{"text_format":"1","workbook":"xlsx","n_sheets":6,"sheets":["base","要領1","data","個人","要領2","一括"],"not_rendered":{"charts":0,"images":17,"macros":1,"external_links":0,"defined_names":5,"comments":1,"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":"base","index":0,"n_rows":54,"n_cols":4,"rows_kept":54,"cut":false,"hidden":false,"merged":[]}
[]
[null,"ホームページからの対応"]
[]
[null,"そのまま、[ファイルのダウンロード]→[ファイルを開く]と実行すると動作しません。"]
[null,"以下の手順で処理してから、下段の「帳票の選択」をしてください。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"帳票の選択"]
[]
[null,"該当する方のボタンをクリックしてください。"]
[]
[null,"１．",null,"個人・家族用"]
[null,null,null,"※ 個人・家族で申請する場合"]
[]
[null,"２．",null,"職場一括用"]
[null,null,null,"※ 職場で集団接種を行い、複数名で申請する場合　（被保険者のみ）"]
[]
[]
[null,"以下の表示があれば、[コンテンツの有効化]をクリック"]

{"sheet":"要領1","index":1,"n_rows":32,"n_cols":28,"rows_kept":32,"cut":false,"hidden":true,"merged":[]}
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[]
[null,{"$f":"\"インフルエンザ予防接種補助金請求要領　（\"&data!J4&\"年度用）\"","v":"インフルエンザ予防接種補助金請求要領　（2023年度用）"},null,null,null,null,null,null,null,null,null,null,null,null,"（個人・家族用）"]
[]
[null,null,"１．","対象者",null,"接種日時点で当健保の被保険者（本人）または被扶養者（当健保に加入している家族）です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9]
[null,null,null,null,null,{"$f":"\"※ 接種対象期間 : \"&TEXT(DATE(data!J4,10,1),\"yyyy年m月d日（aaa）\")&\"～ \"&TEXT(data!J11,\"yyyy年m月d日（aaa）\")&\" 接種分\"","v":"※ 接種対象期間 : 2023年10月1日(日)～ 2024年1月31日(水) 接種分"}]
[]
[null,null,"２．","補助金額",null,{"$f":"\"インフルエンザ予防接種者一人当たり年度内上限\"&TEXT(data!J6,\"#,##0円\")","v":"インフルエンザ予防接種者一人当たり年度内上限2,000円"}]
[]
[null,null,"３．","請求方法",null,"インフルエンザ予防接種補助金請求書に、領収書（原本・返却不可）を添付して申請してください。"]
[]
[null,null,"４．","請求期限",null,{"$f":"TEXT(data!J5,\"yyyy年m月d日（aaa）\")&\"　健保組合到着分まで\"","v":"2024年2月13日(火)　健保組合到着分まで"}]
[null,null,null,null,null,"※ 請求期限後に到着した場合、補助金は支給できません。（請求書は返却）"]
[]
[null,null,"５．","注意点",null,"①","接種日・接種者・インフルエンザの予防接種であることが分かる領収書（原本）が必要です。"]
[null,null,null,null,null,"②","請求書に上記の領収書（原本）を添付して期限内に提出して下さい。 "]
[null,null,null,null,null,"","※ 領収書には名宛が必須です。（名宛がない場合は、余白に接種者のフルネームを補記）"]
[null,null,null,null,null,null,"※ 領収書には「インフルエンザ」もしくは「予防接種」という記載が必須です。"]
[null,null,null,null,null,null,"※ レシート・診療明細書・接種済証は、単独では領収書の代用にはなりません。"]
[null,null,null,null,null,null,"※ レシートの場合は、接種者等が分かる診療明細書もしくは接種済証を添付してください。"]
[null,null,null,null,null,null,"※ 領収書はビニール袋等で請求書と散逸しないようにし、のり付け・ホッチキス留は厳禁です。"]
[null,null,null,null,null,null,"※ 理由を問わず、領収書は返却いたしません。"]
[null,null,null,null,null,null,"※ 2回接種の場合で、1回分の接種で2,000円に達していれば、1回分のみで請求して下さい。"]
[null,null,null,null,null,null,null,"1回分の接種で2,000円に達していない場合のみ、1・2回目合計で請求して下さい。"]
[]
[]
[null,null,null,"上記要領を確認しました。",null,null,null,null,null,null,null,"[確認]ボタンを押して、入力画面へ"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"区分",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,"確認"]

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[null,"code順",null,"あいうえお順"]
[null,1011,"りそな銀行従業員組合","ＤＡＣＳ",null,"本人",0,null,"本年度",2023]
[null,1021,"ディー・エフ・エル・リース","ジェイアンドエス保険サービス",null,"父",11,null,"受付期限","2024-02-13"]
[null,1032,"ＤＡＣＳ","ディー・エフ・エル・リース",null,"母",12,null,"上限額",2000]
