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["（様式３）介護慰労金受給職員表"]
[]
[]
[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"]
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[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"]