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{"sheet":"申請の流れ","index":0,"n_rows":38,"n_cols":11,"rows_kept":38,"cut":false,"hidden":false,"merged":[[37,8,39,12],[0,1,1,12],[7,1,7,6],[7,8,7,12],[9,1,12,6],[14,1,16,6],[18,1,20,6],[21,1,21,6],[23,1,26,6],[28,8,30,12],[32,1,35,6],[32,8,35,12]]}
[null,"補助金申請から支払いまでの全体の流れ"]
[]
[]
[null,null,"…申請に関すること"]
[]
[null,null,"…電子通知（SLEP）に関すること"]
[]
[null,"申請者",null,null,null,null,null,null,"出雲市"]
[]
[null,"①申請書作成\n申請書フォーマットの「入力シート」・「別紙」シートへ必要事項を入力してください。\nその他の提出書類があれば準備してください。"]
[]
[]
[]
[null,null,null,null,"↓"]
[null,"②提出用ZIPファイル作成\n申請書フォーマットの「入力シート」にある「申請書出力」ボタンを押してください。"]
[]
[]
[null,null,null,null,"↓"]
[null,"③電子申請\n出雲市ホームページへ掲載しているURLから電子申請フォームへアクセスし、\n②で出力した提出用ＺＩＰファイル等を添付して提出してください。\n【出雲市ホームページ】"]
[]
[]
[null,"https://www.city.izumo.shimane.jp/www/contents/1717562590013/index.html"]
[null,null,null,null,"↓"]
[null,"④電子通知（SLEP）登録 ※初回のみ\n支給決定通知書を受け取るため、電子通知（SLEP）のアカウント登録を行ってください。（詳細は出雲市ホームページをご確認ください。）"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,"⑤申請内容確認・審査"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"↓"]
[null,"⑦支給決定通知書確認\n支給決定金額・振込日等をご確認ください。\n※電子通知（SLEP）にて受け取る場合、通知物配信のメールが届きます。",null,null,null,null,null,null,"⑥支給決定通知書を送付\n電子通知（SLEP）または郵送"]
[]
[null,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補助金振込\n申請時に記載された口座へ振り込みます"]

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[null,"介護人材確保・定着推進補助金交付申請書"]
[]
[]
["　1　申請情報",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"法人・個人区分"]
[null,null,"①"," 申請日（西暦YYYYMMDDで入力）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,"②"," 申請者所在地"]
[null,null,"③"," 氏名（法人にあっては、法人名）"]
[null,null,"④"," カナ氏名"]
[null,null,"⑤"," 申請者連絡先"]
[null,null,"⑥"," 担当者名",null,null,null,null,null,null,null,null,null,null,null,"＊"]
[null,null,"⑦"," 代表者名",null,null,null,null,null,null,null,null,null,null,null,"＊"]
[]
["　2　電子通知（SLEP）受取先"]
[null,null,"⑧","電子通知(SLEP)受取先 事業所番号",null,null,null,null,null,null,null,null,null,null,null,"＊"]
[null,null,null,"⑥～⑧：（＊）法人の場合に記入してください。"]
[]
["　3　振込口座"]
[null,null,"金融機関名\n(コード)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"支店名\n(コード)"]
[]
[null,null,"預金種目",null,null,null,"1. 普通",null,null,null,"口座番号\n（右詰め）"]
[null,null,null,null,null,null,"2. 当座"]
[null,null,"口座名義",null,null,null,"フリガナ"]
[null,null,null,null,null,null,"氏　名"]
[null,null,"※　口座名義は，フリガナを必ず記入してください。"]
[]
["　4　各種申請"]
[null,null,"補助内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"内訳",null,null,null,null,"申請額"]
[null,null,null,null,"条件不利地域における訪問サービス等への助成",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回",null,null,null,null,null,null,"円"]
[null,null,null,null,"常勤の訪問介護職員の新規雇用への助成",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,"円"]
[null,null,null,null,"常勤の介護支援専門員の新規雇用への助成",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,"円"]
[null,null,null,null,"留学生受入に係る経費への助成（就労時）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,"円"]
[null,null,null,null,"留学生受入に係る経費への助成（６か月経過後）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,"円"]
[null,null,null,null,"特定技能外国人受入に係る経費への助成",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,"円"]
[null,null,null,null,"介護支援専門員の資格取得研修等支援",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,"円"]
[null,null,null,null,"人工知能関連技術を用いたケアプラン作成及び",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"―",null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,"モニタリング実施への助成"]
