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{"sheet":"①交付申請書","index":0,"n_rows":38,"n_cols":7,"rows_kept":38,"cut":false,"hidden":false,"merged":[[6,0,6,7],[1,0,1,7],[2,0,2,7],[3,0,3,7],[0,0,0,7],[4,0,4,7],[5,0,5,7],[7,0,7,7],[8,0,8,7],[9,0,9,7],[10,0,10,7],[29,3,29,7],[11,5,11,7],[37,5,37,7],[12,5,12,7],[13,5,13,7],[14,5,14,7],[23,4,23,5],[28,0,28,7],[27,0,27,2],[27,3,27,7],[15,0,15,7],[16,0,16,7],[12,0,12,4],[13,0,13,4],[14,0,14,4],[31,0,31,7],[32,0,32,7],[19,0,19,7],[34,5,34,7],[35,5,35,7],[36,5,36,7],[11,0,11,4],[20,0,20,7],[21,0,21,7],[22,0,22,7],[17,0,17,7],[18,0,18,7],[23,0,23,2],[25,0,25,2],[25,3,25,7],[24,0,24,7],[26,0,26,7],[29,0,29,2]]}
["様式第１号（第６条関係）"]
[]
["埼玉県障害福祉サービス事業所等光熱費等高騰対策支援事業補助金"]
["交付申請書"]
[]
["第　　　　　号"]
["令和　年　月　日"]
[]
["（宛先）"]
["  埼玉県知事"]
[]
["（申請者）"]
["所　 在 　地"]
["法人等の名称"]
["代表者職氏名"]
[]
[]
["　下記により、埼玉県障害福祉サービス事業所等光熱費等高騰対策支援事業補助金の"]
["事業補助金の交付を受けたいので、補助金等の交付手続等に関する規則第４条の規定によ"]
["り、関係書類を添えて申請します。"]
[]
["記"]
[]
["１　補助金交付申請額",null,null,"金",{"$f":"'②-1申請額算出内訳（入所支援施設） (2)'!M27+'②-2申請額算出内訳 （共同生活援助系) (2)'!N27+'②-3申請額算出内訳 (児・者通所系) (2)'!N27+'②-4申請額算出内訳 (児・者訪問系)'!M27","v":0},null,"円"]
[]
["２　申請額算出内訳",null,null,"別紙１のとおり"]
[]
["３　口座振込申出書",null,null,"別紙２のとおり"]
[]
["４　光熱費に係る種別の申出書",null,null,"別紙３のとおり"]
[]
["５　申請に係る施設・事業所の事業開始を確認できる書類"]
["  （ ※指定申請書の写し等を添付） "]
[null,null,null,null,"【連絡先】"]
[null,null,null,null,"部署名"]
[null,null,null,null,"担当者氏名"]
[null,null,null,null,"電話番号"]
[null,null,null,null,"e-mail"]

{"sheet":"②-1申請額算出内訳（入所支援施設） (2)","index":1,"n_rows":31,"n_cols":13,"rows_kept":31,"cut":false,"hidden":false,"merged":[[0,7,0,8],[0,9,0,10],[2,0,2,10],[4,7,4,10]]}
["別紙１－１（児・者入所支援施設）",null,null,null,null,null,null,"申請者(法人）名：　　　　　　　　　　　　　　　　　　　　",null,{"$f":"①交付申請書!F14","v":0}]
[]
["申　　請　　額　　算　　出　　内　　訳"]
[]
[]
["№","事業所番号","施設・事業所名","住所\n（市・町名）","住所２（区名以下）","サービス種別","事業開始日","　　交付対象数（A）\n入所施設　➡　定員数","交付単位\n人\n事業所\n住居","ガス","補助単価\n(B)","プロパンガスの場合、控除","申請額\n(A×B)"]
["記入例\n1",2222222222,"世界埼玉にゅうしょ施設","縄文市","南区まがたま町１－２－３","福祉型障害児入所施設","2044-01-01",55,"人","プロパンガス",{"$f":"VLOOKUP(F7&J7,食事提供加算有!A:E,5,FALSE)","v":18700},{"$f":"VLOOKUP(F7&J7,食事提供加算有!A:F,6,FALSE)","v":1500},{"$f":"H7*K7-L7","v":1027000}]
["記入例２",1111222222,"川口にゅうしょ施設","AB市","南区南町１－２－３","医療型障害児入所施設","2016-01-01",40,"人","プロパンガス",{"$f":"VLOOKUP(F8&J8,食事提供加算有!A:E,5,FALSE)","v":18700},{"$f":"VLOOKUP(F8&J8,食事提供加算有!A:F,6,FALSE)","v":1500},{"$f":"H8*K8-L8","v":746500}]
[1,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H9*K9-L9","v":0}]
[2,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H10*K10-L10","v":0}]
[3]
[4]
[5,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H13*K13-L13","v":0}]
[6]
[7,null,null,null,null,null,null,null,null,null,null,null,0]
[8,null,null,null,null,null,null,null,null,null,null,null,0]
[9,null,null,null,null,null,null,null,null,null,null,null,0]
[10,null,null,null,null,null,null,null,null,null,null,null,0]
[11,null,null,null,null,null,null,null,null,null,null,null,0]
[12,null,null,null,null,null,null,null,null,null,null,null,0]
[13,null,null,null,null,null,null,null,null,null,null,null,0]
[14,null,null,null,null,null,null,null,null,null,null,null,0]
[15,null,null,null,null,null,null,null,null,null,null,null,0]
[16,null,null,null,null,null,null,null,null,null,null,null,0]
