{"text_format":"1","workbook":"xlsx","n_sheets":6,"sheets":["説明","基本情報登録","被扶養者入力","健保正","健保正副","3号"],"not_rendered":{"charts":0,"images":1,"macros":1,"external_links":0,"defined_names":0,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

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[]
["１．","シート「基本情報登録」で事業所の基本情報を入力してください。"]
["２．","シート「入力」で、入力項目・備考欄を参考に入力してください。"]
[null,"下に進めば配偶者、その他の被扶養者４まで入力できます。"]
[null,"配偶者、その他の被扶養者１のところには記入例をのせているので、クリアして入力するか、上書きしてください"]
[null,null,"欄は必須項目です。"]
[null,null,"欄は必要な場合は入力して下さい。"]
["３．","入力欄は漢字入力等は自動でオン・オフします。"]
["４．","数値のみを入力する欄は日本語入力がオフになっています。"]
["５．","入力が終わったらシート「被扶養者入力」の［３号あり印刷］・［３号なし印刷］ボタンいずれかを押してください。"]
[null,"３号あり印刷は「健保正」「健保副」「３号」が印刷されます。"]
[null,"３号なし印刷は「健保正」「健保副」が印刷されます。"]

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[]
[null,"提出年月日",{"$f":"TODAY()","v":"2021-04-22"},null,"TODAY関数が入力されています。提出日を変更する場合のみ入力してください。"]
[null,"年金整理記号","南",null,"年金記号の「南」、「北」、「豊中」等を入力してください。"]
[null,null,"ＷＥＤ",null,"年金記号の「ＷＥＤ」、「ＳＦＨ」を入力してください"]
[null,"健康保険記号","532",null,"健康保険の記号を入力してください。"]
[null,"郵便番号","542-0066",null,"「542-0066」と－（ハイフン）を入力してください。"]
[null,"事業所所在地","大阪府大阪市中央区瓦屋町2-3-1",null,"住所が長い場合は、Alt+Enterで折り返してください。"]
[null,"事業所名称","大阪自動車整備健康保険組合",null,"事業所名を入力してください。"]
[null,"事業主氏名","理事長　健　保　太　郎",null,"代表者名を入力してください。"]
[null,"電話番号","06-6762-6371",null,"「06-6762-6371」と－（ハイフン)を入力してください。"]

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[]
[null,"入力項目",null,"入力欄","備考"]
["被保険者欄","保険証番号","必須","555","被保険者のの番号を入力",null,null,null,{"$f":"IF(ISNUMBER(#REF!),#REF!+#REF!,0)","v":0},{"$f":"IF(AND(1<=I3,93000>I3),IF(AND(1<=I3,63000>I3),58,IF(AND(63000<=I3,73000>I3),68,IF(AND(73000<=I3,83000>I3),78,IF(AND(83000<=I3,93000>I3),88)))),\"\")","v":""},null,null,null,"続柄",null,null,"3号性別"]
[null,"被保険者氏名","必須","健保　吾郎","氏名（漢字）を入力　※姓と名の間にスペースを入れてください。",null,null,"健保",{"$f":"IF(AND(1<=I3,93000>I3),J3,IF(AND(93000<=I3,175000>I3),J4,IF(AND(175000<=I3,350000>I3),J5,IF(AND(350000<=I3,635000>I3),J6,IF(AND(635000<=I3,1005000>I3),J7,IF(AND(1005000<=I3),J8,\"\"))))))","v":""},{"$f":"IF(AND(93000<=I3,130000>I3),IF(AND(93000<=I3,101000>I3),98,IF(AND(101000<=I3,107000>I3),104,IF(AND(107000<=I3,114000>I3),110,IF(AND(114000<=I3,122000>I3),118,IF(AND(122000<=I3,130000>I3),126,\"\"))))),IF(AND(130000<=I3,138000>I3),134,IF(AND(138000<=I3,146000>I3),142,IF(AND(146000<=I3,155000>I3),150,IF(AND(155000<=I3,165000>I3),160,IF(AND(165000<=I3,175000>I3),170,\"\"))))))","v":""},null,null,null,1,"夫",null,1,"男"]
[null,"被保険者カナ","必須","ケンポ　ゴロウ","名名（カナ）を入力　※姓と名の間にスペースを入れてください。",null,null,"年金",{"$f":"IF(AND(1<=I3,175000>I3),J12,IF(AND(175000<=I3,350000>I3),J14,IF(350000<=I3,#REF!,\"\")))","v":""},{"$f":"IF(AND(175000<=I3,250000>I3),IF(AND(175000<=I3,185000>I3),180,IF(AND(185000<=I3,195000>I3),190,IF(AND(195000<=I3,210000>I3),200,IF(AND(210000<=I3,230000>I3),220,IF(AND(230000<=I3,250000>I3),240,\"\"))))),IF(AND(250000<=I3,270000>I3),260,IF(AND(270000<=I3,290000>I3),280,IF(AND(290000<=I3,310000>I3),300,IF(AND(310000<=I3,330000>I3),320,IF(AND(330000<=I3,350000>I3),340,\"\"))))))","v":""},null,null,null,2,"妻",null,2,"女"]
[null,"性別","必須",1,"性別　1.男　2.女",null,null,null,null,{"$f":"IF(AND(350000<=I3,485000>I3),IF(AND(350000<=I3,370000>I3),360,IF(AND(370000<=I3,395000>I3),380,IF(AND(395000<=I3,425000>I3),410,IF(AND(425000<=I3,455000>I3),440,IF(AND(455000<=I3,485000>I3),470,\"\"))))),IF(AND(485000<=I3,515000>I3),500,IF(AND(515000<=I3,545000>I3),530,IF(AND(545000<=I3,575000>I3),560,IF(AND(575000<=I3,605000>I3),590,IF(AND(605000<=I3,635000>I3),620,\"\"))))))","v":""},null,null,null,3,"夫(未届)",null,3,"男"]
[null,"生年月日","必須","1980-05-05","「S55.5.5」のように和暦で入力して下さい。",null,null,null,null,{"$f":"IF(AND(635000<=I3,810000>I3),IF(AND(635000<=I3,665000>I3),650,IF(AND(665000<=I3,695000>I3),680,IF(AND(695000<=I3,730000>I3),710,IF(AND(730000<=I3,770000>I3),750,IF(AND(770000<=I3,810000>I3),790,\"\"))))),IF(AND(810000<=I3,855000>I3),830,IF(AND(855000<=I3,905000>I3),880,IF(AND(905000<=I3,955000>I3),930,IF(AND(955000<=I3,1005000>I3),980,\"\")))))","v":""},null,null,null,4,"妻(未届)",null,4,"女"]
[null,"年収",null,null,"「400万」等、被扶養者でない配偶者がいる場合入力して下さい。",null,null,null,null,{"$f":"IF(AND(1005000<=I3,1055000>I3),1030,IF(AND(1055000<=I3,1115000>I3),1090,IF(AND(1115000<=I3,1175000>I3),1150,IF(AND(1175000<=I3,1235000>I3),1210,(IF(AND(1235000<=I3,1295000>I3),1270,IF(AND(1295000<=I3,1355000>I3),1330,IF(1355000<=I3,1390,\"\"))))))))","v":""}]
[null,"個人番号","必須","123456789012","個人番号(マイナンバー)12桁を入力",null,null,null,null,null,null,null,null,"同居"]
[null,"基礎年金番号",null,null,"個人番号を入力した場合は不要です。",null,null,null,null,null,null,null,null,1,"同居"]
[null,"郵便番号","必須","542-0066","「542-0066」のように郵便番号を入力して下さい。",null,null,null,null,null,null,null,null,2,"別居"]
