{"text_format":"1","workbook":"xlsx","n_sheets":9,"sheets":["(はじめにお読み下さい)申請書の使い方","申請書","申請額一覧","別添","個票1","請求書","委任状","職員表","計算用"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":10,"comments":7,"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":"(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],[2,0,2,3],[3,0,3,3]]}
[]
["本申請書の使い方、申請の手順【県（長寿介護課）提出用】"]
["※支援金分のみ入力して申請してください。"]
["※慰労金を申請する場合、別に定めた様式（県ホームページ掲載）にて申請してください。"]
["手順","都道府県の作業","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"]
[{"$f":"A6+1","v":2},null,"本Excelを各事業所に配布し、以下の様式への記入を依頼\n・別記様式第２号（個票）\n※Excelファイルを開封した際は、｢コンテンツの有効化｣をクリック"]
[{"$f":"A7+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【別記様式第２号（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"]
[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,"「介護保険事業所番号」について\n有料老人ホーム等の介護保険事業所番号がない場合、\n仮事業所番号として、10桁で「450000000●」と入力。10桁目の「●」には「個表●」の「●」と同じ数字を入力してください。\n【例】\n「個表１」の場合、「4500000001」とする。\n「個表２」の場合、「4500000002」とする。\n※国保連提出のデータには入れないでください（県提出データにまとめる）。"]
[6,null,"別記様式第２号（個票）の内容が、別添２（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２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。"]
[{"$f":"A11+1","v":7},null,"別添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,"申請書（別記様式第１号）に、申請者の法人名、代表者名、日付を入力"]
[9,null,"Excelファイル名を下記のとおり変更する。\n【例】\n「介護支援金**********.xlsm」\n※注「**********」は代表となる事業所の事業所番号"]
[10,null,"完成したExcelファイルを宮崎県（長寿介護課）に送付\n※送付方法は別添マニュアルを参照"]
[11,"事業者からExcelファイルを受領し、内容を審査"]
[12,"県（長寿介護課）で必要な作業を行い、事業者に助成金を交付\n※県から請求書に記載した法人（事業所・施設等）の口座に振り込まれる。"]