[null,1043,"りそなホールディングス","ひょうご経済研究所",null,"夫",21]
[null,2022,"大阪総合信用","びわこ信用保証",null,"妻",22,null,"設定Mode","QR"]
[null,2027,"関西みらい保証","びわこ総合サービス",null,"長男",31]
[null,3208,"りそな決済サービス","みなとカード",null,"二男",32,null,"接種期間","2023-10-01"]
[null,3216,"りそなキャピタル","みなとキャピタル",null,"三男",33,null,null,"2024-01-31"]
[null,3224,"りそな保証","みなとシステム",null,"四男",34]
[null,3227,"りそなカード","みなとビジネスサービス",null,"養子",38]
[null,3229,"ジェイアンドエス保険サービス","みなとリース",null,"長女",41]
[null,3230,"首都圏リース","みなと銀行",null,"二女",42]
[null,3236,"りそな総合研究所","みなと保証",null,"三女",43]
[null,4001,"りそな健康保険組合","りそなアセットマネジメント",null,"四女",44]
[null,4002,"りそな企業年金基金","りそなカード",null,"養女",48]
[null,4003,"りそなビジネスサービス","りそなキャピタル",null,"兄",51]
[null,4004,"関西みらいフィナンシャルグループ","りそなビジネスサービス",null,"姉",52]
[null,4005,"りそなアセットマネジメント","りそなホールディングス",null,"弟",53]
[null,4006,"首都圏アグリファーム","りそなみらいズ",null,"妹",54]
[null,4010,"りそな銀行","りそな企業年金基金",null,"孫男",56]
[null,4017,"埼玉りそな銀行","りそな銀行",null,"孫女",57]
[null,4099,"任意継続","りそな銀行従業員組合",null,"義父",71]
[null,4159,"関西みらい銀行","りそな決済サービス",null,"義母",72]
[null,4562,"みなと銀行","りそな健康保険組合",null,"他",99]
[null,5002,"関西みらいリース","りそな総合研究所"]
[null,5003,"関西総合信用","りそな保証"]
[null,5006,"びわこ信用保証","関西みらいフィナンシャルグループ"]
[null,5007,"りそなみらいズ","関西みらいリース"]
[null,5008,"泉興産","関西みらい教育文化財団"]
[null,5009,"びわこ総合サービス","関西みらい銀行"]
[null,5010,"関西みらい教育文化財団","関西みらい保証"]
[null,5563,"みなとビジネスサービス","関西総合信用"]
[null,5565,"みなと保証","埼玉りそな銀行"]
[null,5566,"みなとリース","首都圏アグリファーム"]
[null,5567,"みなとカード","首都圏リース"]
[null,5568,"みなとシステム","神戸みなとサービス"]
[null,5569,"みなとキャピタル","神戸みなと興産"]
[null,5572,"神戸みなと興産","泉興産"]
[null,5573,"神戸みなとサービス","大阪総合信用"]
[null,5574,"ひょうご経済研究所","任意継続"]
[null,9999,"---","---"]
[null,9999,"---","---"]
[null,9999,"---","---"]
[null,9999,"---","---"]
[null,9999,"---","---"]
[null,9999,"---","---"]
[null,9999,"---","---"]
[null,9999,"---","---"]
[null,9999,"---","---"]
[null,9999,"---","---"]

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[null,null,{"$f":"\"インフルエンザ予防接種補助金請求書（\"&data!J4&\"年度）\"","v":"インフルエンザ予防接種補助金請求書（2023年度）"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"戻る"]
[null,null,null,"［個人・家族用］",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"g6:g7,g8:h9,g10:g11,g13:k16"]
[null,null,null,"被保険者","記号"]
[null,null,null,null,"番号"]
[null,null,null,null,"事業所名"]
[null,null,null,null,"部店名"]
[null,null,null,null,"勤務中\n連絡先","外線",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(G10=\"\",G11=\"\"),9,1)","v":9},"連絡先Tel"]
[null,null,null,null,null,"内線"]
[null,null,null,null,null,null,"①","②","③","④","⑤",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"①","②","③","④","⑤"]
[null,null,null,"受診者","名前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(G13=\"\",9,1)","v":9},9,9,9,9]
[null,null,null,null,"続柄",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9,9,9,9,9]
[null,null,null,null,"予防接種費用",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9,9,9,9,9]
[null,null,null,null,"初回接種日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9,9,9,9,9]