[null,null,null,null,"重点的に支援が必要な高齢者の支援への助成",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人/月",null,null,null,null,null,null,null,"円"]
[null,null,null,null,"新規就労者への就業継続支援",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月",null,null,null,null,null,null,"円"]
[null,null,"合計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(Z28:AE38)","v":0},null,null,null,null,null,"円"]
[]
[null,null,"＜必要申請書類＞"]
[null,null,null,"別紙２（訪問サービス等実施報告書）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(C28=\"○\",\"必須\",\"不要\")","v":"不要"}]
[null,null,null,"別紙３（勤務実績報告書）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(C29=\"○\",C30=\"○\"),\"必須\",\"不要\")","v":"不要"}]
[null,null,null,"別紙４（誓約書兼同意書）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(C38=\"○\"),IF(U38=\"内訳の選択\",\"内訳の選択\",IF(U38=6,\"必須\",\"不要\")),\"不要\")","v":"不要"}]
[null,null,null,"別紙５（就労継続証明書）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(C29=\"○\",C30=\"○\",C31=\"○\",C32=\"○\",C33=\"○\",C38=\"○\"),\"必須\",\"不要\")","v":"不要"}]
[null,null,null,"別紙６（補助金額算定調書）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(C31=\"○\",C32=\"○\",C33=\"○\"),\"必須\",\"不要\")","v":"不要"}]
[null,null,null,"別紙７（届出書）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(C35=\"○\",\"必須\",\"不要\")","v":"不要"}]

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["様式第1号(第4条関係)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"入力シート!Q5","v":0},null,null,null,"年",{"$f":"入力シート!V5","v":0},null,"月",{"$f":"入力シート!Y5","v":0},null,"日"]
[]
["　　　出 雲 市 長　様"]
[]
[null,null,null,null,null,null,null,"申 請 者　所 在 地",null,null,null,null,null,null,null,{"$f":"入力シート!Q6","v":0}]
[null,null,null,null,null,null,null,"　　　　氏　　　名",null,null,null,null,null,null,null,{"$f":"入力シート!Q7","v":0}]
["（法人にあっては、法人名）"]
[null,null,null,null,null,null,null,"　　代　表　者　名",null,null,null,null,null,null,"＊",{"$f":"入力シート!Q11","v":0}]
["（＊ 法人の場合に記入）"]
[]
[null,null,null,null,null,null,null,null,"介護人材確保・定着推進補助金交付申請書"]
[]
["　このことについて、次により補助金を交付されるよう関係書類を添えて申請します。"]
[]
[]
["　1　申　請　額",null,null,null,null,null,null,null,"金",null,{"$f":"様式第1号別紙!Y19","v":0},null,null,null,null,"円"]
[]
["　2　介護人材確保・定着推進補助金　所要額調書(様式第1号別紙)"]
[]
["　3　添付書類"]
[null,"　その他参考となる資料"]
[]
["　4　振込口座"]
[null,null,"金融機関名\n(コード)",null,null,null,{"$f":"入力シート!G18","v":0},null,null,null,null,null,null,null,null,null,null,"支店名\n(コード)",null,null,null,{"$f":"入力シート!V18","v":0}]
[null,null,null,null,null,null,{"$f":"IF(入力シート!G19<>\"\",入力シート!G19,\"\")","v":""},null,{"$f":"IF(入力シート!I19<>\"\",入力シート!I19,\"\")","v":""},null,{"$f":"IF(入力シート!K19<>\"\",入力シート!K19,\"\")","v":""},null,{"$f":"IF(入力シート!M19<>\"\",入力シート!M19,\"\")","v":""},null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!V19<>\"\",入力シート!V19,\"\")","v":""},null,{"$f":"IF(入力シート!X19<>\"\",入力シート!X19,\"\")","v":""},null,{"$f":"IF(入力シート!Z19<>\"\",入力シート!Z19,\"\")","v":""}]
[null,null,"預金種目",null,null,null,"1. 普通",null,null,{"$f":"入力シート!J20","v":0},"口座番号\n（右詰め）",null,null,null,null,null,{"$f":"IF(入力シート!Q20<>\"\",入力シート!Q20, \"\")","v":""},null,{"$f":"IF(入力シート!S20<>\"\",入力シート!S20, \"\")","v":""},null,{"$f":"IF(入力シート!U20<>\"\",入力シート!U20, \"\")","v":""},null,{"$f":"IF(入力シート!W20<>\"\",入力シート!W20, \"\")","v":""},null,{"$f":"IF(入力シート!Y20<>\"\",入力シート!Y20, \"\")","v":""},null,{"$f":"IF(入力シート!AA20<>\"\",入力シート!AA20, \"\")","v":""},null,{"$f":"IF(入力シート!AC20<>\"\",入力シート!AC20, \"\")","v":""},null,{"$f":"IF(入力シート!AE20<>\"\",入力シート!AE20, \"\")","v":""}]