[null,"住所","必須","大阪府大阪市中央区瓦屋町2-3-1","住所を入力",null,null,null,null,{"$f":"IF(AND(1<=I3,130000>I3),IF(AND(1<=I3,93000>I3),88,IF(AND(1<=I3,101000>I3),98,IF(AND(101000<=I3,107000>I3),104,IF(AND(107000<=I3,114000>I3),110,IF(AND(114000<=I3,122000>I3),118,IF(AND(122000<=I3,130000>I3),126,\"\")))))),IF(AND(130000<=I3,138000>I3),134,IF(AND(138000<=I3,146000>I3),142,IF(AND(146000<=I3,155000>I3),150,IF(AND(155000<=I3,165000>I3),\"160\",IF(AND(165000<=I3,175000>I3),170,\"\"))))))","v":""}]
[null,"住所カナ","３号必須","ｵｵｻｶｼﾁｭｳｵｳｸｶﾜﾗﾔﾏﾁ","住所（カナ）を入力"]
[null,"取得年月日","必須","2018-03-01","被保険者となった日（入社日）を和暦で入力して下さい。",null,null,null,null,{"$f":"IF(AND(175000<=I3,250000>I3),IF(AND(175000<=I3,185000>I3),180,IF(AND(185000<=I3,195000>I3),190,IF(AND(195000<=I3,210000>I3),200,IF(AND(210000<=I3,230000>I3),220,IF(AND(230000<=I3,250000>I3),240,\"\"))))),IF(AND(250000<=I3,270000>I3),260,IF(AND(270000<=I3,290000>I3),280,IF(AND(290000<=I3,310000>I3),300,IF(AND(310000<=I3,330000>I3),320,IF(AND(330000<=I3,350000>I3),340,\"\"))))))","v":""}]
[]
[]
[]
[null,"入力項目",null,"入力欄","備考"]
["配偶者欄","配偶者氏名","必須","健保　花","氏名（漢字）を入力　※姓と名の間にスペースを入れてください。"]
[null,"配偶者カナ","必須","ケンポ　ハナ","名名（カナ）を入力　※姓と名の間にスペースを入れてください。",null,null,null,null,null,null,null,null,"配偶者加入理由"]
[null,"続柄","必須",2,"続柄　1.夫　2.妻　3.夫（未届）　4.妻（未届）",null,null,null,null,null,null,null,null,1,"配偶者の就職"]
[null,"生年月日","必須","1985-06-06","「H60.6.6」のように和暦で入力して下さい。",null,null,null,null,null,null,null,null,2,"結婚"]
[null,"年収",null,"１００万","「100万」等、収入がある場合、入力して下さい。",null,null,null,null,null,null,null,null,3,"離職"]
[null,"個人番号","必須","987654321098","個人番号(マイナンバー)12桁を入力",null,null,null,null,null,null,null,null,4,"収入減少"]
[null,"基礎年金番号",null,null,"個人番号を入力した場合は不要です。",null,null,null,null,null,null,null,null,5,"失業保険終了"]
[null,"同居・別居","必須",1,"1.同居　2.別居",null,null,null,null,null,null,null,null,6,{"$f":"D35","v":0}]
[null,"仕送り額","別居の場合",null,"「10万」「15万」等、1ヶ月の仕送り額を入力して下さい。"]
[null,"郵便番号","別居の場合",null,"同居の場合入力不要です。「542-0066」のように郵便番号を入力して下さい。",null,null,null,null,null,null,null,null,"配偶者職業"]
[null,"住所","別居の場合",null,"同居の場合入力不要です。住所を入力",null,null,null,null,null,null,null,null,1,"無職"]
[null,"自宅電話","３号いずれか","06-6762-0000","携帯を入力した場合不要。「06-6762-0000」のように入力して下さい。",null,null,null,null,null,null,null,null,2,"パート等"]
[null,"携帯電話","３号いずれか",null,"自宅を入力した場合不要。「090-0000-0000」のように入力して下さい。",null,null,null,null,null,null,null,null,3,"年金受給者"]
[null,"加入・削除","必須",1,"1.加入　2.削除　3.変更(３号届）",null,null,null,null,null,null,null,null,4,"パート＋年金"]
[null,"被扶養者になった日","加入時必須","2019-04-01","扶養家族として加入する日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,5,{"$f":"D37","v":0}]
[null,"理由","加入時必須",1,"1.配偶者の就職　2.結婚　3.離職　4.収入減少　5.失業保険終了　6.その他"]
[null,null,"その他の場合",null,"6.その他の場合、理由を入力して下さい。"]
[null,"職業","加入時必須",2,"1.無職　2.パート等　3.年金受給者　4.パート＋年金受給者　5.その他",null,null,null,null,null,null,null,null,"配偶者削除理由"]
[null,null,"その他の場合",null,"5.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,1,"就職"]
[null,"被扶養者でなくなった日","削除時必須",null,"扶養家族からはずす日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,2,"収入増加"]
[null,"理由","削除時必須",null,"1.就職　2.収入増加　3.失業保険受給　4.離婚　5.死亡　6.その他",null,null,null,null,null,null,null,null,3,"失業保険受給"]
[null,null,"死亡の場合",null,"5.死亡の場合、死亡年月日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,4,"離婚"]
[null,null,"その他の場合",null,"6.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,5,{"$f":"D40","v":"00:00:00"}]
[null,"外国籍",null,null,"外国籍の方は国名を入力して下さい。",null,null,null,null,null,null,null,null,6,{"$f":"D41","v":0}]
[null,"外国人通称名",null,null,"外国籍の方で通称名をお持ちの方は入力して下さい。"]
[null,"外国人通称名（カナ）",null,null,"外国籍の方で通称名をお持ちの方は入力して下さい。",null,null,null,null,null,null,null,null,"性別"]
[null,"住民票郵便番号","３号必須","542-0066","住民票上の郵便番号を入力して下さい。",null,null,null,null,null,null,null,null,1,"男"]
[null,"住民票住所","３号必須","大阪府大阪市中央区瓦屋町2-3-1","住民票上の住所を入力して下さい。",null,null,null,null,null,null,null,null,2,"女"]
[]
[]
[]
["○","被扶養者でない配偶者の年収",null,null,"「300万」「400万」等、被扶養者でない配偶者がいる場合必ず入力して下さい。"]
["その他の被扶養者１","入力項目",null,"入力欄","備考",null,null,null,null,null,null,null,null,"その他１加入理由"]
[null,"扶養者氏名","必須","健保　一朗","氏名（漢字）を入力　※姓と名の間にスペースを入れてください。",null,null,null,null,null,null,null,null,1,"被保険者の就職"]
[null,"扶養者カナ","必須","ケンポ　イチロウ","名名（カナ）を入力　※姓と名の間にスペースを入れてください。",null,null,null,null,null,null,null,null,2,"出生"]
[null,"性別","必須",1,"性別　1.男　2.女",null,null,null,null,null,null,null,null,3,"離職"]
[null,"続柄","必須","長男","「長男」　「長女」　「父」　「母」等入力して下さい。",null,null,null,null,null,null,null,null,4,"収入減少"]
[null,"生年月日","必須","2010-02-02","「H22.2.2」のように和暦で入力して下さい。",null,null,null,null,null,null,null,null,5,"失業保険終了"]
[null,"年収",null,null,"「100万」等、収入がある場合、入力して下さい。",null,null,null,null,null,null,null,null,6,{"$f":"D66","v":0}]
[null,"個人番号","必須","111122223333","個人番号(マイナンバー)12桁を入力",null,null,null,null,null,null,null,null,"その他１職業"]
