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{"sheet":"退職時","index":0,"n_rows":61,"n_cols":82,"rows_kept":61,"merged":[[0,0,2,24],[1,27,2,28],[3,2,4,21],[3,27,4,29],[5,2,6,6],[5,7,6,21],[5,27,6,29],[7,2,8,6],[7,7,8,21],[7,27,8,29],[9,2,10,6],[9,7,10,21],[9,27,10,29],[11,2,12,6],[11,7,12,9],[11,10,12,10],[11,11,12,13],[11,14,12,14],[11,15,12,18],[11,27,12,29],[13,27,14,29],[14,0,17,8],[14,9,15,11],[14,12,15,24],[15,27,16,29],[16,9,17,11],[16,12,17,24],[17,27,18,28],[17,29,18,29],[18,0,19,8],[18,9,19,24],[19,27,20,28],[19,29,20,29],[20,0,22,8],[20,9,22,12],[20,13,22,14],[20,15,22,15],[20,16,22,17],[20,19,22,19],[20,20,22,21],[20,23,22,23],[20,24,22,24],[21,27,22,29],[23,0,32,8],[23,9,24,12],[23,13,24,15],[23,16,24,16],[23,17,24,20],[23,27,24,29],[25,9,26,12],[25,13,26,24],[25,27,26,29],[27,9,28,12],[27,13,28,24],[27,27,28,29],[29,9,30,12],[29,13,30,24],[29,27,30,28],[29,29,30,29],[31,9,32,12],[31,13,32,15],[31,16,32,16],[31,17,32,19],[31,20,32,20],[31,21,32,24],[31,27,32,28],[31,29,32,29],[33,0,34,8],[33,9,34,9],[33,10,34,10],[33,11,34,11],[33,12,34,12],[33,13,34,13],[33,14,34,14],[33,15,34,15],[33,16,34,16],[33,17,34,17],[33,18,34,18],[33,19,34,19],[33,20,34,20],[33,21,34,24],[33,27,34,28],[33,29,34,29],[35,0,37,8],[35,9,37,11],[35,12,37,13],[35,14,37,15],[35,16,37,17],[35,19,37,19],[35,20,37,21],[35,23,37,23],[35,27,36,28],[35,29,36,29],[37,27,38,28],[37,29,38,29],[38,0,40,8],[38,9,40,12],[38,13,40,14],[38,15,40,15],[38,17,40,17],[38,23,40,24],[39,27,40,28],[39,29,40,29],[41,0,43,8],[41,9,43,24],[41,27,42,28],[41,29,42,29],[43,27,44,28],[43,29,44,29],[44,0,46,8],[44,9,46,24],[47,0,49,8],[47,9,49,24],[47,25,49,25],[47,26,49,28],[50,0,52,8],[50,9,52,24],[54,0,56,8],[54,9,56,11],[54,12,56,13],[54,14,56,15],[54,16,56,17],[54,19,56,19],[54,20,56,21],[54,23,56,23],[57,0,59,8],[57,9,59,24],[60,0,62,8],[60,9,62,13],[60,14,62,24]]}
["雇用保険事務処理依頼書作成フォーム（退職時手続き用）"]
[{"$nulls":27},"～使用にあたっての注意事項～"]
[]
[null,null,"＜事業所情報＞（※必ず入力してください。）",{"$nulls":24},"※繰り返しこのフォームを使用する場合には、今回の入力内容と相違する前回の入力内容が残らないように注意してください。"]
[]