[null,null,null,null,null,null,"2. 当座"]
[null,null,"口座名義",null,null,null,"フリガナ",null,null,null,{"$f":"入力シート!K22","v":0}]
[null,null,null,null,null,null,"氏　名",null,null,null,{"$f":"入力シート!K23","v":0}]
[]
[null,null,"※　口座名義は，フリガナを必ず記入してください。"]
[]
[null,null,"　出雲市から私に支払われる「介護人材確保・定着推進補助金」は，私が指定する上記口"]
[null,null,"座に振り込んでください。振り込みされたことにより支払いを受けたものと認めます。"]

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["様式第1号別紙"]
[null,null,null,null,null,null,null,null,"介護人材確保・定着推進補助金　所要額調書"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"申請者名：",null,null,null,{"$f":"様式第1号!P7","v":0}]
[]
["補助内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"内訳",null,null,null,null,null,null,null,"申請額"]
[]
["条件不利地域における訪問サービス等への助成",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!C28=\"○\",入力シート!U28,\"\")","v":""},null,null,null,null,null,null,"回",{"$f":"IF(入力シート!C28=\"○\",入力シート!Z28,\"\")","v":""},null,null,null,null,null,null,"円"]
["常勤の訪問介護職員の新規雇用への助成",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!C29=\"○\",入力シート!U29,\"\")","v":""},null,null,null,null,null,null,"人",{"$f":"IF(入力シート!C29=\"○\",入力シート!Z29,\"\")","v":""},null,null,null,null,null,null,"円"]
["常勤の介護支援専門員の新規雇用への助成",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!C30=\"○\",入力シート!U30,\"\")","v":""},null,null,null,null,null,null,"人",{"$f":"IF(入力シート!C30=\"○\",入力シート!Z30,\"\")","v":""},null,null,null,null,null,null,"円"]
["留学生受入に係る経費への助成（就労時）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!C31=\"○\",入力シート!U31,\"\")","v":""},null,null,null,null,null,null,"人",{"$f":"IF(入力シート!C31=\"○\",入力シート!Z31,\"\")","v":""},null,null,null,null,null,null,"円"]
["留学生受入に係る経費への助成（６か月経過後）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!C32=\"○\",入力シート!U32,\"\")","v":""},null,null,null,null,null,null,"人",{"$f":"IF(入力シート!C32=\"○\",入力シート!Z32,\"\")","v":""},null,null,null,null,null,null,"円"]
["特定技能外国人受入に係る経費への助成",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!C33=\"○\",入力シート!U33,\"\")","v":""},null,null,null,null,null,null,"人",{"$f":"IF(入力シート!C33=\"○\",入力シート!Z33,\"\")","v":""},null,null,null,null,null,null,"円"]
["介護支援専門員の資格取得研修等支援",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!C34=\"○\",入力シート!U34,\"\")","v":""},null,null,null,null,null,null,"人",{"$f":"IF(入力シート!C34=\"○\",入力シート!Z34,\"\")","v":""},null,null,null,null,null,null,"円"]
["人工知能関連技術を用いたケアプラン作成及び",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"入力シート!U35","v":"―"},null,null,null,null,null,null,null,{"$f":"IF(入力シート!C35=\"○\",入力シート!Z35,\"\")","v":""},null,null,null,null,null,null,"円"]
["モニタリング実施への助成"]
["重点的に支援が必要な高齢者の支援への助成",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!C37=\"○\",入力シート!U37,\"\")","v":""},null,null,null,null,null,null,null,{"$f":"IF(入力シート!C37=\"○\",入力シート!Z37,\"\")","v":""},null,null,null,null,null,null,"円"]
["新規就労者への就業継続支援",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!C38=\"○\",入力シート!U38,\"\")","v":""},null,null,null,null,null,null,"月",{"$f":"IF(入力シート!C38=\"○\",入力シート!Z38,\"\")","v":""},null,null,null,null,null,null,"円"]
["合計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(Y8:AE18)","v":0},null,null,null,null,null,null,"円"]