[17,null,null,null,null,null,null,null,null,null,null,null,0]
[18,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,null,null,null,null,"合計",{"$f":"SUM(M9:M26)","v":0}]
[]
["※事業所番号が未記入あるいは誤った番号を記載した場合は対象外となるので誤記などないよう十分に注意すること。"]
["※「サービス種別」欄は、補助要綱別表１に掲げる種別を記載すること。"]
["※「補助単価」欄は、補助要綱別表２に掲げる区分ごとの単価を記載すること。"]

{"sheet":"②-2申請額算出内訳 （共同生活援助系) (2)","index":2,"n_rows":31,"n_cols":20,"rows_kept":31,"cut":false,"hidden":false,"merged":[[0,7,0,8],[0,9,0,13],[2,0,2,13],[4,7,4,13]]}
["別紙１－２（共同生活援助系）",null,null,null,null,null,null,"申請者(法人）名：　　　　　　　　　　　　　　　　　　　　",null,{"$f":"①交付申請書!F14","v":0}]
[]
["申　　請　　額　　算　　出　　内　　訳"]
[]
[]
["№","事業所番号","グループホームの住居名\n※住居毎に記載","住所\n（市・町名）","住所２（区名以下）","サービス種別","事業開始日","　　交付対象数（A）\nＧＨ➡１住居の定員数（1住居5人以下の場合は一律6人）","交付単位\n人","電力\n（訪問、入所施設は記入不要）","ガス","補助単価\n(B)","プロパンガスの場合、控除","申請額\n(A×B)"]
["記入例",1111111111,"大宮グループホーム１","大和市","北区さいたま町１－２－３","共同生活援助（介護サービス包括型）","2043-01-01",10,"人","高圧","都市ガス",{"$f":"VLOOKUP(F7&J7&K7,食事提供加算無!A:E,5,FALSE)","v":7300},{"$f":"VLOOKUP(F7&J7&K7,食事提供加算無!A:F,6,FALSE)","v":0},{"$f":"H7*L7-M7","v":73000}]
["記入例\n２",2222222222,"大宮グループホーム２","大和市","南区まがたま町１－２－３","共同生活援助（介護サービス包括型）","2044-01-01",6,"人","低圧","プロパンガス",{"$f":"VLOOKUP(F8&J8&K8,食事提供加算無!A:E,5,FALSE)","v":5200},{"$f":"VLOOKUP(F8&J8&K8,食事提供加算無!A:F,6,FALSE)","v":1500},29700]
[1,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H9*L9-M9","v":0},null,null,null,null,null,"共同生活援助（指定共同生活援助）"]
[2,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"共同生活援助（日中サービス支援型）"]
[3,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"共同生活援助（外部サービス利用型）"]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[11]
[12,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H20*L20-M20","v":0}]
[13,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H21*L21-M21","v":0}]
[14,null,null,null,null,null,null,null,null,null,null,null,null,0]
[15,null,null,null,null,null,null,null,null,null,null,null,null,0]
[16,null,null,null,null,null,null,null,null,null,null,null,null,0]
[17,null,null,null,null,null,null,null,null,null,null,null,null,0]
[18]
[null,null,null,null,null,null,null,null,null,null,null,"合計",null,{"$f":"SUM(N9:N26)","v":0}]
[]
["※事業所番号が未記入あるいは誤った番号を記載した場合は対象外となるので誤記などないよう十分に注意すること。"]
["※「サービス種別」欄は、補助要綱別表１に掲げる種別を記載すること。"]
["※「補助単価」欄は、補助要綱別表２に掲げる区分ごとの単価を記載すること。"]

{"sheet":"②-3申請額算出内訳 (児・者通所系) (2)","index":3,"n_rows":31,"n_cols":19,"rows_kept":31,"cut":false,"hidden":false,"merged":[[0,7,0,8],[0,9,0,13],[2,0,2,13],[4,7,4,13]]}
["別紙１－３（児・者通所系）",null,null,null,null,null,null,"申請者(法人）名：　　　　　　　　　　　　　　　　　　　　",null,{"$f":"①交付申請書!F14","v":0}]
[]
["申　　請　　額　　算　　出　　内　　訳"]
[]
[]
["№","事業所番号","施設・事業所名","住所\n（市・町名）","住所２（区名以下）","サービス種別","事業開始日","　　交付対象数（A）\n通所・訪問➡　事業所数","交付単位\n人\n事業所\n住居","食事提供体制加算\n（児通所は児童発達支援センターのみ。食事提供加算を請求している場合）","電力\n（訪問、入所施設は記入不要）","ガス","補助単価\n(B)","申請額\n(A×B)"]
["記入例",1111111111,"世界さいたま事業所","大和市","北区さいたま町１－２－３","就労移行支援","2043-01-01",1,"事業所","有","高圧","都市ガス",{"$f":"VLOOKUP(F7&K7&L7,食事提供加算有!A:F,5,FALSE)","v":218100},{"$f":"H7*M7","v":218100}]
["記入例\n２",2222222222,"さいたま放課後等デイサービス","縄文市","南区まがたま町１－２－３","児童発達支援","2044-01-01",1,"事業所","無","低圧","プロパンガス",{"$f":"VLOOKUP(F8&K8&L8,食事提供加算無!A:F,5,FALSE)","v":29600},{"$f":"H8*M8","v":29600}]
[1,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H9*M9","v":0},null,null,null,null,"生活介護"]