[null,null,"事業所名",{"$nulls":24},"◎色がついたセルは、入力必須項目です。"]
[]
[null,null,"所在地",{"$nulls":24},"◎緑色のセルは直接入力が可能です。"]
[{"$nulls":79},1,"②"]
[null,null,"事業主氏名",{"$nulls":24},"◎黄色のセルは、プルダウンより選択してください。",{"$nulls":53},"男"]
[{"$nulls":81},"女"]
[null,null,"電話番号",{"$nulls":7},"－",{"$nulls":3},"－",{"$nulls":12},"◎入力が完了したら、「雇用保険事務処理依頼書・マイナンバー提供書を作成」ボタンを押してください。"]
[{"$nulls":79},1,"③"]
[{"$nulls":27},"PDFファイルが出力されます。作成したPDFファイルは、このエクセルファイルが保存されている場所",{"$nulls":53},"昭和"]
["①被保険者氏名",{"$nulls":8},"ﾌﾘｶﾞﾅ",{"$nulls":71},"平成"]
[{"$nulls":27},"と同じフォルダ内に保存されます。",{"$nulls":53},"令和"]
[{"$nulls":9},"漢字"]
[{"$nulls":27},"＜出力されるファイルタイトル＞",null,"事務処理依頼書：「soushitsu_20230401_0908」",{"$nulls":49},1,"⑦"]
["②性別",{"$nulls":80},"当月"]
[{"$nulls":27},"（※2023年4月1日9時8分に作成した場合）",null,"マイナンバー提供書：「mynumber(soushitsu)_20230401_0908」",{"$nulls":51},"翌月"]
["③生年月日（和暦）\n※数字は直接入力も可能です",{"$nulls":14},"年",{"$nulls":3},"月",{"$nulls":3},"日"]
[{"$nulls":27},"※なお、ボタンが機能しない場合、お手数ですが、「雇用保険事務処理依頼書」「マイナンバー提供書」タブをそれぞれ手動で印刷またはPDF変換してください。",{"$nulls":51},1,"⑧"]
[{"$nulls":81},"希望しない"]
["④被保険者住所\n※神奈川県外に在住の方は、都道府県から入力してください。",{"$nulls":8},"＜郵便番号＞",{"$nulls":6},"－",{"$nulls":10},"◎「入力内容クリア」ボタンを押すと、入力した内容がすべて削除されます。（※事業所情報を除く。）",{"$nulls":53},"希望する　→　賃金台帳・出勤簿を12か月分添付してください。"]
[]
[{"$nulls":9},"市区町村",{"$nulls":17},"この操作は戻せませんので、ご注意ください。",{"$nulls":51},1,"⑨"]
[{"$nulls":81},"月給"]
[{"$nulls":9},"番地",{"$nulls":17},"◎手続きにあたり、添付書類が必要な場合があります。下表よりご確認ください。",{"$nulls":53},"月給日給"]
[{"$nulls":81},"日給"]
[{"$nulls":9},"建物名",{"$nulls":17},"状況",null,"必要な書類",{"$nulls":51},"時間給"]
[]
[{"$nulls":9},"＜電話番号＞",{"$nulls":6},"－",{"$nulls":3},"－",{"$nulls":6},"離職票が必要な場合",null,"退職日以前１年分の出勤簿写しと賃金台帳写し",{"$nulls":49},1,"⑩"]
[{"$nulls":81},"自己都合"]
["⑤個人番号",{"$nulls":26},"自己都合（書面による場合のみ）",null,"退職届の写し",{"$nulls":51},"解雇　→　⑫～⑭も入力してください。"]
[{"$nulls":81},"その他　→　右枠に具体的理由を記入してください。"]
["⑥退社年月日\n※直接入力も可能です",{"$nulls":8},"令和",{"$nulls":4},"年",{"$nulls":4},"月",{"$nulls":3},"日",{"$nulls":3},"解雇（書面による場合のみ）",null,"解雇通知書の写し"]
[{"$nulls":79},1,"⑪"]
[{"$nulls":27},"定年",null,"就業規則等のうち、定年規定が記載されたページの写し",{"$nulls":51},"書面　→　書面の場合、コピーを添付してください。"]