[null,null,null,null,null,null,{"$f":"\"日付入力例 ： 11月15日→11/15　前年の場合→\"&data!J4&\"/11/15\"","v":"日付入力例 ： 11月15日→11/15　前年の場合→2023/11/15"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(COUNTIF(AA13:AA16,1)>0,COUNTIF(AA13:AA16,9)>0),19,1)","v":1},{"$f":"IF(AND(COUNTIF(AB13:AB16,1)>0,COUNTIF(AB13:AB16,9)>0),29,1)","v":1},{"$f":"IF(AND(COUNTIF(AC13:AC16,1)>0,COUNTIF(AC13:AC16,9)>0),39,1)","v":1},{"$f":"IF(AND(COUNTIF(AD13:AD16,1)>0,COUNTIF(AD13:AD16,9)>0),49,1)","v":1},{"$f":"IF(AND(COUNTIF(AE13:AE16,1)>0,COUNTIF(AE13:AE16,9)>0),59,1)","v":1},{"$f":"COUNTIF(AA17:AE17,\">\"&1)","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,{"$f":"IF(AA17>1,\"g\"&MATCH(9,AA1:AA16,0),\"\")","v":""},{"$f":"IF(AB17>1,\"h\"&MATCH(9,AB1:AB16,0),\"\")","v":""},{"$f":"IF(AC17>1,\"i\"&MATCH(9,AC1:AC16,0),\"\")","v":""},{"$f":"IF(AD17>1,\"j\"&MATCH(9,AD1:AD16,0),\"\")","v":""},{"$f":"IF(AE17>1,\"k\"&MATCH(9,AE1:AE16,0),\"\")","v":""},{"$f":"IF(AF17=0,\"\",HLOOKUP(SMALL(AA17:AE17,COUNTIF(AA17:AE17,1)+1),AA17:AE18,2,0))","v":""}]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(COUNTIF(G13:H13,H13)>1,9,0)","v":0},{"$f":"IF(COUNTIF(G13:I13,I13)>1,9,0)","v":0},{"$f":"IF(COUNTIF(G13:J13,J13)>1,9,0)","v":0},{"$f":"IF(COUNTIF(G13:K13,K13)>1,9,0)","v":0},{"$f":"IF(COUNTIF(AA22:AE22,9)>0,9,0)","v":0},null,"二重入力"]
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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(G6=\"\",\"\",VLOOKUP(G6,data!B4:C53,2,0))","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,{"$f":"MATCH(\"▼\",AA:AA,0)","v":32},{"$f":"MATCH(\"▲\",AA:AA,0)","v":81},{"$f":"AC27-AB27","v":49}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AB27&\":\"&AC27","v":"32:81"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\"2:\"&AC27-AB27+2","v":"2:51"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"▼",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(G6=0,\"請求日　　　 年　　月　　日\",\"請求日　\"&TEXT(BR32,\"ｙｙｙｙ年 ｍ月 d日\"))","v":"請求日　　　 年　　月　　日"},null,null,null,null,null,"請求日",null,{"$f":"IF(MAX(G16:K16)>TODAY(),MAX(G16:K16),TODAY())","v":"2023-11-08"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"りそな健康保険組合　御中"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\"インフルエンザ予防接種補助金請求書（\"&data!J4&\"年度用）\"","v":"インフルエンザ予防接種補助金請求書（2023年度用）"}]
[]
[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,"下記のとおりインフルエンザ予防接種を受けましたので、補助金を請求いたします。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※ 被保険者自署必須"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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)",null,null,"(2)",null,null,"(3)",null,null,"(4)",null,null,"(5)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"被保険者証\n記号・番号",null,null,null," 記号",null,null,null,null," 