[null,"同居・別居","必須",1,"1.同居　2.別居",null,null,null,null,null,null,null,null,1,"高校生以下"]
[null,"仕送り額","別居の場合",null,"「10万」「15万」等、1ヶ月の仕送り額を入力して下さい。",null,null,null,null,null,null,null,null,2,"大学・予備校生"]
[null,"郵便番号","別居の場合",null,"同居の場合入力不要です。「542-0066」のように郵便番号を入力して下さい。",null,null,null,null,null,null,null,null,3,"無職"]
[null,"住所","別居の場合",null,"同居の場合入力不要です。住所を入力",null,null,null,null,null,null,null,null,4,"パート等"]
[null,"加入・削除","必須",1,"1.加入　2.削除　",null,null,null,null,null,null,null,null,5,"年金受給者"]
[null,"被扶養者になった日","加入時必須","2018-03-01","扶養家族として加入する日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,6,"パート＋年金受給者"]
[null,"理由","加入時必須",1,"1.被保険者の就職　2.出生　3.離職　4.収入減少　5.失業保険終了　6.その他",null,null,null,null,null,null,null,null,7,{"$f":"D68","v":0}]
[null,null,"その他の場合",null,"6.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,"その他１削除理由"]
[null,"職業","加入時必須",1,"1.高校生以下　2.大学・予備校生　3.無職　4.パート等　5.年金受給者　\n6.パート＋年金受給者　7.その他",null,null,null,null,null,null,null,null,1,"就職"]
[null,null,"その他の場合",null,"5.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,2,"収入増加"]
[null,"被扶養者でなくなった日","削除時必須",null,"扶養家族からはずす日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,3,"失業保険受給"]
[null,"理由","削除時必須",null,"1.就職　2.収入増加　3.失業保険受給　4.離婚　5.死亡　6.その他",null,null,null,null,null,null,null,null,4,"離婚"]
[null,null,"死亡の場合",null,"5.死亡の場合、死亡年月日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,5,{"$f":"D71","v":"00:00:00"}]
[null,null,"その他の場合",null,"6.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,6,{"$f":"D72","v":0}]
[]
[]
[]
[]
[]
[]
[]
[]
["その他の被扶養者２","入力項目",null,"入力欄","備考",null,null,null,null,null,null,null,null,"その他２加入理由"]
[null,"扶養者氏名","必須",null,"氏名（漢字）を入力　※姓と名の間にスペースを入れてください。",null,null,null,null,null,null,null,null,1,"被保険者の就職"]
[null,"扶養者カナ","必須",null,"名名（カナ）を入力　※姓と名の間にスペースを入れてください。",null,null,null,null,null,null,null,null,2,"出生"]
[null,"性別","必須",null,"性別　1.男　2.女",null,null,null,null,null,null,null,null,3,"離職"]
[null,"続柄","必須",null,"「長男」　「長女」　「父」　「母」等入力して下さい。",null,null,null,null,null,null,null,null,4,"収入減少"]
[null,"生年月日","必須",null,"「H22.2.2」のように和暦で入力して下さい。",null,null,null,null,null,null,null,null,5,"失業保険終了"]
[null,"年収",null,null,"「100万」等、収入がある場合、入力して下さい。",null,null,null,null,null,null,null,null,6,{"$f":"D96","v":0}]
[null,"個人番号","必須",null,"個人番号(マイナンバー)12桁を入力",null,null,null,null,null,null,null,null,"その他２職業"]
[null,"同居・別居","必須",null,"1.同居　2.別居",null,null,null,null,null,null,null,null,1,"高校生以下"]
[null,"仕送り額","別居の場合",null,"「10万」「15万」等、1ヶ月の仕送り額を入力して下さい。",null,null,null,null,null,null,null,null,2,"大学・予備校生"]
[null,"郵便番号","別居の場合",null,"同居の場合入力不要です。「542-0066」のように郵便番号を入力して下さい。",null,null,null,null,null,null,null,null,3,"無職"]
[null,"住所","別居の場合",null,"同居の場合入力不要です。住所を入力",null,null,null,null,null,null,null,null,4,"パート等"]
[null,"加入・削除","必須",null,"1.加入　2.削除　",null,null,null,null,null,null,null,null,5,"年金受給者"]
[null,"被扶養者になった日","加入時必須",null,"扶養家族として加入する日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,6,"パート＋年金受給者"]
[null,"理由","加入時必須",null,"1.被保険者の就職　2.出生　3.離職　4.収入減少　5.失業保険終了　6.その他",null,null,null,null,null,null,null,null,7,{"$f":"D98","v":0}]
[null,null,"その他の場合",null,"6.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,"その他２削除理由"]
[null,"職業","加入時必須",null,"1.高校生以下　2.大学・予備校生　3.無職　4.パート等　5.年金受給者　\n6.パート＋年金受給者　7.その他",null,null,null,null,null,null,null,null,1,"就職"]
[null,null,"その他の場合",null,"5.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,2,"収入増加"]
[null,"被扶養者でなくなった日","削除時必須",null,"扶養家族からはずす日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,3,"失業保険受給"]
[null,"理由","削除時必須",null,"1.就職　2.収入増加　3.失業保険受給　4.離婚　5.死亡　6.その他",null,null,null,null,null,null,null,null,4,"離婚"]
[null,null,"死亡の場合",null,"5.死亡の場合、死亡年月日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,5,{"$f":"D101","v":"00:00:00"}]
[null,null,"その他の場合",null,"6.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,6,{"$f":"D102","v":0}]
[]
[]
[]
[]
[]
[]
[]
[]
["その他の被扶養者３","入力項目",null,"入力欄","備考",null,null,null,null,null,null,null,null,"その他３加入理由"]
[null,"扶養者氏名","必須",null,"氏名（漢字）を入力　※姓と名の間にスペースを入れてください。",null,null,null,null,null,null,null,null,1,"被保険者の就職"]
[null,"扶養者カナ","必須",null,"名名（カナ）を入力　※姓と名の間にスペースを入れてください。",null,null,null,null,null,null,null,null,2,"出生"]
[null,"性別","必須",null,"性別　1.男　2.女",null,null,null,null,null,null,null,null,3,"離職"]
[null,"続柄","必須",null,"「長男」　「長女」　「父」　「母」等入力して下さい。",null,null,null,null,null,null,null,null,4,"収入減少"]
[null,"生年月日","必須",null,"「H22.2.2」のように和暦で入力して下さい。",null,null,null,null,null,null,null,null,5,"失業保険終了"]
[null,"年収",null,null,"「100万」等、収入がある場合、入力して下さい。",null,null,null,null,null,null,null,null,6,{"$f":"D126","v":0}]
[null,"個人番号","必須",null,"個人番号(マイナンバー)12桁を入力",null,null,null,null,null,null,null,null,"その他３職業"]
[null,"同居・別居","必須",null,"1.同居　2.別居",null,null,null,null,null,null,null,null,1,"高校生以下"]
