{"text_format":"1","workbook":"xlsx","n_sheets":1,"sheets":["様式"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":1,"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"}

{"sheet":"様式","index":0,"n_rows":65,"n_cols":37,"rows_kept":65,"cut":false,"hidden":false,"merged":[[62,1,63,3],[35,1,36,36],[27,1,27,36],[29,1,29,36],[56,2,58,3],[56,1,58,1],[59,1,61,1],[59,2,61,3],[31,11,33,11],[31,12,33,12],[31,13,33,13],[31,14,33,14],[31,15,31,36],[32,15,33,20],[32,23,33,36],[28,1,28,36],[39,1,39,36],[57,8,58,8],[57,9,58,9],[57,11,58,11],[57,12,58,12],[56,15,56,36],[57,15,58,20],[57,23,58,36],[64,34,64,36],[23,7,25,7],[23,8,25,8],[23,9,25,9],[20,1,20,7],[20,8,20,18],[21,1,22,1],[21,2,22,2],[21,3,22,3],[21,4,22,4],[21,5,22,5],[21,6,22,6],[21,7,22,7],[23,15,23,36],[24,15,25,20],[24,23,25,36],[23,10,25,10],[23,11,25,11],[23,12,25,12],[23,13,25,13],[23,14,25,14],[20,19,20,36],[21,19,22,36],[40,1,40,36],[57,4,58,6],[57,7,58,7],[56,4,56,14],[43,26,45,27],[23,5,25,6],[23,1,25,4],[43,1,43,17],[44,1,45,17],[43,18,43,21],[44,18,45,21],[31,1,33,4],[31,5,33,6],[31,7,33,7],[31,8,33,8],[31,9,33,9],[31,10,33,10],[57,14,58,14],[57,10,58,10],[57,13,58,13],[43,32,45,32],[43,33,45,33],[47,32,49,32],[47,33,49,33],[50,22,52,25],[50,26,52,27],[50,28,52,28],[50,29,52,29],[50,30,52,30],[50,31,52,31],[50,32,52,32],[59,15,59,36],[60,15,61,20],[60,23,61,36],[60,14,61,14],[59,4,59,14],[60,4,61,6],[60,7,61,7],[60,8,61,8],[60,9,61,9],[60,13,61,13],[60,10,61,10],[60,11,61,11],[60,12,61,12],[1,1,1,12],[2,1,2,4],[2,5,2,8],[2,9,2,12],[1,14,2,17],[16,1,17,37],[10,19,10,23],[12,19,12,23],[2,19,2,36],[1,19,1,36],[10,34,11,35],[6,19,6,23],[8,19,8,23],[3,29,3,36],[47,36,49,36],[48,1,49,17],[48,18,49,21],[19,1,19,19],[47,1,47,17],[47,18,47,21],[47,22,49,25],[47,26,49,27],[47,28,49,28],[47,29,49,29],[47,30,49,30],[47,31,49,31],[46,1,46,36],[47,34,49,34],[47,35,49,35],[21,8,22,18],[43,36,45,36],[43,34,45,34],[43,35,45,35],[43,22,45,25],[43,28,45,28],[43,29,45,29],[43,30,45,30],[43,31,45,31],[53,31,55,31],[53,32,55,32],[53,33,55,33],[53,34,55,34],[53,35,55,35],[53,36,55,36],[54,1,55,17],[54,18,55,21],[50,1,50,17],[50,18,50,21],[50,33,52,33],[50,36,52,36],[51,1,52,17],[51,18,52,21],[53,1,53,17],[53,18,53,21],[53,22,55,25],[53,26,55,27],[53,28,55,28],[53,29,55,29],[53,30,55,30],[50,34,52,34],[50,35,52,35]]}
["　※被保険者と同じタイミングで同じ住所へ変更される場合は、事業主から別途届出があるため、提出は不要です。"]
[null,"健 康 保 険 組 合",null,null,null,null,null,null,null,null,null,null,null,null,"健保受付",null,null,null,null,"事 業 主 （ 事 業 主 代 理 人 ） 記 入 箇 所"]
[null,"　　　　長",null,null,null,"　　　　長",null,null,null,"担当者",null,null,null,null,null,null,null,null,null,"下記の通り被保険者から被扶養者の届出がありましたので提出します。"]
[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,null,"令和　　年　　月　　日提出"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業主所在地"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所名称"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業主氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号"]
[]
[]
[]
[null,"健康保険被扶養者住所変更届\n(住民票住所・居所住所）"]
[]
[]
[null,"関西電力健康保険組合　常務理事殿"]
[null,"被保険者番号",null,null,null,null,null,null,"被保険者氏名",null,null,null,null,null,null,null,null,null,null,"会社名・所属（任意継続被保険者は記入不要）"]
[]
[]
[null,"被保険者\n住民票住所\n",null,null,null,"郵便\n番号",null,null,null,null,"－",null,null,null,null,"（ﾌﾘｶﾞﾅ）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"都","道"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"府","県"]
[]
[null,"●該当する項目に✔をいれてください。"]
[null,"　　  被保険者の居所住所は上記に記入した住民票住所と同住所　"]
[null,"　  　被保険者の居所住所は上記に記入した住民票住所と別住所　⇒下段の居所住所をご記入ください。\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t"]
[]
[null,"被保険者\n居所住所\n",null,null,null,"郵便\n番号",null,null,null,null,"－",null,null,null,null,"（ﾌﾘｶﾞﾅ）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"都","道"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"府","県"]
[]
[null,"被扶養者の住所変更欄"]
[]
[]
[null,"●該当する変更項目に✔をいれてください。"]
[null,"　   住民票住所・居所住所両方とも変更する　　⇒A・Bともご記入ください。"]
[null,"     住民票住所のみ変更する　⇒Aのみご記入ください。"]
[null,"     居所住所のみ変更する　⇒Bのみご記入ください。"]
[]
[null,"被扶養者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続柄",null,null,null,"変更年月日",null,null,null,"令和",null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"※同時に同じ住所へ変更される被扶養者は以下の欄にご記入ください。"]
[null,"被扶養者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続柄",null,null,null,"変更年月日",null,null,null,"令和",null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"被扶養者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続柄",null,null,null,"変更年月日",null,null,null,"令和",null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"被扶養者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続柄",null,null,null,"変更年月日",null,null,null,"令和",null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"A","変更後\n住民票住所",null," 　  上記被保険者住民票住所に同じ",null,null,null,null,null,null,null,null,null,null,"（ﾌﾘｶﾞﾅ）"]
[null,null,null,null,"郵便番号",null,null,null,null,null,"－",null,null,null,null,null,null,null,null,null,null,"都","道"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"府","県"]
[null,"B","変更後\n居所\n住所",null,"   上記被保険者居所住所に同じ",null,null,null,null,null,null,null,null,null,null,"（ﾌﾘｶﾞﾅ）"]
[null,null,null,null,"郵便番号",null,null,null,null,null,"－",null,null,null,null,null,null,null,null,null,null,"都","道"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"府","県"]
[null,"変更理由",null,null," 　 就学",null,null," その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"R5.12"]