["⑦賃金締切日",{"$nulls":14},"日",{"$nulls":65},"口頭"]
[{"$nulls":27},"契約期間満了",null,"最終更新時の雇用契約書の写し"]
[{"$nulls":79},1,"⑭"]
["⑧離職票の希望",{"$nulls":26},"外国人被保険者の手続きの場合",null,"在留カード（表・裏）の写し※在留資格が「特定活動」の場合、指定書も添付してください。",{"$nulls":51},"有り"]
[{"$nulls":81},"無し"]
[{"$nulls":27},"氏名を変更した場合",null,"氏名変更年月日が分かる書類"]
["⑨支給方法"]
[]
[{"$nulls":26},"その他の場合、下枠に具体的理由をご記入ください。（例：役員就任のため　等）"]
["⑩退職理由",{"$nulls":24},"⇒"]
[]
[]
["⑪伝達手段"]
[]
[]
[]
["⑫解雇予告日\n※直接入力も可能です",{"$nulls":8},"令和",{"$nulls":4},"年",{"$nulls":4},"月",{"$nulls":3},"日"]
[]
[]
["⑬解雇理由"]
[]
[]
["⑭解雇予告手当の支払い",{"$nulls":13},"※30日以上前予告であれば解雇予告手当不要"]

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["雇用保険事務処理依頼書"]
[]
[]
[{"$nulls":24},"労働保険事務組合　相模原商工会議所"]
["この依頼書にご記入いただいた個人情報につきましては、雇用保険の資格取得手続・喪失手続き、本件に関する連絡の目的にのみ使用致します。なお、個人番号（マイナンバー）のご提供につきましては、別紙「雇用保険被保険者個人番号提供書」にてご連絡いただきますよう、よろしくお願い申し上げます。"]
[]
[{"$nulls":25},"〒252-0239　相模原市中央区中央3-12-3\n相模原商工会議所　産業人材支援課\n電話：042-753-8134　FAX：042-753-7637"]
[]
[]
[]
["＜共通（必須項目）＞"]
[]
[]
["被保険者氏名",{"$nulls":9},"性別",null,"生年月日",{"$nulls":6},"被保険者住所"]
[]
[]
["（ﾌﾘｶﾞﾅ）",null,{"$f":"IF(退職時!M15=0,\"\",退職時!M15)","v":""},{"$nulls":7},{"$f":"IF(退職時!CB9=1,\"\",IF(退職時!CB9=2,退職時!CD10,IF(退職時!CB9=3,退職時!CD11,\"\")))","v":""},null,{"$f":"IF(退職時!CB13=1,\"\",IF(退職時!CB13=2,退職時!CD14,IF(退職時!CB13=3,退職時!CD15,IF(退職時!CB13=4,退職時!CD16,\"\"))))","v":""},{"$f":"IF(退職時!N21=\"\",\"\",退職時!N21)","v":""},"年",{"$f":"IF(退職時!Q21=\"\",\"\",退職時!Q21)","v":""},"月",{"$f":"IF(退職時!U21=\"\",\"\",退職時!U21)","v":""},"日","〒",{"$f":"IF(退職時!N24=\"\",\"\",退職時!N24)","v":""},null,"－",{"$f":"IF(退職時!R24=\"\",\"\",退職時!R24)","v":""},null,null,"TEL：",null,{"$f":"IF(退職時!N32=\"\",\"\",退職時!N32)","v":""},null,"－",{"$f":"IF(退職時!R32=\"\",\"\",退職時!R32)","v":""},null,"－",{"$f":"IF(退職時!V32=\"\",\"\",退職時!V32)","v":""}]
[]
["（漢字）",null,{"$f":"IF(退職時!M17=0,\"\",退職時!M17)","v":""},{"$nulls":16},{"$f":"IF(退職時!N26=\"\",\"\",退職時!N26)&IF(退職時!N28=\"\",\"\",退職時!N28)&\"　\"&IF(退職時!N30=\"\",\"\",退職時!N30)","v":"　"}]
[]
[null,null,{"$f":"IF([1]入社時!M19=0,\"\",[1]入社時!M19)","v":""}]
[]
["個人番号の提供につきましては、別紙「個人番号提供書」に個人番号を記載願います　※本用紙に個人番号を記載しないでください。"]