[null,"仕送り額","別居の場合",null,"「10万」「15万」等、1ヶ月の仕送り額を入力して下さい。",null,null,null,null,null,null,null,null,2,"大学・予備校生"]
[null,"郵便番号","別居の場合",null,"同居の場合入力不要です。「542-0066」のように郵便番号を入力して下さい。",null,null,null,null,null,null,null,null,3,"無職"]
[null,"住所","別居の場合",null,"同居の場合入力不要です。住所を入力",null,null,null,null,null,null,null,null,4,"パート等"]
[null,"加入・削除","必須",null,"1.加入　2.削除　",null,null,null,null,null,null,null,null,5,"年金受給者"]
[null,"被扶養者になった日","加入時必須",null,"扶養家族として加入する日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,6,"パート＋年金受給者"]
[null,"理由","加入時必須",null,"1.被保険者の就職　2.出生　3.離職　4.収入減少　5.失業保険終了　6.その他",null,null,null,null,null,null,null,null,7,{"$f":"D128","v":0}]
[null,null,"その他の場合",null,"6.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,"その他３削除理由"]
[null,"職業","加入時必須",null,"1.高校生以下　2.大学・予備校生　3.無職　4.パート等　5.年金受給者　\n6.パート＋年金受給者　7.その他",null,null,null,null,null,null,null,null,1,"就職"]
[null,null,"その他の場合",null,"5.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,2,"収入増加"]
[null,"被扶養者でなくなった日","削除時必須",null,"扶養家族からはずす日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,3,"失業保険受給"]
[null,"理由","削除時必須",null,"1.就職　2.収入増加　3.失業保険受給　4.離婚　5.死亡　6.その他",null,null,null,null,null,null,null,null,4,"離婚"]
[null,null,"死亡の場合",null,"5.死亡の場合、死亡年月日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,5,{"$f":"D131","v":"00:00:00"}]
[null,null,"その他の場合",null,"6.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,6,{"$f":"D132","v":0}]
[]
[]
[]
[]
[]
[]
[]
[]
["その他の被扶養者４","入力項目",null,"入力欄","備考",null,null,null,null,null,null,null,null,"その他４加入理由"]
[null,"扶養者氏名","必須",null,"氏名（漢字）を入力　※姓と名の間にスペースを入れてください。",null,null,null,null,null,null,null,null,1,"被保険者の就職"]
[null,"扶養者カナ","必須",null,"名名（カナ）を入力　※姓と名の間にスペースを入れてください。",null,null,null,null,null,null,null,null,2,"出生"]
[null,"性別","必須",null,"性別　1.男　2.女",null,null,null,null,null,null,null,null,3,"離職"]
[null,"続柄","必須",null,"「長男」　「長女」　「父」　「母」等入力して下さい。",null,null,null,null,null,null,null,null,4,"収入減少"]
[null,"生年月日","必須",null,"「H22.2.2」のように和暦で入力して下さい。",null,null,null,null,null,null,null,null,5,"失業保険終了"]
[null,"年収",null,null,"「100万」等、収入がある場合、入力して下さい。",null,null,null,null,null,null,null,null,6,{"$f":"D156","v":0}]
[null,"個人番号","必須",null,"個人番号(マイナンバー)12桁を入力",null,null,null,null,null,null,null,null,"その他４職業"]
[null,"同居・別居","必須",null,"1.同居　2.別居",null,null,null,null,null,null,null,null,1,"高校生以下"]
[null,"仕送り額","別居の場合",null,"「10万」「15万」等、1ヶ月の仕送り額を入力して下さい。",null,null,null,null,null,null,null,null,2,"大学・予備校生"]
[null,"郵便番号","別居の場合",null,"同居の場合入力不要です。「542-0066」のように郵便番号を入力して下さい。",null,null,null,null,null,null,null,null,3,"無職"]
[null,"住所","別居の場合",null,"同居の場合入力不要です。住所を入力",null,null,null,null,null,null,null,null,4,"パート等"]
[null,"加入・削除","必須",null,"1.加入　2.削除　",null,null,null,null,null,null,null,null,5,"年金受給者"]
[null,"被扶養者になった日","加入時必須",null,"扶養家族として加入する日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,6,"パート＋年金受給者"]
[null,"理由","加入時必須",null,"1.被保険者の就職　2.出生　3.離職　4.収入減少　5.失業保険終了　6.その他",null,null,null,null,null,null,null,null,7,{"$f":"D158","v":0}]
[null,null,"その他の場合",null,"6.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,"その他４削除理由"]
[null,"職業","加入時必須",null,"1.高校生以下　2.大学・予備校生　3.無職　4.パート等　5.年金受給者　\n6.パート＋年金受給者　7.その他",null,null,null,null,null,null,null,null,1,"就職"]
[null,null,"その他の場合",null,"5.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,2,"収入増加"]
[null,"被扶養者でなくなった日","削除時必須",null,"扶養家族からはずす日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,3,"失業保険受給"]
[null,"理由","削除時必須",null,"1.就職　2.収入増加　3.失業保険受給　4.離婚　5.死亡　6.その他",null,null,null,null,null,null,null,null,4,"離婚"]
[null,null,"死亡の場合",null,"5.死亡の場合、死亡年月日を和暦で入力して下さい。",null,null,null,null,null,null,null,null,5,{"$f":"D161","v":"00:00:00"}]
[null,null,"その他の場合",null,"6.その他の場合、理由を入力して下さい。",null,null,null,null,null,null,null,null,6,{"$f":"D162","v":0}]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険被扶養者（異動）届"]
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["事業主記入欄",null,null,null,null,"記号",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C5","v":"532"}]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"届書記入の個人番号(基礎年金番号)に誤りがないことを確認しました。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受付印"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒",null,null,{"$f":"基本情報登録!C6","v":"542-0066"}]
[]
[null,null,null,null,null,"事業所\n所在地"]
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[]
[]
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[]
[]
[null,null,null,null,null,"事業所\n名称",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C8","v":"大阪自動車整備健康保険組合"}]
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[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※標準報酬月額"]