[]
[]
[]
[null,"注）1　「条件不利地域における訪問サービス等への助成」を申請する場合は、訪問サービス等実"]
[null,"　　　施報告書（別紙2）を添付すること。"]
[null,"　　2　「雇用や受入に係る経費への助成」を申請する場合は、勤務実績報告書（別紙3）（受"]
[null,"　　　入に係る経費への助成では不要。）、就労継続証明書（別紙5）及び経費の内訳が分かる"]
[null,"　　　書類等を添付すること。"]
[null,"　　3　「介護支援専門員の資格取得研修等支援」を申請する場合は、介護支援専門実務研修受講"]
[null,"　　　試験に合格したことが分かる書類及び受講を予定する研修内容並びに受講料及び教材費の"]
[null,"　　　領収書の写しを添付すること。"]
[null,"　　4　「人工知能関連技術を用いたケアプラン作成及びモニタリング実施への助成」を申請する"]
[null,"　　　場合は、あらかじめ「人工知能関連技術を用いたケアプラン作成及びモニタリング実施に"]
[null,"　　　関する届出書」(別紙7)を提出した上で、申請の際に請求書等経費の内訳が確認できる書類"]
[null,"　　　及び領収書等支払いが確認できる書類を添付すること。"]
[null,"　　5　「重点的に支援が必要な高齢者の支援への助成」を申請する場合は、アセスメントシート"]
[null,"　　　等利用者の該当が確認できる書類及び給付管理票等該当利用者のケアマネジメント料の算"]
[null,"　　　定実績が確認できる書類を添付すること。"]
[null,"　　6　「新規就労者への就業継続支援」を申請する場合は、誓約書兼同意書（別紙4）及び就労"]
[null,"　　　継続証明書（別紙5）を添付すること。（誓約書兼同意書（別紙4）は初回申請のみ。）"]
[null,"　　7　その他、必要に応じて確認のため追加で資料の提出を求めることがあること。"]
[null,"　　8　「留学生受入に係る経費への助成」「特定技能外国人受入に係る経費への助成」「人工知"]
[null,"　　　能関連技術を用いたケアプラン作成及びモニタリング実施への助成」を申請する場合は、"]
[null,"　　　経費については消費税及び地方消費税を除いた費用を記載すること。"]

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[null,"訪 問 サ ー ビ ス 等 実 施 報 告 書"]
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[null,"事業所番号"]
[null,"事業所所在地"]
[null,"サービス種別"]
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[null,"勤 務 実 績 報 告 書"]
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[null,"事業者名",null,null,null,null,{"$f":"入力シート!Q7","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助対象者",null,null,null,"申請額"]
[null,"事業所名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人",{"$f":"AE7*200000","v":0},null,null,"円"]
[null,"事業所番号"]
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["別紙4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!U44=\"必須\",\"申請に必要なシートです。入力してください。\", \"申請に不要なシートです。\")","v":"申請に不要なシートです。"}]
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[]
["出雲市長　様"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名"]
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[null,null,null,null,null,null,null,null,"誓約書兼同意書"]
[]
[]
[null,"　私は、出雲市介護人材確保・定着推進補助金の交付の申請にあたり、下記の内"]
[null,"容について確認し誓約します。"]
[null,"　誓約した内容と事実が相違することが判明した場合には、奨励金の交付を受"]
[null,"けられないことになっても異議はありません。"]
[null,"　また、申請条件の審査を行うに当たり必要があるときは、審査の対象となる納"]
[null,"税及び納付状況、勤務実態等について、市町村、市内介護保険事業所等に必要な"]
[null,"書類を閲覧させ、又はその内容を記録させることに同意いたします。"]
[null,"　その他、市長が必要であると認めるときは、申請者に対し報告を求め、若しく"]
[null,"は文書を提出させ、又は調査を行うことができることに同意いたします。"]
[]
[null,"記"]
[null,"（確認済の場合 ○ してください。）"]
[null,"確認事項",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"確認済"]
[null,"申請書及び提出書類の内容は、すべて事実と相違ありません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　"]
[]
[null,"介護職等として、市内の介護保険事業所で３年以上就労します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　"]
[]
[null,"現在、勤務先の事業所に就職前の過去１年以内に、出雲市内で常勤の介護の業務に従事していません。（同一法人事業所除く。）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　"]
[]
[]
[]
[null,"過去に当該制度の奨励金の助成を受けていません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　"]
[]
[null,"市税、保険料等市に対する納付金を滞納していません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　"]
[]
[null,"奨励金の交付を受けた後、市長が虚偽や不正の申請であると認定した場合は奨励金の返還に応じます。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　"]

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[]