[2,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"短期入所（単独型）"]
[3,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"療養介護"]
[4,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自立訓練（機能訓練）"]
[5,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自立訓練（生活訓練）"]
[6,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H14*M14","v":0},null,null,null,null,"自立訓練（宿泊型）"]
[7,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,"就労移行支援"]
[8,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,"就労継続支援Ａ型"]
[9,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,"就労継続支援Ｂ型"]
[10,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,"児童発達支援"]
[11,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,"児童発達支援センター"]
[12,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,"医療型児童発達支援センター"]
[13,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,"放課後等デイサービス"]
[14,null,null,null,null,null,null,null,null,null,null,null,null,0]
[15,null,null,null,null,null,null,null,null,null,null,null,null,0]
[16,null,null,null,null,null,null,null,null,null,null,null,null,0]
[17,null,null,null,null,null,null,null,null,null,null,null,null,0]
[18,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"合計",{"$f":"SUM(N9:N26)","v":0}]
[]
["※事業所番号が未記入あるいは誤った番号を記載した場合は対象外となるので誤記などないよう十分に注意すること。"]
["※「サービス種別」欄は、補助要綱別表１に掲げる種別を記載すること。"]
["※「補助単価」欄は、補助要綱別表２に掲げる区分ごとの単価を記載すること。"]

{"sheet":"②-4申請額算出内訳 (児・者訪問系)","index":4,"n_rows":31,"n_cols":16,"rows_kept":31,"cut":false,"hidden":false,"merged":[[0,7,0,8],[0,9,0,12],[2,0,2,12],[4,7,4,12]]}
["別紙１－４（児・者訪問系）",null,null,null,null,null,null,"申請者(法人）名：　　　　　　　　　　　　　　　　　　　　",null,{"$f":"①交付申請書!F14","v":0}]
[]
["申　　請　　額　　算　　出　　内　　訳"]
[]
[]
["№","事業所番号","施設・事業所名","住所\n（市・町名）","住所２（区名以下）","サービス種別","事業開始日","　　交付対象数（A）\n通所・訪問➡　事業所数","交付単位\n人\n事業所\n住居","ガス","1人当たりの平均移動距離/日","補助単価\n(B)","申請額\n(A×B)"]
["記入例",1111111111,"世界さいたま事業所","大和市","北区さいたま町１－２－３","居宅介護","2043-01-01",1,"事業所","都市ガス","12㌔未満",{"$f":"_xlfn.IFNA(VLOOKUP(F7&J7&K7,食事提供加算無!A7:F38,6,FALSE),\"該当なし\")","v":18300},{"$f":"L7","v":18300}]
["記入例\n２",2222222222,"さいたま放課後等訪問支援","縄文市","南区まがたま町１－２－３","保育所等訪問支援","2044-01-01",1,"事業所","プロパンガス","12㌔～22㌔未満",{"$f":"_xlfn.IFNA(VLOOKUP(F8&J8&K8,食事提供加算無!A8:F57,6,FALSE),\"該当なし\")","v":24900},24900]
[1,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F9&J9&K9,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},{"$f":"L9","v":"該当なし"},null,null,"居宅介護"]
[2,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F10&J10&K10,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},{"$f":"L10","v":"該当なし"},null,null,"重度訪問介護"]
[3,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F11&J11&K11,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし",null,null,"同行援護"]
[4,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F12&J12&K12,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし",null,null,"行動援護"]
[5,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F13&J13&K13,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし",null,null,"重度障害者等包括支援"]
[6,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F14&J14&K14,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし",null,null,"居宅訪問型児童発達支援"]
[7,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F15&J15&K15,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし",null,null,"保育所等訪問支援"]