{"sheet":"申請書","index":1,"n_rows":41,"n_cols":62,"rows_kept":41,"cut":false,"hidden":false,"merged":[[40,28,40,36],[39,20,40,22],[39,24,39,27],[40,24,40,27],[9,0,9,38],[37,20,37,26],[38,20,38,26],[37,28,37,36],[38,28,38,36],[39,28,39,36],[13,1,13,9],[13,10,13,17],[17,2,17,22],[36,28,36,36],[35,20,36,27],[35,29,35,32],[2,35,2,36],[2,32,2,33],[2,29,2,30],[18,2,18,22],[19,2,19,22],[16,2,16,22],[16,23,16,27],[17,23,17,27],[18,23,18,27],[19,23,19,27],[4,0,4,6],[6,22,6,36],[7,22,7,36],[17,47,17,48],[17,53,17,54],[18,47,18,48],[18,53,18,54],[17,59,17,60],[18,59,18,60]]}
["別記様式第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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（別添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,"　　令和",null,null,"年",null,null,"月",null,null,"日"]
[]
["宮崎県知事",null,null,null,null,null,null,null,"殿"]
[]
[null,null,null,null,null,null,null,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,null,null,null,null,null,null,null,"（役職・代表者名）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印"]
[]
["　　　　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）（介護\n　　　　サービス事業所等感染症対策支援事業費補助金）に係る交付申請書【介護支援金】"]
[]
["　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$105)","v":0},null,null,null,null,"千円"]
[null,null,"・　感染症対策を徹底した上での介護サービス提供支援事業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$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,"・　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,"・　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（別添１及び別添２）"]
[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）に関する事業実施実績書"]
[null,null,null,"（事業所単位）（別記様式第２号）"]
[null,"３　介護慰労金受給職員表（法人単位）（様式３）"]
[]
[]
[]
[]
[]
[]
[]
[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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["（別添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","代表となる\n事業所・施設名","補助予定額（千円）",null,null,null,null,null,"審査\n結果"]
[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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{"sheet":"別添","index":3,"n_rows":32,"n_cols":40,"rows_kept":32,"cut":false,"hidden":false,"merged":[[2,4,3,4],[2,8,2,13],[2,0,3,0],[2,1,3,1],[2,2,3,2],[2,3,3,3],[2,7,3,7],[2,6,3,6],[2,5,3,5]]}
["（別添２）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","代表となる\n事業所・施設名","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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[11,"","","","","","",{"$f":"IF(N15>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[12,"","","","","","",{"$f":"IF(N16>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[13,"","","","","","",{"$f":"IF(N17>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[14,"","","","","","",{"$f":"IF(N18>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[15,"","","","","","",{"$f":"IF(N19>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[16,"","","","","","",{"$f":"IF(N20>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[17,"","","","","","",{"$f":"IF(N21>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[18,"","","","","","",{"$f":"IF(N22>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[19,"","","","","","",{"$f":"IF(N23>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[20,"","","","","","",{"$f":"IF(N24>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[21,"","","","","","",{"$f":"IF(N25>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[22,"","","","","","",{"$f":"IF(N26>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[23,"","","","","","",{"$f":"IF(N27>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[24,"","","","","","",{"$f":"IF(N28>0,申請書!$W$7,\"\")","v":""},"","","","","",0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",""]
[25,"","","","","","",{"$f":"IF(N29>0,申請書!$W$7,\"\")","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,"",""]
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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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["別記様式第２号（第４条関係）"]
[]
["新型コロナウイルス感染症緊急包括支援交付金（介護分）に関する事業実施実績書（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"]
["国保連合会に登録されている口座情報を本事業の振込に使用することに同意する",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"本事業は原則、国保連合会のシステムを活用した補助金の交付を予定しています。（債権譲渡がある場合等を除く）",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,null,null,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"]
["国保連合会に登録されている口座は債権譲渡されていない",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,"債権譲渡されていない場合は、左欄に○を入れて下さい。\n※債権譲渡されている場合、都道府県に申請して下さい。",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,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,{"$f":"IFERROR(VLOOKUP(H10,個票1!CA5:CB39,2,FALSE),\"\")","v":""},null,null,"千円",null,null,"既申請分",null,null,null,null,null,null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,{"$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$10=\"介護予防・生活支援サービス事業の事業者\",\"\",3000)","v":3000},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人"]
[null,"居宅介護支援のみ\n右欄に記載",null,null,null,null,null,null,null,null,"電話による確認",null,null,null,null,null,null,null,null,null,null,null,null,{"$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,{"$f":"IFERROR(VLOOKUP(H10,個票1!CA5:CE39,5,FALSE),\"\")","v":""},null,null,"千円",null,null,"既申請分",null,null,null,null,null,null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,{"$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":"請求書","index":5,"n_rows":36,"n_cols":12,"rows_kept":36,"cut":false,"hidden":false,"merged":[[20,0,20,11],[2,0,2,10],[9,7,9,10],[10,7,10,10],[7,5,7,6],[34,5,34,10],[22,5,22,8],[30,3,30,4],[30,5,30,10],[31,3,31,4],[31,5,31,10],[1,0,1,11],[14,5,14,10],[15,1,15,10],[16,1,16,10],[35,3,35,4],[35,5,35,10],[4,8,4,10],[8,5,8,6],[9,5,9,6],[10,5,10,6],[8,7,8,10],[32,3,32,4],[32,5,32,10],[33,3,33,4],[33,5,33,10],[34,3,34,4]]}
[]
["請　求　書"]
["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）（介護サービス\n事業所等感染症対策支援事業費補助金）【介護支援金】"]
[]
[null,null,null,null,null,null,null,null,"令和２年　　月　　日"]
[]
[null,"　宮崎県知事　　河野　俊嗣　　殿"]
[null,null,null,null,null,"（申請者）"]
[null,null,null,null,null,"住所"]
[null,null,null,null,null,"法人名"]
[null,null,null,null,null,"役職・代表者名",null,null,null,null,null,"印"]
[]
[]
[]
[null,"令和",{"$f":"申請書!AD3&\"年\"","v":"年"},{"$f":"申請書!AG3&\"月\"","v":"月"},{"$f":"申請書!AJ3&\"日\"","v":"日"},"付けで申請した令和２年度新型コロナウイルス感染"]
[null,"症緊急包括支援交付金（介護分）（介護サービス事業所等感染症対策支援事業費補助"]
[null,"金）について、下記金額を請求します。"]
[]
[]
[]
["記"]
[]
[null,null,null,"請求額","金",{"$f":"(申請書!X18+申請書!X19+申請書!X20)*1000","v":0},null,null,null,"円"]
[]
[]
[]
[]
[]
[]
[null,null,null,"（振込預金口座）"]
[null,null,null,"金融機関名"]
[null,null,null,"支店名"]
[null,null,null,"預金種別"]
[null,null,null,"口座番号"]
[null,null,null,"（フリガナ）"]
[null,null,null,"口座名義"]

{"sheet":"委任状","index":6,"n_rows":25,"n_cols":12,"rows_kept":25,"cut":false,"hidden":false,"merged":[[19,1,19,3],[3,0,3,10],[5,9,5,10],[10,1,13,10],[6,3,6,10],[7,3,7,10],[22,2,22,3],[23,2,23,3],[24,2,24,3],[22,4,22,10],[23,4,23,10],[24,4,24,10]]}
[]
[]
[]
["委任状"]
[]
[]
[null,"（受任者）","住所"]
[null,null,"氏名"]
[]
[]
[null,"　私は、上記の者を代理人と定め、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）（介護サービス事業所等感染症対策支援事業費補助金）の受領に関する権限を委任します。"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"令和２年　　月　　日"]
[]
[]
[null,"（委任者）","住所"]
[null,null,"法人名"]
[null,null,"役職・代表者名",null,null,null,null,null,null,null,null,"印"]

{"sheet":"職員表","index":7,"n_rows":85,"n_cols":21,"rows_kept":85,"cut":false,"hidden":true,"merged":[[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,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）"]
[{"$f":"ROW()-5","v":1},null,null,null,{"$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(F6>=2,\"\",\"可\")","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(F7>=2,\"\",\"可\")","v":""}]
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{"sheet":"計算用","index":8,"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"]