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[null,null,null,null,null,"事業主\n氏名",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C9","v":"理事長　健　保　太　郎"}]
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[]
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[null,null,null,null,null,"電話番号",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C10","v":"06-6762-6371"}]
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[]
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[null,null,null,null,null,"番号",null,null,null,null,null,null,null,null,null,null,null,null,"氏名"]
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[]
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[null,null,null,null,null,8,null,null,"住所",null,null,null,null,null,null,null,null,null,null,"〒",null,null,{"$f":"IF(ISTEXT(被扶養者入力!D11),被扶養者入力!D11,\"\")","v":"542-0066"},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D12),被扶養者入力!D12,\"\")","v":"大阪府大阪市中央区瓦屋町2-3-1"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,null,"取得年月日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D14),被扶養者入力!D14,\"\")","v":"2018-03-01"}]
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[null,null,null,null,null,6,null,"住所",null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D149),VLOOKUP(被扶養者入力!D149,被扶養者入力!$N$10:$O$11,2,0),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒",null,null,{"$f":"IF(ISTEXT(被扶養者入力!D151),被扶養者入力!D151,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D152),被扶養者入力!D152,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,10,null,null,"理由",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D155),被扶養者入力!D155,\"\")","v":""},null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D155),VLOOKUP(被扶養者入力!D155,被扶養者入力!N142:O147,2,0),\"\")","v":""}]
[]
[]
[]
[]
[null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D153),IF(被扶養者入力!D153=1,\"該当\",\"\"),\"\")","v":""},null,null,null,null,null,null,null,7,null,null,"被扶養者に\nなった日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D154),被扶養者入力!D154,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,null,null,"職業",null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D157),被扶養者入力!D157,\"\")","v":""},null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D157),VLOOKUP(被扶養者入力!D157,被扶養者入力!N149:O155,2,0),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,13,null,null,"別居の場合1ヶ月の仕送り額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D150),被扶養者入力!D150,\"\")","v":""},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,null,{"$f":"IF(ISNUMBER(被扶養者入力!D153),IF(被扶養者入力!D153=2,\"不該当\",\"\"),\"\")","v":""},null,null,null,null,null,null,null,11,null,null,"被扶養者でな\nくなった日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D159),被扶養者入力!D159,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,null,null,"理由",null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D160),被扶養者入力!D160,\"\")","v":""},null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D160),VLOOKUP(被扶養者入力!D160,被扶養者入力!N157:O162,2,0),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,null,null,"備考"]
[]
[]
[]
[]
[]
["社会保険労務士の提出代行者印"]
[]
[]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"大阪自動車整備健康保険組合"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険被扶養者（異動）届"]
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[]
[]
[]
["事業主記入欄",null,null,null,null,"記号",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C5","v":"532"}]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受付印"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒",null,null,{"$f":"基本情報登録!C6","v":"542-0066"}]
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[null,null,null,null,null,"事業所\n所在地"]
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[]
[]
[]
[]
[]
[]
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[null,null,null,null,null,"事業所\n名称",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C8","v":"大阪自動車整備健康保険組合"}]
[]
[]
[]
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[]
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[null,null,null,null,null,"事業主\n氏名",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C9","v":"理事長　健　保　太　郎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様"]
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[]
[]
[]
[]
[]
[null,null,null,null,null,"電話番号",null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C10","v":"06-6762-6371"}]
[]
[]
[]
[]
[]
[]
[]
[]
["Ａ被保険者蘭",null,null,null,null,1,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D3),被扶養者入力!D3,\"\")","v":"555"},null,null,null,null,null,null,null,2,null,null,null,null,"フリガナ",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D5),被扶養者入力!D5,\"\")","v":"ケンポ　ゴロウ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,"性別",null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D6),VLOOKUP(被扶養者入力!D6,被扶養者入力!N45:O46,2,0),\"\")","v":"男"},null,null,null,null,null,null,null,null,null,null,null,3,null,"生年月日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D7),被扶養者入力!D7,\"\")","v":"1980-05-05"}]
