14,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M19,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B19=\"\",\"\",COUNTIF($B$6:$B98,B19))","v":""},{"$f":"IF(C19=\"\",\"\",COUNTIF($C$6:$C98,C19))","v":""},{"$f":"IF(D19=\"\",\"\",COUNTIF($D$6:$D98,D19))","v":""}]
[15,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M20,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B20=\"\",\"\",COUNTIF($B$6:$B99,B20))","v":""},{"$f":"IF(C20=\"\",\"\",COUNTIF($C$6:$C99,C20))","v":""},{"$f":"IF(D20=\"\",\"\",COUNTIF($D$6:$D99,D20))","v":""}]
[16,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M21,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B21=\"\",\"\",COUNTIF($B$6:$B100,B21))","v":""},{"$f":"IF(C21=\"\",\"\",COUNTIF($C$6:$C100,C21))","v":""},{"$f":"IF(D21=\"\",\"\",COUNTIF($D$6:$D100,D21))","v":""}]
[17,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M22,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B22=\"\",\"\",COUNTIF($B$6:$B101,B22))","v":""},{"$f":"IF(C22=\"\",\"\",COUNTIF($C$6:$C101,C22))","v":""},{"$f":"IF(D22=\"\",\"\",COUNTIF($D$6:$D101,D22))","v":""}]
[18,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M23,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B23=\"\",\"\",COUNTIF($B$6:$B102,B23))","v":""},{"$f":"IF(C23=\"\",\"\",COUNTIF($C$6:$C102,C23))","v":""},{"$f":"IF(D23=\"\",\"\",COUNTIF($D$6:$D102,D23))","v":""}]
[19,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M24,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B24=\"\",\"\",COUNTIF($B$6:$B103,B24))","v":""},{"$f":"IF(C24=\"\",\"\",COUNTIF($C$6:$C103,C24))","v":""},{"$f":"IF(D24=\"\",\"\",COUNTIF($D$6:$D103,D24))","v":""}]
[20,null,null,null,"","",null,null,null,null,null,null,"",null,{"$f":"IFERROR(VLOOKUP(M25,計算用!$A$8:$B$15,2,FALSE),\"\")","v":""},null,null,null,"",null,null,{"$f":"IF(B25=\"\",\"\",COUNTIF($B$6:$B104,B25))","v":""},{"$f":"IF(C25=\"\",\"\",COUNTIF($C$6:$C104,C25))","v":""},{"$f":"IF(D25=\"\",\"\",COUNTIF($D$6:$D104,D25))","v":""}]
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["（様式４）事業所口座情報"]
[]
["No","事業所番号","事業所・施設名","申請額\n（千円）","口座情報（ゆうちょ銀行を除く）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口座情報（ゆうちょ銀行）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口座フラグ"]
[null,null,null,null,"金融機関名","金融機関コード",null,null,null,"支店名","支店コード",null,null,"分類","口座番号（右詰めでお書きください）",null,null,null,null,null,null,"口座名義（フリガナ）","口座名義","店番",null,null,"通帳記号\n（6桁目がある場合は※欄に記入下さい",null,null,null,null,null,"口座番号",null,null,null,null,null,null,null,"口座名義（フリガナ）","口座名義","ゆうちょ以外","ゆうちょ"]
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{"sheet":"計算用","index":7,"n_rows":67,"n_cols":8,"rows_kept":67,"cut":false,"hidden":true,"merged":[]}
[null,null,null,null,null,null,null,"※本シートは絶対に編集しないこと。"]
["施設区分"]
["陽性者(濃厚接触者)発生施設","通所系･施設系で1日以上勤務又は訪問系で陽性者等に1日以上対応","訪問系で陽性者等への対応はないが対象期間に10日以上勤務","対象期間の勤務が９日以下"]
["その他の施設","対象期間に10日以上勤務","対象期間の勤務が9日以下"]
[]
[]
["慰労金単価"]
[{"$f":"A3&B3","v":"陽性者(濃厚接触者)発生施設通所系･施設系で1日以上勤務又は訪問系で陽性者等に1日以上対応"},20]
[{"$f":"A3&C3","v":"陽性者(濃厚接触者)発生施設訪問系で陽性者等への対応はないが対象期間に10日以上勤務"},5]
[{"$f":"A3&D3","v":"陽性者(濃厚接触者)発生施設対象期間の勤務が９日以下"},0]
[{"$f":"A4&B4","v":"その他の施設対象期間に10日以上勤務"},5]
[{"$f":"A4&C4","v":"その他の施設対象期間の勤務が9日以下"},0]
[]
[]
[]
[]
["なし"]
["あり"]
[]
[]
["北海道"]
["青森県"]
["岩手県"]
["宮城県"]
["秋田県"]
["山形県"]
["福島県"]
["茨城県"]
["栃木県"]
["群馬県"]
["埼玉県"]
["千葉県"]
["東京都"]
["神奈川県"]
["新潟県"]
["富山県"]
["石川県"]
["福井県"]
["山梨県"]
["長野県"]
["岐阜県"]
["静岡県"]
["愛知県"]
["三重県"]
["滋賀県"]
["京都府"]
["大阪府"]
["兵庫県"]
["奈良県"]
["和歌山県"]
["鳥取県"]
["島根県"]
["岡山県"]
["広島県"]
["山口県"]
["徳島県"]
["香川県"]
["愛媛県"]
["高知県"]
["福岡県"]
["佐賀県"]
["長崎県"]
["熊本県"]
["大分県"]
["宮崎県"]
["鹿児島県"]
["沖縄県"]