[]
[]
["＜取得時記入欄（入社時）＞　※被保険者が『事業主と同居の親族』、『外国籍労働者』である別途書類の提出が必要となります。"]
[]
["入社年月日",{"$nulls":3},"令和",null,"年",null,"月",null,"日","賃金月額（総支給額）",{"$nulls":11},"円","支給方法"]
[]
[]
[]
[]
["雇用形態",{"$nulls":10},"１週間の所定労働時間\n（法定最大４０時間）",{"$nulls":8},"時間",null,null,"分","契約期間の定め"]
[]
[{"$nulls":30},"～"]
[]
[]
["被保険者番号",{"$nulls":10},"前職会社名\n※被保険者番号が不明な場合",{"$nulls":10},"職種\n（従事する業務内容）"]
[]
[]
[]
[]
[]
["＜喪失時記入欄（退職時）＞　※離職票が必要な場合、直近12か月分の賃金台帳と出勤簿を添付してください。"]
[]
["退社年月日",{"$nulls":3},"令和",{"$f":"IF(退職時!M36=\"\",\"\",退職時!M36)","v":""},"年",{"$f":"IF(退職時!Q36=\"\",\"\",退職時!Q36)","v":""},"月",{"$f":"IF(退職時!U36=\"\",\"\",退職時!U36)","v":""},"日","賃金締切日",null,null,{"$f":"IF(退職時!CB18=1,\"\",IF(退職時!CB18=2,退職時!CD19,IF(退職時!CB18=3,退職時!CD20,\"\")))","v":""},null,{"$f":"IF(退職時!N39=\"\",\"\",退職時!N39)","v":""},"日","離職票の希望",{"$nulls":3},{"$f":"IF(退職時!CB22=1,\"\",IF(退職時!CB22=2,退職時!CD23,IF(退職時!CB22=3,\"希望する\",\"\")))","v":""},{"$nulls":5},"支給方法",null,null,{"$f":"IF(退職時!CB26=1,\"\",IF(退職時!CB26=2,退職時!CD27,IF(退職時!CB26=3,退職時!CD28,IF(退職時!CB26=4,退職時!CD29,IF(退職時!CB26=5,退職時!CD30,\"\")))))","v":""}]
[]
[]
[]
[]
["退職理由",{"$nulls":3},{"$f":"IF(退職時!CB32=1,\"\",IF(退職時!CB32=2,\"自己都合\",IF(退職時!CB32=3,\"解雇\",IF(退職時!CB32=4,退職時!AA48,\"\"))))","v":""},{"$nulls":4},"手段",{"$f":"IF(退職時!CB37=1,\"\",IF(退職時!CB37=2,\"書面\",IF(退職時!CB37=3,退職時!CD39,\"\")))","v":""},{"$nulls":3},"解雇予告日",{"$nulls":3},{"$f":"\"令和\"&IF(退職時!M55=\"\",\"\",退職時!M55)&\"年\"&IF(退職時!Q55=\"\",\"\",退職時!Q55)&\"月\"&IF(退職時!U55=\"\",\"\",退職時!U55)&\"日\"","v":"令和年月日"},{"$nulls":3},"解雇予告手当の支払い",{"$nulls":5},{"$f":"IF(退職時!CB41=1,\"\",IF(退職時!CB41=2,退職時!CD42,IF(退職時!CB41=3,退職時!CD43,\"\")))","v":""},null,null,"※30日以上前予告であれば不要"]
[]
[]
[{"$nulls":10},"⇒書面の場合、コピーを\n添付してください",{"$nulls":3},"解雇理由",{"$nulls":3},{"$f":"IF(退職時!J58=\"\",\"\",退職時!J58)","v":""}]
[]
[]
[]
["＜事務局記入欄＞",{"$nulls":13},"事業所名",{"$nulls":4},{"$f":"IF(退職時!H6=\"\",\"\",退職時!H6)","v":""}]
[]
["受託",null,"　年　 月　 日",{"$nulls":3},"届出",null,"　年　 月　 日",{"$nulls":5},"所在地",{"$nulls":4},{"$f":"IF(退職時!H8=\"\",\"\",退職時!H8)","v":""}]
[]
[{"$nulls":14},"事業主氏名",{"$nulls":4},{"$f":"IF(退職時!H10=\"\",\"\",退職時!H10)","v":""}]