[]
[]
[]
[null,null,null,null,null,"番号",null,null,null,null,null,null,null,null,null,null,null,null,"氏名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D4),被扶養者入力!D4,\"\")","v":"健保　吾郎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,null,"年収",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,"個人番号"]
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[]
[]
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[]
[]
[null,null,null,null,null,8,null,null,"住所",null,null,null,null,null,null,null,null,null,null,"〒",null,null,{"$f":"IF(ISTEXT(被扶養者入力!D11),被扶養者入力!D11,\"\")","v":"542-0066"},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D12),被扶養者入力!D12,\"\")","v":"大阪府大阪市中央区瓦屋町2-3-1"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,null,"取得年月日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D14),被扶養者入力!D14,\"\")","v":"2018-03-01"}]
[]
[]
[]
[]
[]
[]
[]
["Ｂ配偶者である被扶養者蘭",null,null,null,null,1,null,null,null,null,"フリガナ",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D20),被扶養者入力!D20,\"\")","v":"ケンポ　ハナ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,null,"続柄",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,null,null,"年収",null,null,null,null,null,null,null,null,null,2,null,"生年月日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D22),被扶養者入力!D22,\"\")","v":"1985-06-06"}]
[]
[]
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[null,null,null,null,null,"氏名"]
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[null,null,null,null,null,"氏名"]
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[null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D93),IF(被扶養者入力!D93=2,\"不該当\",\"\"),\"\")","v":""},null,null,null,null,null,null,null,11,null,null,"被扶養者でな\nくなった日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D99),被扶養者入力!D99,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,null,null,"理由",null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D100),被扶養者入力!D100,\"\")","v":""},null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D100),VLOOKUP(被扶養者入力!D100,被扶養者入力!N97:O102,2,0),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,null,null,"備考"]
[]
[]
[]
[]
[]
[]
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["Ｃその他の被扶養者欄３",null,null,null,null,1,null,null,null,null,"フリガナ",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D113),被扶養者入力!D113,\"\")","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,3,null,"性別",null,null,null,null,null,null,null,4,null,"続柄",null,null,null,null,null,null,null,9,null,null,"年収",null,null,null,null,null,null,null,null,null,2,null,"生年月日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D116),被扶養者入力!D116,\"\")","v":""}]
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[null,null,null,null,null,"氏名"]
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[]
[]
[null,null,null,null,null,6,null,"住所",null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D119),VLOOKUP(被扶養者入力!D119,被扶養者入力!$N$10:$O$11,2,0),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒",null,null,{"$f":"IF(ISTEXT(被扶養者入力!D121),被扶養者入力!D121,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D122),被扶養者入力!D122,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,10,null,null,"理由",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D125),被扶養者入力!D125,\"\")","v":""},null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D125),VLOOKUP(被扶養者入力!D125,被扶養者入力!N112:O117,2,0),\"\")","v":""}]
[]
[]
[]
[]
[null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D123),IF(被扶養者入力!D123=1,\"該当\",\"\"),\"\")","v":""},null,null,null,null,null,null,null,7,null,null,"被扶養者に\nなった日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D124),被扶養者入力!D124,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,null,null,"職業",null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D127),被扶養者入力!D127,\"\")","v":""},null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D127),VLOOKUP(被扶養者入力!D127,被扶養者入力!N119:O125,2,0),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,13,null,null,"別居の場合1ヶ月の仕送り額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D120),被扶養者入力!D120,\"\")","v":""},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,null,{"$f":"IF(ISNUMBER(被扶養者入力!D123),IF(被扶養者入力!D123=2,\"不該当\",\"\"),\"\")","v":""},null,null,null,null,null,null,null,11,null,null,"被扶養者でな\nくなった日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D129),被扶養者入力!D129,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,null,null,"理由",null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D130),被扶養者入力!D130,\"\")","v":""},null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D130),VLOOKUP(被扶養者入力!D130,被扶養者入力!N127:O132,2,0),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,null,null,"備考"]