[8,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F16&J16&K16,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし",null,null,"児訪問系"]
[9,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F17&J17&K17,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし"]
[10,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F18&J18&K18,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし"]
[11,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F19&J19&K19,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし"]
[12,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F20&J20&K20,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし"]
[13,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F21&J21&K21,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし"]
[14,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F22&J22&K22,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし"]
[15,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F23&J23&K23,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし"]
[16,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F24&J24&K24,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし"]
[17,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F25&J25&K25,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし"]
[18,null,null,null,null,null,null,null,null,null,null,{"$f":"_xlfn.IFNA(VLOOKUP(F26&J26&K26,食事提供加算無!$A$9:$F$58,6,FALSE),\"該当なし\")","v":"該当なし"},"該当なし"]
[null,null,null,null,null,null,null,null,null,null,null,"合計",{"$f":"SUM(M9:M26)","v":0}]
[]
["※事業所番号が未記入あるいは誤った番号を記載した場合は対象外となるので誤記などないよう十分に注意すること。"]
["※「サービス種別」欄は、補助要綱別表１に掲げる種別を記載すること。"]
["※「補助単価」欄は、補助要綱別表２に掲げる区分ごとの単価を記載すること。"]

{"sheet":"訪問系のガソリン区分計算表（別紙1-5）","index":5,"n_rows":49,"n_cols":5,"rows_kept":49,"cut":false,"hidden":false,"merged":[[3,1,3,2],[3,3,3,4],[4,1,4,2],[4,3,4,4]]}
["別紙1-5"]
["〇訪問系のガソリン区分計算表（別紙1-5）　※複数事業所がある場合はシートをコピーして使用してください。"]
["１．事業所情報"]
["事業所番号","事業所名",null,"サービス種別"]
[]
[]
["２．ガソリン区分"]
["1日の平均\n移動距離\n（常勤換算\n1人あたり）\n（㎞）","ガソリン区分"]
[{"$f":"ROUNDUP(E43/B43,0)","v":{"$error":"#DIV/0!"}},{"$f":"IF(A9<12,食事提供加算無!A179,IF(AND(A9>=12,A9<22),食事提供加算無!A180,食事提供加算無!A181))","v":{"$error":"#DIV/0!"}}]
[]
["３．計算シート"]
[null,"常勤\n換算数","令和7年3月の\n訪問に係る\n総移動距離\n（㎞）","令和7年3月\nの勤務日数\n（日）","1日あたりの\n移動距離\n（㎞）"]
["介護職員1",null,null,null,{"$f":"IFERROR(ROUNDUP(C13/D13,0),0)","v":0}]
["介護職員2",null,null,null,{"$f":"IFERROR(ROUNDUP(C14/D14,0),0)","v":0}]
["介護職員3",null,null,null,0]
["介護職員4",null,null,null,0]
["介護職員5",null,null,null,0]
["介護職員6",null,null,null,0]
["介護職員7",null,null,null,0]
["介護職員8",null,null,null,0]
["介護職員9",null,null,null,0]
["介護職員10",null,null,null,0]
["介護職員11",null,null,null,0]
["介護職員12",null,null,null,0]
["介護職員13",null,null,null,0]
["介護職員14",null,null,null,0]
["介護職員15",null,null,null,0]
["介護職員16",null,null,null,0]
["介護職員17",null,null,null,0]
["介護職員18",null,null,null,0]
["介護職員19",null,null,null,0]
["介護職員20",null,null,null,0]
["介護職員21",null,null,null,0]
["介護職員22",null,null,null,0]
["介護職員23",null,null,null,0]
["介護職員24",null,null,null,0]
["介護職員25",null,null,null,0]
["介護職員26",null,null,null,0]
["介護職員27",null,null,null,0]
["介護職員28",null,null,null,0]
["介護職員29",null,null,null,0]
["介護職員30",null,null,null,0]
["計",{"$f":"SUM(B13:B42)","v":0},{"$f":"SUM(C13:C42)","v":0},0,{"$f":"SUM(E13:E42)","v":0}]
[]