番号",null,"（最大６桁）",null,null,null,null,"被保険者\n氏名",null,null,null,{"$f":"IF(G6=4099,\"\",\"(ビジネスネーム不可)\")","v":"(ビジネスネーム不可)"},null,null,null,null,null,null,null,null,null,null,"(自署)",null,null,null,null,null,null,null,"記号","番号","続柄","補助額","接種日","続柄","補助額","接種日","続柄","補助額","接種日","続柄","補助額","接種日","続柄","補助額","接種日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(G6=\"\",\"\",G6)","v":""},null,null,null,null,{"$f":"G7","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AG40","v":""},{"$f":"AL40","v":0},{"$f":"VLOOKUP(AG47,data!F4:G27,2,0)","v":{"$error":"#N/A"}},{"$f":"IF(AG48>2000,2000,AG48)","v":2000},{"$f":"TEXT(AG49,\"yyyymmdd\")","v":""},{"$f":"IF(AM47=\"\",0,VLOOKUP(AM47,data!F4:G27,2,0))","v":0},{"$f":"IF(AM48=\"\",0,IF(AM48>2000,2000,AM48))","v":0},{"$f":"IF(OR(BV40=0,AM49=\"\"),0,TEXT(AM49,\"yyyymmdd\"))","v":0},{"$f":"IF(AS47=\"\",0,VLOOKUP(AS47,data!F4:G27,2,0))","v":0},{"$f":"IF(AS48=\"\",0,IF(AS48>2000,2000,AS48))","v":0},{"$f":"IF(OR(BY40=0,AS49=\"\"),0,TEXT(AS49,\"yyyymmdd\"))","v":0},{"$f":"IF(AY47=\"\",0,VLOOKUP(AY47,data!F4:G27,2,0))","v":0},{"$f":"IF(AY48=\"\",0,IF(AY48>2000,2000,AY48))","v":0},{"$f":"IF(OR(CB40=0,AY49=\"\"),0,TEXT(AY49,\"yyyymmdd\"))","v":0},{"$f":"IF(BE47=\"\",0,VLOOKUP(BE47,data!F4:G27,2,0))","v":0},{"$f":"IF(BE48=\"\",0,IF(BE48>2000,2000,BE48))","v":0},{"$f":"IF(OR(CE40=0,BE49=\"\"),0,TEXT(BE49,\"yyyymmdd\"))","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所名\n所属部店名",null,null,null,{"$f":"G8&IF(G9=\"\",\"\",CHAR(10)&G9)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\"連絡先 Ｔel\"&IF(G6=4099,\"\",CHAR(10)&\"（勤務先）\")","v":"連絡先 Ｔel\n（勤務先）"},null,null,null,{"$f":"IF(G10=\"\",\"\",G10)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"QRcode",{"$f":"BP40&TEXT(BQ40,\"000000\")&TEXT(BR40,\"00\")&TEXT(BS40,\"0000\")&TEXT(BT40,\"00000000\")&TEXT(BU40,\"00\")&TEXT(BV40,\"0000\")&TEXT(BW40,\"00000000\")&TEXT(BX40,\"00\")&TEXT(BY40,\"0000\")&TEXT(BZ40,\"00000000\")&TEXT(CA40,\"00\")&TEXT(CB40,\"0000\")&TEXT(CC40,\"00000000\")&TEXT(CD40,\"00\")&TEXT(CE40,\"0000\")&TEXT(CF40,\"00000000\")","v":{"$error":"#N/A"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(G6=4099,\"\",\"内線\")","v":"内線"},null,{"$f":"IF(G6=4099,\"\",\"（\")","v":"（"},{"$f":"IF(G11=\"\",\"\",G11)","v":""},null,null,null,null,null,null,{"$f":"IF(G6=4099,\"\",\"）\")","v":"）"},null,null,null,null,null,{"$f":"LEN(BP41)","v":{"$error":"#N/A"}}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※ 領収書は名宛必須 （名宛がない場合は、接種者氏名を補記）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※ 太枠内項目記入必須 "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"接種者氏名",null,null,null,{"$f":"IF(G13=\"\",\"\",G13)","v":""},null,null,null,null,null,{"$f":"IF(AG40=\"\",\"\",IF(H13=\"\",\"追記不可\",H13))","v":""},null,null,null,null,null,{"$f":"IF(AG40=\"\",\"\",IF(I13=\"\",\"追記不可\",I13))","v":""},null,null,null,null,null,{"$f":"IF(AG40=\"\",\"\",IF(J13=\"\",\"追記不可\",J13))","v":""},null,null,null,null,null,{"$f":"IF(AG40=\"\",\"\",IF(K13=\"\",\"追記不可\",K13))","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続　