[]
[]
[]
[]
[]
[]
[]
["Ｃその他の被扶養者欄４",null,null,null,null,1,null,null,null,null,"フリガナ",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D143),被扶養者入力!D143,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,null,"性別",null,null,null,null,null,null,null,4,null,"続柄",null,null,null,null,null,null,null,9,null,null,"年収",null,null,null,null,null,null,null,null,null,2,null,"生年月日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D146),被扶養者入力!D146,\"\")","v":""}]
[]
[]
[]
[null,null,null,null,null,"氏名"]
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[]
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[]
[]
[null,null,null,null,null,6,null,"住所",null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D149),VLOOKUP(被扶養者入力!D149,被扶養者入力!$N$10:$O$11,2,0),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒",null,null,{"$f":"IF(ISTEXT(被扶養者入力!D151),被扶養者入力!D151,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D152),被扶養者入力!D152,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,10,null,null,"理由",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D155),被扶養者入力!D155,\"\")","v":""},null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D155),VLOOKUP(被扶養者入力!D155,被扶養者入力!N142:O147,2,0),\"\")","v":""}]
[]
[]
[]
[]
[null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D153),IF(被扶養者入力!D153=1,\"該当\",\"\"),\"\")","v":""},null,null,null,null,null,null,null,7,null,null,"被扶養者に\nなった日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D154),被扶養者入力!D154,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,null,null,"職業",null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D157),被扶養者入力!D157,\"\")","v":""},null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D157),VLOOKUP(被扶養者入力!D157,被扶養者入力!N149:O155,2,0),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,13,null,null,"別居の場合1ヶ月の仕送り額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D150),被扶養者入力!D150,\"\")","v":""},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,null,{"$f":"IF(ISNUMBER(被扶養者入力!D153),IF(被扶養者入力!D153=2,\"不該当\",\"\"),\"\")","v":""},null,null,null,null,null,null,null,11,null,null,"被扶養者でな\nくなった日",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D159),被扶養者入力!D159,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,null,null,"理由",null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D160),被扶養者入力!D160,\"\")","v":""},null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D160),VLOOKUP(被扶養者入力!D160,被扶養者入力!N157:O162,2,0),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,null,null,"備考"]
[]
[]
[]
[]
[]
["社会保険労務士の提出代行者印"]
[]
[]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"大阪自動車整備健康保険組合"]

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[]
[]
[]
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[null,null,"令和　　　年　　　月　　　日"]
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[null,null,"提出者情報",null,null,null,null,null,null,null,"届書記入の個人番号(基礎年金番号)に誤りがないことを確認しました。"]
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[]
[null,null,null,null,null,null,null,null,null,null,{"$f":"基本情報登録!C7","v":"大阪府大阪市中央区瓦屋町2-3-1"}]
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[null,null,null,null,null,"事業所\n名称",null,null,null,null,{"$f":"基本情報登録!C8","v":"大阪自動車整備健康保険組合"}]
[]
[]
[null,null,null,null,null,"事業主\n氏名",null,null,null,null,{"$f":"基本情報登録!C9","v":"理事長　健　保　太　郎"}]
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[null,null,null,null,null,"電話\n番号",null,null,null,null,{"$f":"基本情報登録!C10","v":"06-6762-6371"}]
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[]
[]
[]
[null,null,"(第2号被保険者)\nＡ配偶者欄",null,null,1,null,"氏名",null,null,null,"ﾌﾘｶﾞﾅ",null,null,null,null,{"$f":"健保正!AH53","v":"ケンポ　ゴロウ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,"生年月日",null,null,null,null,null,null,{"$f":"健保正!DH53","v":"1980-05-05"},null,null,null,null,null,null,null,null,null,null,null,null,3,null,"性別",null,null,null,{"$f":"健保正!CI53","v":"男"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"健保正!Z58","v":"健保　吾郎"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,"個人番号\n(基礎年金番号)",null,null,null,null,null,null,{"$f":"健保正!DH58","v":"1"},null,{"$f":"健保正!DK58","v":"2"},null,{"$f":"健保正!DN58","v":"3"},null,{"$f":"健保正!DQ58","v":"4"},null,{"$f":"健保正!DT58","v":"5"},null,{"$f":"健保正!DW58","v":"6"},null,{"$f":"健保正!DZ58","v":"7"},null,{"$f":"健保正!EC58","v":"8"},null,{"$f":"健保正!EF58","v":"9"},null,{"$f":"健保正!EI58","v":"0"},null,{"$f":"健保正!EL58","v":"1"},null,{"$f":"健保正!EO58","v":"2"}]
[]
[]
[]