["出雲市長　様"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所 在 地"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"法 人 名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代 表 者 名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者連絡先"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（担当者名",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,"就労継続証明書"]
[]
[null,"下記の者について、雇用開始日より継続して就労していることを証明します。"]
[null,"被雇用者",null,null,null,null,null,null,"氏名",null,null,null,null,null,null,null,null,null,"生年月日\n(YYYYMMDD)",null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,null,null,null,null,null,null,null,"住所"]
[]
[null,"就業先事業所",null,null,null,null,null,null,"名称"]
[]
[null,null,null,null,null,null,null,null,"所在地"]
[]
[null,"雇用開始日\n(YYYYMMDD)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"職種\n(対象項目に ○ )",null,null,null,null,null,null,"　","介護職員",null,null,null,null,null,null,null,"　","看護職員"]
[null,null,null,null,null,null,null,null,"　","生活相談員",null,null,null,null,null,null,null,"　","機能訓練指導員"]
[null,null,null,null,null,null,null,null,"　","介護支援専門員"]
[null,null,null,null,null,null,null,null,"　","その他（",null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"勤務形態",null,null,null,null,null,null,"常勤",null,null,null,null,null,"勤務時間",null,null,null,null,null,null,null,"週平均",null,null,null,null,null,null,"時間"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（※短時間勤務）",null,null,null,null,null,null,"（","週平均",null,null,null,null,null,null,"時間）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（","月平均",null,null,null,null,null,null,"時間）"]
[null,"雇用期間の定め",null,null,null,null,null,null,"なし",null,null,null,null,null,"市内事業所への\n異動歴",null,null,null,null,null,null,"なし"]

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["別紙6",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!U46=\"必須\",\"申請に必要なシートです。入力してください。\", \"申請に不要なシートです。\")","v":"申請に不要なシートです。"}]
[]
[null,"補 助 金 額 算 定 調 書"]
[]
[null,"事業者名",null,null,null,{"$f":"入力シート!Q7","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助対象者（人）",null,null,null,"申請額（円）"]
[null,"事業所名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(S28:AG28,\">0\")","v":0},null,null,null,{"$f":"AH31","v":0}]
[null,"事業所番号"]
[null,"事業所所在地"]
[null,"サービス種別"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（単位：円）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受入を行う外国人人材１人当たりの金額【税抜】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,null,null,2,null,null,3,null,null,4,null,null,5]
[null,"補助対象経費","留学生","①","学費",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,{"$f":"SUM(S13:AG13)","v":0}]
[null,null,null,"②","入学準備金",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,0]
[null,null,null,"③","就職準備金",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,0]
[null,null,null,"④","介護福祉士試験受験対策費用及び居住費などの生活費",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,0]
[null,null,"特定技能外国人","⑦","渡航費用(往路)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,0]