柄",null,null,null,{"$f":"IF(G14=\"\",\"\",G14)","v":""},null,null,null,null,null,{"$f":"IF(H14=\"\",\"\",H14)","v":""},null,null,null,null,null,{"$f":"IF(I14=\"\",\"\",I14)","v":""},null,null,null,null,null,{"$f":"IF(J14=\"\",\"\",J14)","v":""},null,null,null,null,null,{"$f":"IF(K14=\"\",\"\",K14)","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,"予防接種費用",null,null,null,{"$f":"IF(G15=\"\",\"\",G15)","v":""},null,null,null,null,null,{"$f":"IF(H15=\"\",\"\",H15)","v":""},null,null,null,null,null,{"$f":"IF(I15=\"\",\"\",I15)","v":""},null,null,null,null,null,{"$f":"IF(J15=\"\",\"\",J15)","v":""},null,null,null,null,null,{"$f":"IF(K15=\"\",\"\",K15)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"初回接種日",null,null,null,{"$f":"IF(G16=\"\",\"\",G16)","v":""},null,null,null,null,null,{"$f":"IF(H16=\"\",\"\",H16)","v":""},null,null,null,null,null,{"$f":"IF(I16=\"\",\"\",I16)","v":""},null,null,null,null,null,{"$f":"IF(J16=\"\",\"\",J16)","v":""},null,null,null,null,null,{"$f":"IF(K16=\"\",\"\",K16)","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,null,"〇","補助対象期間 ",null,null,null,"：",{"$f":"TEXT(DATE(data!J4,10,1),\"yyyy年m月d日（aaa）\")&\" ～ \"&TEXT(data!J11,\"yyyy年m月d日（aaa）\")&\" 接種分\"","v":"2023年10月1日(日) ～ 2024年1月31日(水) 接種分"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〇","請求期限",null,null,null,"：",{"$f":"TEXT(data!J5,\"yyyy年m月d日（aaa）\")&\"　健保組合到着分まで\"","v":"2024年2月13日(火)　健保組合到着分まで"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〇","補助金額",null,null,null,"：",{"$f":"\"年度中一人当たり上限 \"&TEXT(data!J6,\"#,##0円\")","v":"年度中一人当たり上限 2,000円"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〇","補助対象者",null,null,null,"：","接種日時点で当健保の被保険者(本人)または被扶養者(当健保に加入している家族)"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※","請求期限後に到着した場合、補助金は支給できません。（請求書は返却します）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※","家族分はできるだけまとめてご請求下さい。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"注1．","接種日・接種者・インフルエンザの予防接種であることが分かる領収書をもらってください。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"注2．","この請求書に上記の領収書（原本）を添付して提出してください。 "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※","クリアポケット等を使用し取りまとめ、領収書をのり付け・ホッチキス留しないでください。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※","領収書は返却できません。",null,null,null,null,null,null,null,null,null,"※","レシート、診療明細書および接種済証のみの代用は不可です。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※",{"$f":"\"2回接種の場合、1回分の接種で\"&TEXT(data!J6,\"#,##0円\")&\"に達していれば、1回分のみで請求してください。\"","v":"2回接種の場合、1回分の接種で2,000円に達していれば、1回分のみで請求してください。"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\"1回分の接種で\"&TEXT(data!J6,\"#,##0円\")&\"に達していない場合は、2回分合計で請求してください。\"","v":"1回分の接種で2,000円に達していない場合は、2回分合計で請求してください。"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※","レシートで代用する場合は、接種者が分かる診療明細書もしくは接種済証を添付してください。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"注3．","下記の証明により、領収書の添付を省略することができます。"]
[]
[]
[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,null,null,null,null,"上記のとおり、インフルエンザ予防接種を実施しましたので、証明いたします。"]
[]
[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,null,null,null,null,null,"医療機関","証明欄","接種人数・費用",null,null,null,null,null,null,null,null,"医療機関（名称・所在地）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"証明印"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"接種人数",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,"総費用",null,null,null,null,null,null,null,"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,"※","「医療機関」欄がゴム印の場合、証明印は不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※","注1.の領収書が添付されている場合は、本欄不要"]