["※自転車での移動に係る距離数も上記計算に含めてください。"]
["※職員個人の積上げによる積算が困難な場合は、「計」の欄に総数のみを入力して移動距離を算出することも"]
["可能です。"]
["※本様式による以外の方法により介護職員等の移動距離を算出した場合は、その算出方法及び算出結果を"]
["県に提出すること。その場合は本様式の提出は要しない。"]

{"sheet":"③口座振替申出書","index":6,"n_rows":24,"n_cols":9,"rows_kept":24,"cut":false,"hidden":false,"merged":[[11,0,11,12],[8,0,8,5],[9,0,9,5],[10,0,10,5],[8,6,8,7],[9,6,9,7],[10,6,10,7],[8,8,8,12],[9,8,9,12],[10,8,10,12],[19,4,19,6],[12,0,12,12],[16,0,16,12],[13,0,13,12],[14,0,14,12],[23,0,23,12],[2,0,2,12],[0,0,0,12],[3,0,3,12],[6,0,6,12],[1,0,1,12],[4,0,4,12],[5,0,5,12],[20,4,20,12],[21,4,21,12],[7,0,7,12],[17,8,17,10],[18,8,18,10],[19,8,19,10],[17,4,17,6],[18,4,18,6]]}
["別紙２"]
[]
["埼玉県障害福祉サービス事業所等光熱費等高騰対策支援事業"]
["補助金口座振込申出書"]
[]
["（宛先）"]
["埼玉県知事　大野　元裕"]
[]
[null,null,null,null,null,null,"住　　　　所",null,{"$f":"①交付申請書!F13","v":0}]
[null,null,null,null,null,null,"法人等の名称",null,{"$f":"①交付申請書!F14","v":0}]
[null,null,null,null,null,null,"代表者職氏名",null,{"$f":"①交付申請書!F15","v":0}]
[]
["令和　年　月　日付けで申請した標記補助金について、交付決定を受けた"]
["場合、下記口座に振り込んでください。"]
["記"]
[]
[]
[null,null,"金融機関名",null,null,null,null,null,"金融機関コード"]
[null,null,"支店名",null,null,null,null,null,"支店コード"]
[null,null,"口座種別",null,null,null,null,null,"口座番号"]
[null,null,"口座名義(漢字)"]
[null,null,"口座名義(カナ)"]
[]
["※補助金の振込を希望する金融機関の口座名義、金融機関名、支店名、及び口座\n　番号等を確認できる通帳等の写しを添付すること。"]

{"sheet":"④口座の写し添付用シート","index":7,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}

{"sheet":"⑤光熱費申出書","index":8,"n_rows":93,"n_cols":9,"rows_kept":93,"cut":false,"hidden":false,"merged":[[82,3,82,10],[82,11,84,12],[83,3,83,10],[84,3,84,10],[86,3,86,10],[86,11,88,12],[87,3,87,10],[88,3,88,10],[42,3,42,10],[42,11,43,12],[43,3,43,10],[45,3,45,10],[45,11,46,12],[46,3,46,10],[36,3,36,10],[36,11,37,12],[37,3,37,10],[39,3,39,10],[39,11,40,12],[40,3,40,10],[27,11,28,12],[28,3,28,10],[30,3,30,10],[30,11,31,12],[31,3,31,10],[27,3,27,10],[33,11,34,12],[34,3,34,10],[74,3,74,10],[74,11,76,12],[75,3,75,10],[76,3,76,10],[58,3,58,10],[58,11,60,12],[59,3,59,10],[60,3,60,10],[62,3,62,10],[62,11,64,12],[63,3,63,10],[64,3,64,10],[50,3,50,10],[50,11,52,12],[54,3,54,10],[54,11,56,12],[48,0,48,12],[78,3,78,10],[78,11,80,12],[79,3,79,10],[80,3,80,10],[66,3,66,10],[66,11,68,12],[67,3,67,10],[68,3,68,10],[70,3,70,10],[70,11,72,12],[71,3,71,10],[72,3,72,10],[90,0,90,12],[91,0,91,12],[18,3,18,10],[18,11,19,12],[19,3,19,10],[21,11,22,12],[24,3,24,10],[24,11,25,12],[55,3,55,10],[56,3,56,10],[33,3,33,10],[25,3,25,10],[21,3,21,10],[22,3,22,10],[51,3,51,10],[52,3,52,10],[14,0,14,12],[15,0,15,12],[16,0,16,12],[10,0,10,5],[10,6,10,7],[10,8,10,12],[11,0,11,12],[12,0,12,12],[13,0,13,12],[9,0,9,5],[9,6,9,7],[9,8,9,12],[0,0,0,12],[1,0,1,12],[2,0,2,12],[3,0,3,12],[4,0,4,12],[5,0,5,12],[6,0,6,12],[7,0,7,12],[8,0,8,5],[8,6,8,7],[8,8,8,12]]}
["別紙３"]
[]
["埼玉県障害福祉サービス事業所（又は住居）等光熱費等高騰対策"]
["支援事業補助金光熱費に係る種別の申出書"]
[]
["（宛先）"]
["埼玉県知事　大野　元裕"]
[]
[null,null,null,null,null,null,"住　　　　所",null,{"$f":"①交付申請書!F13","v":0}]
[null,null,null,null,null,null,"法人等の名称",null,{"$f":"①交付申請書!F14","v":0}]
[null,null,null,null,null,null,"代表者職氏名",null,{"$f":"①交付申請書!F15","v":0}]
[]
["令和　年　月　日付けで申請した標記補助金について、事業所（又は住居）等の光熱費の種別"]
["は下記のとおりです。"]
[]
["記"]
["１　令和５年度第１回又は第２回補助金を申請した事業所（又は住居）"]
[null,null,"　光熱費の契約内容に変更無の場合、添付書類（電気、ガスの明細書等）の提出は不要です。"]
[null,null,"事業所（又は住居）名"]
