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["様式第２号（第9条、第13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,"変更",null,null,null,null,null,2021]
["【施設型給付型・地域型保育給付費等】",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,"年度",null,null,null,null,null,null,null,"改正"]
[null,"教育・保育給付認定　変更申請書（兼変更届）"]
[null,"那　賀　町　長　殿"]
["　次のとおり関係書類を添えて、子どものための教育・保育給付認定、施設型給付費に係る支給認定及び特定教育・保育施設等"]
["の利用申込をし、その際、私の世帯の住民基本台帳・外国人登録・課税台帳・生活保護受給等を閲覧すること、及びその情報に基"]
["づき決定した保育料等について、利用決定した特定教育・保育施設等（こども園）に対して提示することに同意します。"]
["またこの申請手続きには特定個人番号（ﾏｲﾅﾝﾊﾞｰ)が利用されることを承知し、たとえ特定個人番号が未記載の場合でも、関連する"]
["事務手続きのため必要であれば特定個人番号に基づいて那賀町が必要事項を他市町村等へ照会することに同意します。"]
[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,"受理\n番号",null,"－"]
[null,"申請（届出）日",null,null,null,null,null,null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
[null,"変更後",null,null,null,null,null,null,"　〒",null,null,null,null,null,"－",null,null,null,null,null,null,null,null,null,null,null,"変更後",null,null,null,"申請保護者は世帯で1名のみとなります。"]
[null,"申請保護者\n（納付義務者）",null,null,null,null,"住所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名\n（同意署名）"]
[null,null,null,null,null,null,null,null,"連絡先（携帯）",null,null,null,null,null,null,null,"－",null,null,null,null,"－"]
[null,"■変更対象となる児童についてご記入ください。"]
[null,"児童名（１）",null,null,null,null,null,null,null,null,null,null,null,null,"生年月日",null,null,null,null,null,null,"年",null,null,"月",null,null,"日生",null,null,"変更前認定区分","□","教育標準時間\n（1号認定）",null,null,null,null,null,"現在の利用施設","選択ください"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,"男・女",null,null,null,"今年度4/1時点\nの年齢",null,null,null,null,null,null,null,null,"歳"]
[null,"児童名（２）",null,null,null,null,null,null,null,null,null,null,null,null,"生年月日",null,null,null,null,null,null,"年",null,null,"月",null,null,"日生",null,null,null,"□","保育短時間\n（２・３号認定）\n"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,"男・女",null,null,null,"今年度4/1時点\nの年齢",null,null,null,null,null,null,null,null,"歳"]
[null,"児童名（３）",null,null,null,null,null,null,null,null,null,null,null,null,"生年月日",null,null,null,null,null,null,"年",null,null,"月",null,null,"日生",null,null,null,"□","保育標準時間\n（２・３号認定）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,"男・女",null,null,null,"今年度4/1時点\nの年齢",null,null,null,null,null,null,null,null,"歳"]
[null,"■変更事項をご記入ください。（変更箇所のみ）"]
[null,"保育理由の変更","変更後の認定",null,null,null,null,null,"１つにチェック",null,null,null,null,"□",null,"教育認定（１号）　",null,null,null,null,null,null,null,"□",null,"保育認定（短時間）",null,null,null,null,null,null,null,"□",null,"保育認定（標準時間）"]
[null,null,"保育の必要性",null,null,null,null,null,"あり・なし",null,null,null,null,null,null,null,"変更の起点日",null,null,null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日",null,"（就労開始日、出産予定日等）"]
[null,null,"変更内容",null,null,null,null,null,"保護者名",null,null,null,null,null,null,null,null,null,null,null,null,"児童との続柄",null,null,null,null,null,null,null,null,"変更後","利用期間","開始日",null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,"変更後の\n保育理由",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"終了日",null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,"具体的な状況",null,null,null,null,null,"具体的に"]
[null,"世帯状況の変更","変更内容",null,null,null,null,null,"変更する内容をプルダウンより選択ください"]
[null,null,"申請保護者変更",null,null,null,null,null,"変更前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"姓変更（変更前）"]
[null,null,"住所変更",null,null,null,null,null,"変更前（別居者についても変更申請は必要です）"]
[null,null,"勤務先変更",null,null,null,null,null,"勤務内容・就労時間・就労地（移動時間）等"]