[null,null,null,"⑧","取次費用",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,"⑨","健康診断費用",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,"⑩","渡航前・入国後講習等費用",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,"⑪","外国人労働者保険",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,"⑫","その他受入れに要する費用",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,"補助対象外経費",null,"⑬","住居の初期費用",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,"その他",null,"（",null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,"その他",null,"（",null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,"その他",null,"（",null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,"その他",null,"（",null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,"計（Ａ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(S13:U22)","v":0},null,null,{"$f":"SUM(V13:X22)","v":0},null,null,{"$f":"SUM(Y13:AA22)","v":0},null,null,{"$f":"SUM(AB13:AD22)","v":0},null,null,{"$f":"SUM(AE13:AG22)","v":0},null,null,0]
[null,"他の補助金及び貸付金等の支給額（Ｂ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,"補助対象額（Ａ－Ｂ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"S28-S29","v":0},null,null,{"$f":"V28-V29","v":0},null,null,{"$f":"Y28-Y29","v":0},null,null,{"$f":"AB28-AB29","v":0},null,null,{"$f":"AE28-AE29","v":0},null,null,0]
[null,"                補助金額｛（Ａ－Ｂ）×１/２｝　\n※留学生は上限１００万円、特定技能外国人は上限２０万円。\n※留学生受入に係る経費への助成については、就労時に助成金額の2分の1に相当する額を\n  交付決定し、6か月以上雇用した場合には、助成金額の残額を交付決定する。\n※千円に満たない端数は切り捨てとする。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(SUM(S13:S16)>0,MIN(S30/4,500000),IF(SUM(S17:S22)>0,MIN(S30/2,200000),\"\"))","v":""},null,null,{"$f":"IF(SUM(V13:V16)>0,MIN(V30/4,500000),IF(SUM(V17:V22)>0,MIN(V30/2,200000),\"\"))","v":""},null,null,{"$f":"IF(SUM(Y13:Y16)>0,MIN(Y30/4,500000),IF(SUM(Y17:Y22)>0,MIN(Y30/2,200000),\"\"))","v":""},null,null,{"$f":"IF(SUM(AB13:AB16)>0,MIN(AB30/4,500000),IF(SUM(AB17:AB22)>0,MIN(AB30/2,200000),\"\"))","v":""},null,null,{"$f":"IF(SUM(AE13:AE16)>0,MIN(AE30/4,500000),IF(SUM(AE17:AE22)>0,MIN(AE30/2,200000),\"\"))","v":""},null,null,{"$f":"ROUNDDOWN(SUM(S31:AG31),-3)","v":0}]

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["別紙7",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!U47=\"必須\",\"申請に必要なシートです。入力してください。\", \"申請に不要なシートです。\")","v":"申請に不要なシートです。"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"入力シート!Q5","v":0},null,null,null,"年",{"$f":"入力シート!V5","v":0},null,"月",{"$f":"入力シート!Y5","v":0},null,"日"]
[]
["出雲市長　様"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"届出者所在地",null,{"$f":"入力シート!Q6","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,{"$f":"入力シート!Q7","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,{"$f":"入力シート!Q11","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,"（法人にあっては、名称及び代表者の氏名）"]
[]
["人工知能関連技術を用いたケアプラン作成及びモニタリング実施に関する届出書"]
[]
[null,"　人工知能関連技術(※１)を用いたケアプラン作成及びモニタリング実施について、"]
[null,"下記のとおり届け出ます。"]
[null,"記"]
[]
[null,null,null,"届出事項",null,null,null,null,null,null,null,null,null,"届出内容"]
[null,"ケアプラン作成",null,"①",null,"システム又は\nサービス名(※２)"]
[]
[]
[null,null,null,"②",null,"①のシステム又は\nサービス事業者"]
[]
[]
[null,null,null,"③",null,"①に係る当年度経費\n見込額(※３)"]
[]
[]
[null,"モニタリング実施",null,"④",null,"システム又は\nサービス名(※２)"]
[]
[]
[null,null,null,"⑤",null,"①のシステム又は\nサービス事業者"]
[]
[]
[null,null,null,"⑥",null,"①に係る当年度経費\n見込額(※３)"]
[]
[]
[null,"※１　人工的な方法により人間の認知、推論及び判断に係る知的な能力を代替する機能"]
[null,"    を実現するために必要な技術並びに入力された情報を当該技術を利用して処理し、"]
[null,"　　その結果を出力する機能を実現するための情報処理システムに関する技術をいい"]
[null,"　　ます。"]
[null,"※２　届出を行うシステム又はサービスに、人工知能関連技術が用いられていることや"]
[null,"　　運用経費がわかる書類を添付して提出してください。その他、必要に応じて追加で"]
[null,"　　資料の提出を求めることがあります。"]
[null,"※３　③及び⑥については、人工知能関連技術を用いたケアプラン作成及びモニタリン"]
[null,"　　グ実施への助成対象経費となる直接経費（消費税及び地方消費税は除きます。）と"]
[null,"　　して計上可能な必要最低限の運用経費（オプションの場合はその経費のみ）を計上"]
[null,"　　してください。"]