[null,null,"変更の有無"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"変更の有無"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"変更の有無"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"変更の有無"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"変更の有無"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"変更の有無"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"変更の有無"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"変更の有無"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"変更の有無"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"変更の有無"]
[]
["２　令和５年度第１回補助金申請時から光熱費に変更有の事業所（又は住居）、又は新たに申請する"]
[null,null,"事業所（又は住居）（下記に種別を記載するとともに、添付書類を提出してください。）"]
[null,null,"事業所（又は住居）名"]
[null,null,"　　　電　気"]
[null,null,"　　　ガ　ス"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"　　　電　気"]
[null,null,"　　　ガ　ス"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"　　　電　気"]
[null,null,"　　　ガ　ス"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"　　　電　気"]
[null,null,"　　　ガ　ス"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"　　　電　気"]
[null,null,"　　　ガ　ス"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"　　　電　気"]
[null,null,"　　　ガ　ス"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"　　　電　気"]
[null,null,"　　　ガ　ス"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"　　　電　気"]
[null,null,"　　　ガ　ス"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"　　　電　気"]
[null,null,"　　　ガ　ス"]
[]
[null,null,"事業所（又は住居）名"]
[null,null,"　　　電　気"]
[null,null,"　　　ガ　ス"]
[]
["※１　施設入所支援（障害者入所支援施設、福祉型障害児入所施設および医療型障害児入所施設。）、訪問系（居宅介護、重度訪問介護、同行援護、行動援護および重度障害者等包括支援）および児訪問系（児訪問系、居宅訪問型児童発達支援および保育所等訪問支援。）は電気の欄は記入は不要、ガスのみ記入すること。"]
["※２　電気、ガスの直近の明細書の写しを添付すること。"]
["※３　行が足りないない場合、適宜追加してください。"]

{"sheet":"⑥電気・ガスの契約種別がわかるもの","index":9,"n_rows":31,"n_cols":1,"rows_kept":31,"cut":false,"hidden":false,"merged":[]}
[]
["１　電力　（高圧　又は　低圧　が分かるもの）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["２　ガス　（都市ガス　又は　プロパンガス　か分かるもの）"]

{"sheet":"請求書","index":10,"n_rows":36,"n_cols":7,"rows_kept":36,"cut":false,"hidden":false,"merged":[[11,0,11,4],[11,5,11,7],[0,0,0,7],[1,0,1,7],[2,0,2,7],[3,0,3,7],[4,0,4,7],[5,0,5,7],[6,0,6,7],[7,0,7,7],[8,0,8,7],[9,0,9,7],[10,0,10,7],[12,0,12,4],[12,5,12,7],[13,0,13,4],[13,5,13,7],[14,0,14,4],[14,5,14,7],[25,0,25,2],[25,3,25,7],[15,0,15,7],[16,0,16,7],[17,0,17,7],[18,0,18,7],[19,0,19,7],[20,0,20,7],[21,0,21,7],[22,0,22,7],[23,0,23,2],[23,4,23,5],[24,0,24,7],[32,5,32,7],[33,5,33,7],[34,5,34,7],[35,5,35,7],[26,0,26,7],[27,0,27,2],[27,3,27,7],[28,0,28,7],[29,0,29,7],[30,0,30,7]]}
["参考"]
[]
["埼玉県障害福祉サービス事業所等光熱費等高騰対策支援事業"]
["補助金請求書"]
[]
[]
[{"$f":"①交付申請書!A7","v":"令和　年　月　日"}]
[]
["（宛先）"]
["  埼玉県知事"]
[]
["（申請者）"]
["所　 在 　地",null,null,null,null,{"$f":"①交付申請書!F13","v":0}]
["法人等の名称",null,null,null,null,{"$f":"①交付申請書!F14","v":0}]
["代表者職氏名",null,null,null,null,{"$f":"①交付申請書!F15","v":0}]
[]
[]
["　下記により、埼玉県障害福祉サービス事業所等光熱費等高騰対策支援事業補助金"]
["の交付確定通知を受けたので、該当する補助金額を請求します。"]
[]
[]
["記"]
[]
["１　補助金請求額",null,null,"金",{"$f":"①交付申請書!E24","v":0},null,"円"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"【連絡先】"]
[null,null,null,null,"部署名",{"$f":"①交付申請書!F35","v":0}]
[null,null,null,null,"担当者氏名",{"$f":"①交付申請書!F36","v":0}]
[null,null,null,null,"電話番号",{"$f":"①交付申請書!F37","v":0}]
[null,null,null,null,"e-mail",{"$f":"①交付申請書!F38","v":0}]