[]
[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,"健保使用欄"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"▲"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"支給決定額",null,"領収書確認"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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(G6=\"\",\"\",SUM(BS40,BV40,BY40,CB40,CE40))","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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※　注意事項"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印刷は、必ず、Ａ4縦　(2IN1は不可)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印刷は、下の[印刷]ボタンを使用"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申請書の被保険者氏名は自署必須"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印刷後の手修正不可 （ＱＲコード組成）"]

{"sheet":"要領2","index":4,"n_rows":32,"n_cols":28,"rows_kept":32,"cut":false,"hidden":true,"merged":[]}
[]
[]
[null,{"$f":"\"インフルエンザ予防接種補助金請求要領　（\"&data!J4&\"年度用）\"","v":"インフルエンザ予防接種補助金請求要領　（2023年度用）"},null,null,null,null,null,null,null,null,null,null,null,null,"（職場一括請求用）"]
[]
[null,null,"１．","対象者",null,"接種日時点で当健保の被保険者（本人）です。※本書で被扶養者分の請求はできません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9]
[null,null,null,null,null,{"$f":"\"※ 接種対象期間 : \"&TEXT(DATE(data!J4,10,1),\"yyyy年m月d日（aaa）\")&\"～ \"&TEXT(data!J11,\"yyyy年m月d日（aaa）\")&\" 接種分\"","v":"※ 接種対象期間 : 2023年10月1日(日)～ 2024年1月31日(水) 接種分"}]
[]
[null,null,"２．","補助金額",null,{"$f":"\"インフルエンザ予防接種者一人当たり年度内上限\"&TEXT(data!J6,\"#,##0円\")","v":"インフルエンザ予防接種者一人当たり年度内上限2,000円"}]
[]
[null,null,"３．","請求方法",null,"インフルエンザ予防接種補助金請求書に、医療機関の接種証明等をもらって申請してください。"]
[]
[null,null,"４．","請求期限",null,{"$f":"TEXT(data!J5,\"yyyy年m月d日（aaa）\")&\"　健保組合到着分まで\"","v":"2024年2月13日(火)　健保組合到着分まで"}]
[null,null,null,null,null,"※ 請求期限後に到着した場合、補助金は支給できません。（請求書は返却）"]
[]
[null,null,"５．","注意点",null,"①","医療機関で、「医療機関証明」欄に接種日、１人あたり費用、接種人数、総費用の証明をもらって下さい。"]
[null,null,null,null,null,"","※ 医療機関名がゴム印の場合は、医療機関の押印は不要です。"]
[null,null,null,null,null,"②","「医療機関証明」欄に証明がもらえない場合は、請求書に全員の領収書（原本）を添えて提出して下さい。"]
[null,null,null,null,null,null,"※ 領収書には名宛が必須です。（名宛がない場合は、接種者のフルネームを補記）"]
[null,null,null,null,null,null,"※ レシート・診療明細書・接種済証は、単独では領収書の代用にはなりません。"]
[null,null,null,null,null,null,"※ レシートの場合は、接種者等が分かる診療明細書もしくは接種済証を添付してください。"]
[null,null,null,null,null,null,"※ 領収書はビニール袋等で請求書と散逸しないようにし、のり付け・ホッチキス留は厳禁です。"]
[null,null,null,null,null,null,"※ 理由を問わず、領収書は返却いたしません。"]
[null,null,null,null,null,"③","請求書を作成後に、当日接種不能となった場合は、該当者を二重線で抹消してください。"]
[]
[]
[null,null,null,"上記要領を確認しました。",null,null,null,null,null,null,null,"[確認]ボタンを押して、入力画面へ"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"区分",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,"確認"]

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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上記のとおり、インフルエンザ予防接種を実施しましたので、証明いたします。",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,""]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医療機関","証明欄","接種日",null,null,null,null,null,null,null,null,null,"医療機関（名称・所在地）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"証明印"]