["受理",null,"　年　 月　 日",{"$nulls":3},"伝達",null,"　年　 月　 日"]
[{"$nulls":14},"電話番号",{"$nulls":4},{"$f":"IF(退職時!H12=\"\",\"\",退職時!H12)","v":""},null,null,"－",{"$f":"IF(退職時!L12=\"\",\"\",退職時!L12)","v":""},null,null,"－",{"$f":"IF(退職時!P12=\"\",\"\",退職時!P12)","v":""}]

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["雇用保険被保険者　個人番号（マイナンバー）提供書"]
[]
["労働保険事務組合　相模原商工会議所　行"]
["（〒252-0239　相模原市中央区中央3-12-3）"]
[]
[{"$nulls":7},"事業所",null,"名　称",null,{"$f":"雇用保険事務処理依頼書!T58","v":""}]
[{"$nulls":9},"所在地",null,{"$f":"雇用保険事務処理依頼書!T60","v":""}]
[{"$nulls":9},"代表者名",null,{"$f":"雇用保険事務処理依頼書!T62","v":""}]
[]
["雇用保険被保険者氏名",{"$nulls":5},"性別",null,"生　年　月　日",{"$nulls":6},"事由"]
[{"$f":"雇用保険事務処理依頼書!C19","v":""},{"$nulls":5},{"$f":"雇用保険事務処理依頼書!K17","v":""},null,{"$f":"雇用保険事務処理依頼書!M17","v":""},{"$f":"雇用保険事務処理依頼書!N17","v":""},"年",{"$f":"雇用保険事務処理依頼書!P17","v":""},"月",{"$f":"雇用保険事務処理依頼書!R17","v":""},"日","喪失"]
[]
[]
[]
["個人番号（１２桁）",{"$nulls":4},{"$f":"IF(退職時!J34=\"\",\"\",退職時!J34)","v":""},{"$f":"IF(退職時!K34=\"\",\"\",退職時!K34)","v":""},{"$f":"IF(退職時!L34=\"\",\"\",退職時!L34)","v":""},{"$f":"IF(退職時!M34=\"\",\"\",退職時!M34)","v":""},{"$f":"IF(退職時!N34=\"\",\"\",退職時!N34)","v":""},{"$f":"IF(退職時!O34=\"\",\"\",退職時!O34)","v":""},{"$f":"IF(退職時!P34=\"\",\"\",退職時!P34)","v":""},{"$f":"IF(退職時!Q34=\"\",\"\",退職時!Q34)","v":""},{"$f":"IF(退職時!R34=\"\",\"\",退職時!R34)","v":""},{"$f":"IF(退職時!S34=\"\",\"\",退職時!S34)","v":""},{"$f":"IF(退職時!T34=\"\",\"\",退職時!T34)","v":""},{"$f":"IF(退職時!U34=\"\",\"\",退職時!U34)","v":""}]
[]
[]
[]
["個人番号（特定個人情報）提供のお願い"]
["　労働保険事務組合相模原商工会議所は、番号法に基づき、下記の使用目的のため、貴社の従業員の個人番号（特定個人情報）の提供をお願いいたします。\n　記載の使用目的以外で貴社の従業員の個人番号（特定個人情報）を使用することはありません。個人番号（特定個人情報）の取扱いについては、漏えい、不正利用防止等の観点から番号法に基づく安全管理措置を講じております。\n　ご提出いただいた雇用保険被保険者の個人番号等については、当事務組合において下記の雇用保険届出に転記、ハローワークに提出いたします。提出後は速やかに雇用保険被保険者個人番号提供書を破棄するため、雇用保険被保険者の個人番号等は必要に応じて都度ご提出いただきますよう、ご協力のほどよろしくお願いいたします。\n　なお、従業員の個人番号の提供に際しては、労使間の協定を締結する等の対応をご考慮ください。"]
{"$rows_empty":8}
["記"]
["（使用目的）　雇用保険届出事務\n　　　　　　①雇用保険被保険者資格取得届（雇用保険法施行規則様式第2号）作成\n　　　　　　②雇用保険被保険者氏名変更・喪失届（雇用保険法施行規則様式第4号）作成"]
[]
[]
["以上"]