{"sheet":"交付金checklist","index":11,"n_rows":43,"n_cols":26,"rows_kept":43,"cut":false,"hidden":false,"merged":[[37,34,37,35],[31,2,31,35],[34,1,34,34],[36,3,36,4],[36,6,36,7],[36,9,36,10],[37,13,37,15],[37,16,37,17],[37,18,37,22],[37,23,37,24],[37,25,37,33],[24,2,24,33],[25,2,25,33],[36,13,36,15],[36,16,36,35],[28,2,28,33],[26,2,26,33],[27,2,27,33],[15,0,15,35],[13,0,13,5],[14,0,14,5],[13,6,13,22],[13,23,13,25],[13,26,13,35],[14,6,14,8],[14,19,14,21],[14,22,14,35],[14,9,14,18],[9,0,11,5],[9,7,9,11],[10,6,10,35],[11,6,11,35],[12,0,12,5],[9,12,9,35],[12,23,12,35],[0,25,0,35],[3,0,3,35],[7,0,7,5],[7,6,7,35],[8,0,8,5],[8,6,8,35],[0,22,0,24],[19,2,19,33],[20,2,20,33],[21,2,21,33],[18,1,18,33],[23,2,23,33],[22,2,22,33]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.",null,null,{"$f":"IF([5]基本情報入力シート!R11=\"\",\"\",[5]基本情報入力シート!R11)","v":""}]
[]
[]
["埼玉県障害福祉サービス事業所等光熱費等高騰対策支援事業補助金チェックリスト"]
[]
["◎　基本情報"]
[]
["フリガナ"]
["法人名",null,null,null,null,null,{"$f":"①交付申請書!F14","v":0}]
["法人所在地",null,null,null,null,null,"〒"]
[null,null,null,null,null,null,{"$f":"①交付申請書!F13","v":0}]
[]
["フリガナ"]
["書類作成担当者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号"]
["連絡先",null,null,null,null,null,"FAX番号",null,null,null,null,null,null,null,null,null,null,null,null,"E-mail"]
["※連絡先は必ず日中連絡できる電話番号を記載すること。不明な点等があれば事務局から問い合わせがあります。"]
[null,"以下の点を確認し、全ての項目にチェックして下さい。"]
[null,"　　　※（チェックできない項目があれば申請内容の修正が必要です。見直してください）"]
[null,"確認項目"]
[null,null,"令和７年３月１日時点で県から障害福祉サービス事業所、障害児者支援施設の指定を受けています。"]
[null,null,"令和７年３月１日時点で事業の休止、廃止はしていません。"]
[null,null,"補助金申請に必要な資料はすべて添付しています。"]
[null,null,"申請額算出内訳表には、必要な項目がすべて記載しています。"]
[null,null,"（提供サービスが異なっていても同じ住所地の事業所は申請できません。）\n同じ住所の事業所で２重申請はしていません。"]
[null,null,"（提供サービスが異なっていても同じ住所地の事業所は申請できません。高齢者等に対する訪問介護等も含みます。）\n同じ住所の事業所で２重申請はしていません。"]
[null,null,"（訪問系及び入所支援施設は確認不要）\n電力（高圧又は低圧）の選択に誤りはありません。"]
[null,null,"ガス（都市ガス又はプロパンガス）の選択に誤りはありません。"]
[null,null,"（訪問系の事業所は）介護職員1人当たりの平均移動距離／日の選択に誤りはありません。"]
[null,null,"（障害児通所で食事有を選択する場合）\n児童発達支援センターであり、令和７年３月１日時点で食事提供加算を請求しており、３月３１日まで継続する。"]
[]
[null,"※","各証明資料は、指定権者からの求めがあった場合には、速やかに提出すること。"]
[null,"※　","本表への虚偽記載の他、交付金の請求に関して不正があった場合は、指定の取消しや補助金額の返還を求めることになります。"]
[]
[]
[null,"記載内容及び添付資料に虚偽がないことを証明するとともに、記載内容を証明する資料を適切に保管していることを誓約します。"]
[]
[null,"令和",null,null,null,"年",null,null,"月",null,null,"日",null,"法人名",null,null,{"$f":"①交付申請書!F14","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者",null,null,"職名",null,null,null,null,null,null,"氏名"]
[]
[]
[]
[]
[null,"."]

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[null,"通所系","支給単位","高圧かつ都市ガスを利用している場合","高圧かつプロパンガスを利用している場合","低圧かつ都市ガスを利用している場合","低圧かつプロパンガスを利用している場合","児・者　入所支援施設"]
[null,"生活介護","１事業所当たり",{"$f":"食事提供加算無!D62+140600","v":218100},{"$f":"食事提供加算無!E62+140600","v":219500},{"$f":"食事提供加算無!F62+140600","v":199900},{"$f":"食事提供加算無!G62+140600","v":201300},"障害者入所支援施設"]
[null,"短期入所（単独型）",null,null,null,null,null,"福祉型障害児入所施設"]
[null,null,null,null,null,null,null,"医療型障害児入所施設"]
[null,"自立訓練（機能訓練）",null,null,null,null,null,null,null,218100,219500,199900,201300]
[null,"自立訓練（生活訓練）"]
[null,"自立訓練（宿泊型）"]
[null,"就労移行支援"]
[null,"就労継続支援Ａ型"]
[null,"就労継続支援Ｂ型"]
[]
["key","通所系","高圧・低圧","都市ガス・プロパンガス","金額"]
[{"$f":"B13&C13&D13","v":"生活介護高圧都市ガス"},"生活介護","高圧","都市ガス",218100]
[{"$f":"B14&C14&D14","v":"生活介護高圧プロパンガス"},"生活介護","高圧","プロパンガス",219500]
["生活介護低圧都市ガス","生活介護","低圧","都市ガス",199900]