[null,null,null,null,null,null,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人あたり費用",null,null,null,null,null,null,null,null,"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,"Qrcode",{"$f":"BQ43&TEXT(IF(BQ44>2000,2000,BQ44),\"0000\")&TEXT(BQ45,\"0000000000\")&TEXT(BQ46,\"0000000000\")&TEXT(BQ47,\"0000000000\")&TEXT(BQ48,\"0000000000\")&TEXT(BQ49,\"0000000000\")&TEXT(BQ50,\"0000000000\")&TEXT(BQ51,\"0000000000\")&TEXT(BQ52,\"0000000000\")&TEXT(BQ53,\"0000000000\")&TEXT(BQ54,\"0000000000\")&\"#\"&TEXT(BR45,\"0000000000\")&TEXT(BR46,\"0000000000\")&TEXT(BR47,\"0000000000\")&TEXT(BR48,\"0000000000\")&TEXT(BR49,\"0000000000\")&TEXT(BR50,\"0000000000\")&TEXT(BR51,\"0000000000\")&TEXT(BR52,\"0000000000\")&TEXT(BR53,\"0000000000\")&TEXT(BR54,\"0000000000\")","v":"190001000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000#0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"接種人数",null,null,null,null,null,null,null,null,"人"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"総費用",null,null,null,null,null,null,null,null,"円"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〇","補助対象期間 ",null,null,null,null,"：",{"$f":"TEXT(DATE(data!J4,10,1),\"yyyy年m月d日（aaa）\")&\" ～ \"&TEXT(data!J11,\"yyyy年m月d日（aaa）\")&\" 接種分\"","v":"2023年10月1日(日) ～ 2024年1月31日(水) 接種分"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〇","請求期限",null,null,null,null,"：",{"$f":"TEXT(data!J5,\"yyyy年m月d日（aaa）\")&\"　健保組合到着分まで\"","v":"2024年2月13日(火)　健保組合到着分まで"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〇","補助金額",null,null,null,null,"：",{"$f":"\"年度中一人当たり上限 \"&TEXT(data!J6,\"#,##0円\")","v":"年度中一人当たり上限 2,000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,"〇","補助対象者",null,null,null,null,"：","接種日時点で当健保の被保険者（本人）"]
[]
[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,"※","請求期限後に到着した場合、補助金は支給できません。（請求書は返却します）"]
[]
[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,null,null,null,"注1．","医療機関窓口で、医療機関証明欄に接種日、１人あたり費用、接種人数、総費用の証明（証明印は"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医療機関名がゴム印で表記されている場合は不要）を依頼してください。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"注2．","証明印等をもらえない場合は、この請求書に領収書（原本）を添付して提出してください。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※ のり付け・ホッチキス留厳禁",null,null,null,null,null,null,null,null,null,null,"※ 診療明細書および接種済証は不可。領収書の返却不可。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健保使用欄"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"▲"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※　注意事項"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印刷は、必ず、Ａ4縦　(2IN1は不可)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印刷は、下の[印刷]ボタンを使用"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申請書の被保険者氏名は自署必須"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印刷後の手修正不可  （ＱＲコード組成）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一人当たり支給決定額",null,"領収書確認"]
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