[null,null,null,null,null,5,null,"住所",null,null,null,"個人番号を記入した場合は、住所記載は不要です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾌﾘｶﾞﾅ",null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D9),\"\",IF(ISTEXT(被扶養者入力!D13),被扶養者入力!D13,\"\"))","v":""}]
[]
[null,null,null,null,null,null,null,null,null,null,null,"〒",null,{"$f":"IF(ISTEXT(被扶養者入力!D9),\"\",健保正!W66)","v":""}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D9),\"\",健保正!AJ66)","v":""}]
[]
[]
[]
[]
[]
[null,null,"届出内容に応じて、該当・非該当(変更)のいずれかを○で囲み、記入して下さい。"]
[]
[]
[null,null,"Ｂ第3号被保険者",null,null,1,null,"氏名",null,null,null,"この届書記載のとおり届出します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,"生年月日",null,null,null,null,null,null,{"$f":"健保正!DH74","v":"1985-06-06"},null,null,null,null,null,null,null,null,null,null,null,null,3,null,"性別\n続柄",null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D21),VLOOKUP(被扶養者入力!D21,被扶養者入力!Q4:R7,2,0),\"\")","v":"女"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,"令和　　年　　月　　日"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"日本年金機構理事長あて",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,"個人番号\n(基礎年金番号)",null,null,null,null,null,null,{"$f":"健保正!DH79","v":"9"},null,{"$f":"健保正!DK79","v":"8"},null,{"$f":"健保正!DN79","v":"7"},null,{"$f":"健保正!DQ79","v":"6"},null,{"$f":"健保正!DT79","v":"5"},null,{"$f":"健保正!DW79","v":"4"},null,{"$f":"健保正!DZ79","v":"3"},null,{"$f":"健保正!EC79","v":"2"},null,{"$f":"健保正!EF79","v":"1"},null,{"$f":"健保正!EI79","v":"0"},null,{"$f":"健保正!EL79","v":"9"},null,{"$f":"健保正!EO79","v":"8"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,"ﾌﾘｶﾞﾅ",null,null,null,{"$f":"健保正!U74","v":"ケンポ　ハナ"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,"(氏名)",null,null,null,{"$f":"健保正!M79","v":"健保　花"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,"外国籍",null,null,null,null,{"$f":"健保正!DW93","v":""},null,null,null,null,null,6,null,"外国籍\n通称名",null,null,null,null,{"$f":"健保正!DB99","v":""}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"健保正!CV101","v":""}]
[]
[null,null,null,null,null,null,null,null,null,null,null,"※届書の提出は配偶者(第2号被保険者)に委任します。",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,5,null,"住所",null,null,null,{"$f":"健保正!N87","v":"同居"},null,null,null,null,"〒",null,{"$f":"IF(ISTEXT(被扶養者入力!D45),被扶養者入力!D45,\"\")","v":"542-0066"},null,null,null,null,null,null,null,null,null,null,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,null,"電話\n番号",null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D30),\"自宅\",\"携帯\")","v":"自宅"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D46),被扶養者入力!D46,\"\")","v":"大阪府大阪市中央区瓦屋町2-3-1"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(被扶養者入力!D30),被扶養者入力!D30,被扶養者入力!D31)","v":"06-6762-0000"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※同居の場合も住民票の住所を記入してください。"]
[]
[null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D32),IF(被扶養者入力!D32=1,\"該当\",\"\"),\"\")","v":"該当"},null,null,null,null,null,9,null,null,null,null,null,null,null,null,{"$f":"健保正!AB93","v":"2019-04-01"},null,null,null,null,null,null,null,null,null,null,null,null,10,null,"理由",null,null,{"$f":"健保正!BI93","v":1},null,null,{"$f":"健保正!BL93","v":"配偶者の就職"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"第3号被保険者になった日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"備考"]
[]
[null,null,null,null,null,null,null,null,null,null,null,11,null,null,null,null,null,null,null,null,"31.厚生年金保険・健康保険"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"配偶者の\n加入制度"]
[]
[]
[null,null,null,null,null,{"$f":"IF(ISNUMBER(被扶養者入力!D32),IF(被扶養者入力!D32=2,\"不該当\",IF(被扶養者入力!D32=3,\"変更\",\"\")),\"\")","v":""},null,null,null,null,null,9,null,null,null,null,null,null,null,null,{"$f":"健保正!AB99","v":""},null,null,null,null,null,null,null,null,null,null,null,null,10,null,"理由",null,null,{"$f":"健保正!BI99","v":""},null,null,{"$f":"健保正!BL99","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"第3号被保険者でなくなった日"]
[]
[]
[]
[null,null,"健康保険証の発行元に確認を受けてください。"]
[]
[]
[null,null,"医療保険者記入欄",null,null,"組合(保険者)番号"]
[]
[null,null,null,null,null,"上記のとおり第3号被保険者関係届の届出がありましたので提出します。"]
[]
[]
[null,null,null,null,null,"届書記載の第3号被保険者は、健康保険組合又は共済組合に加入している者の被扶養者であることを確認する。"]
[]
[]
[null,null,null,null,null,"認定年月日",null,null,null,null,null,null,null,"令和　　　年　　月　　日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(「9第3号被保険者になった日」と同じ場合は、記載の必要はありません。)"]
[]
[]
[null,null,null,null,null,"所在地",null,null,null,null,null,"〒",null,null,"542-0066"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"大阪府大阪市中央区瓦屋町2-3-1\n岸和田第3ビル3階"]
[]
[]
[]
[null,null,null,null,null,"名称",null,null,null,null,null,"大阪自動車整備健康保険組合"]
[]
[]
[null,null,null,null,null,"代表者\n等氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印"]
[]
[]
[null,null,null,null,null,"電話",null,null,null,null,null,"06-6762-6371"]