[null,null,"変更・増減","世帯員氏名\n（個人番号）",null,null,null,null,null,null,null,null,"児童と\nの続柄",null,null,"　（上欄）　　生　年　月　日",null,null,null,null,null,null,null,null,null,null,null,"※\n年齢",null,"障害","生計",null,"町外\n在住",null,"移動時間\n（園までの時間）",null,null,null,null,"市町村民税課税\n※変更時のみ記入"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　（下欄）　　勤務先・学校・園等"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生年月日",null,null,null,null,null,null,"年",null,"月",null,"日",null,null,"□","同/別",null,"□",null,"自宅",null,null,null,"分","均等割"]
[null,null,null,"個人番号",null,null,null,null,null,null,null,null,null,null,null,"勤務先等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤務先",null,null,null,"分","所得割"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生年月日",null,null,null,null,null,null,"年",null,"月",null,"日",null,null,"□","同/別",null,"□",null,"自宅",null,null,null,"分","均等割"]
[null,null,null,"個人番号",null,null,null,null,null,null,null,null,null,null,null,"勤務先等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤務先",null,null,null,"分","所得割"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生年月日",null,null,null,null,null,null,"年",null,"月",null,"日",null,null,"□","同/別",null,"□",null,"自宅",null,null,null,"分","均等割"]
[null,null,null,"個人番号",null,null,null,null,null,null,null,null,null,null,null,"勤務先等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤務先",null,null,null,"分","所得割"]
[null,null,"世帯状況","保育料\n減免申請",null,null,null,"□","ひとり親世帯",null,null,null,null,"□","取下（同居・結婚）",null,null,null,null,"□","申請（理由）",null,null,null,"選択",null,null,null,"その他の理由："]
[null,null,null,null,null,null,null,"□","障害者世帯",null,null,null,null,"□","取下（非該当）",null,null,null,null,"□","申請（該当）",null,null,null,null,null,null,null,"※減免申請の際には減免対象となることがわかる\n受給者証や手帳等の写しを添付してください。"]
[null,null,null,null,null,null,null,"□","多子世帯",null,null,null,null,"□","取下（非該当）",null,null,null,null,"□","申請（該当）"]
[null,null,null,null,null,null,null,"□","生活保護世帯",null,null,null,null,"□","取下（受給停止）",null,null,null,null,"□","申請（受給開始）"]
[null,null,"その他の変更"]
[null,"※月途中に提出された変更申請については、原則として提出月の翌月1日からの認定変更となります。"]
[null,"那賀町使用欄","受付欄","添付書類確認",null,null,null,null,null,"□","完了",null,null,"□","不備",null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）","本課受付印"]
[null,null,null,"番号確認書類",null,null,null,null,null,"□ﾏｲﾅﾝﾊﾞｰｶｰﾄﾞ　□通知カード　□住民票の写し等　□なし"]
[null,null,null,"身元確認書類",null,null,null,null,null,"□ﾏｲﾅﾝﾊﾞｰｶｰﾄﾞ　□運転免許証　□その他書類２点　□職員面識"]
[null,null,null,"受付\n場所",null,null,null,null,null,null,"支　所",null,null,null,"受付\n担当",null,null,null,null,null,null,"受付日"]
[null,null,null,null,null,null,null,null,null,null,"こども園"]
[null,null,"認定区分(1)",null,null,null,null,"１号",null,"２短",null,"２標",null,"３短",null,"３標",null,"保育料","歳児",null,null,"円",null,null,null,null,"半額・軽減",null,null,"交付書類"]
[null,null,"認定区分(2)",null,null,null,null,"１号",null,"２短",null,"２標",null,"３短",null,"３標",null,null,"歳児",null,null,"円",null,null,null,null,"半額・軽減",null,null,null,"支給認定証"]
[null,null,"認定区分(3)",null,null,null,null,"１号",null,"２短",null,"２標",null,"３短",null,"３標",null,null,"歳児",null,null,"円",null,null,null,null,"半額・軽減",null,null,null,"認定決定",null,null,null,null,"備考"]
[null,null,"認定\n期間",null,"開始",null,null,null,"年",null,null,"月",null,null,"日","広域",null,"階層",null,null,null,"処理日　　　　　　　　　　　　処理者",null,null,null,null,null,null,null,null,"利用決定"]
[null,null,null,null,"終了",null,null,null,"年",null,null,"月",null,null,"日",null,null,"減免",null,null,null,null,null,null,null,null,null,null,null,null,"負担額決定"]