["生活介護低圧プロパンガス","生活介護","低圧","プロパンガス",201300]
["短期入所（単独型）高圧都市ガス","短期入所（単独型）","高圧","都市ガス",218100]
["短期入所（単独型）高圧プロパンガス","短期入所（単独型）","高圧","プロパンガス",219500]
["短期入所（単独型）低圧都市ガス","短期入所（単独型）","低圧","都市ガス",199900]
["短期入所（単独型）低圧プロパンガス","短期入所（単独型）","低圧","プロパンガス",201300]
["自立訓練（機能訓練）高圧都市ガス","自立訓練（機能訓練）","高圧","都市ガス",218100]
["自立訓練（機能訓練）高圧プロパンガス","自立訓練（機能訓練）","高圧","プロパンガス",219500]
["自立訓練（機能訓練）低圧都市ガス","自立訓練（機能訓練）","低圧","都市ガス",199900]
["自立訓練（機能訓練）低圧プロパンガス","自立訓練（機能訓練）","低圧","プロパンガス",201300]
["自立訓練（生活訓練）高圧都市ガス","自立訓練（生活訓練）","高圧","都市ガス",218100]
["自立訓練（生活訓練）高圧プロパンガス","自立訓練（生活訓練）","高圧","プロパンガス",219500]
["自立訓練（生活訓練）低圧都市ガス","自立訓練（生活訓練）","低圧","都市ガス",199900]
["自立訓練（生活訓練）低圧プロパンガス","自立訓練（生活訓練）","低圧","プロパンガス",201300]
["自立訓練（宿泊型）高圧都市ガス","自立訓練（宿泊型）","高圧","都市ガス",218100]
["自立訓練（宿泊型）高圧プロパンガス","自立訓練（宿泊型）","高圧","プロパンガス",219500]
["自立訓練（宿泊型）低圧都市ガス","自立訓練（宿泊型）","低圧","都市ガス",199900]
["自立訓練（宿泊型）低圧プロパンガス","自立訓練（宿泊型）","低圧","プロパンガス",201300]
["就労移行支援高圧都市ガス","就労移行支援","高圧","都市ガス",218100]
["就労移行支援高圧プロパンガス","就労移行支援","高圧","プロパンガス",219500]
["就労移行支援低圧都市ガス","就労移行支援","低圧","都市ガス",199900]
["就労移行支援低圧プロパンガス","就労移行支援","低圧","プロパンガス",201300]
["就労継続支援Ａ型高圧都市ガス","就労継続支援Ａ型","高圧","都市ガス",218100]
["就労継続支援Ａ型高圧プロパンガス","就労継続支援Ａ型","高圧","プロパンガス",219500]
["就労継続支援Ａ型低圧都市ガス","就労継続支援Ａ型","低圧","都市ガス",199900]
["就労継続支援Ａ型低圧プロパンガス","就労継続支援Ａ型","低圧","プロパンガス",201300]
[{"$f":"B41&C41&D41","v":"就労継続支援Ｂ型高圧都市ガス"},"就労継続支援Ｂ型","高圧","都市ガス",218100]
["就労継続支援Ｂ型高圧プロパンガス","就労継続支援Ｂ型","高圧","プロパンガス",219500]
["就労継続支援Ｂ型低圧都市ガス","就労継続支援Ｂ型","低圧","都市ガス",199900]
["就労継続支援Ｂ型低圧プロパンガス","就労継続支援Ｂ型","低圧","プロパンガス",201300]
[]
[]
[]
[null,"児通所系","支給単位","高圧かつ都市ガスを利用している場合","低圧かつプロパンガスを利用している場合","低圧かつ都市ガスを利用している場合","低圧かつプロパンガスを利用している場合"]
[null,"児童発達支援センター","１事業所当たり",{"$f":"食事提供加算無!D134+140600","v":179350},{"$f":"食事提供加算無!E134+140600","v":179300},{"$f":"食事提供加算無!F134+140600","v":170250},{"$f":"食事提供加算無!G134+140600","v":170200}]
[]
[null,"医療型児童発達支援センター"]
[]
[]
["key","通所系","高圧・低圧","都市ガス・プロパンガス","金額"]
[{"$f":"B55&C55&D55","v":"児童発達支援センター高圧都市ガス"},"児童発達支援センター","高圧","都市ガス",179350]
["児童発達支援センター高圧プロパンガス","児童発達支援センター","高圧","プロパンガス",179300]
["児童発達支援センター低圧都市ガス","児童発達支援センター","低圧","都市ガス",170250]
["児童発達支援センター低圧プロパンガス","児童発達支援センター","低圧","プロパンガス",170200]
["医療型児童発達支援センター高圧都市ガス","医療型児童発達支援センター","高圧","都市ガス",179350]
["医療型児童発達支援センター高圧プロパンガス","医療型児童発達支援センター","高圧","プロパンガス",179300]
["医療型児童発達支援センター低圧都市ガス","医療型児童発達支援センター","低圧","都市ガス",170250]
["医療型児童発達支援センター低圧プロパンガス","医療型児童発達支援センター","低圧","プロパンガス",170200]
[]
[null,"児・者　入所支援施設","支給単位","都市ガスを利用している場合","プロパンガスを利用している場合"]
[null,"障害者入所支援施設","定員１人当たり",19300,18700]
[null,"福祉型障害児入所施設"]
[null,"医療型障害児入所施設"]
[]
["key","児・者　入所支援施設","高圧・低圧","都市ガス・プロパンガス","金額","プロパンガスの場合、控除"]
[{"$f":"B70&D70","v":"障害者入所支援施設都市ガス"},"障害者入所支援施設","-","都市ガス",19300,0]
[{"$f":"B71&D71","v":"障害者入所支援施設プロパンガス"},"障害者入所支援施設","-","プロパンガス",18700,1500]
["福祉型障害児入所施設都市ガス","福祉型障害児入所施設","-","都市ガス",19300,0]
["福祉型障害児入所施設プロパンガス","福祉型障害児入所施設","-","プロパンガス",18700,1500]
["医療型障害児入所施設都市ガス","医療型障害児入所施設","-","都市ガス",19300,0]
["医療型障害児入所施設プロパンガス","医療型障害児入所施設","-","プロパンガス",18700,1500]

{"sheet":"食事提供加算無","index":13,"n_rows":181,"n_cols":12,"rows_kept":181,"cut":false,"hidden":true,"merged":[[159,2,161,2],[159,3,161,3],[159,4,161,4],[61,5,69,5],[61,6,69,6],[111,2,113,2],[111,3,113,3],[111,4,113,4],[111,5,113,5],[111,6,113,6],[133,2,136,2],[133,3,136,3],[133,4,136,4],[133,5,136,5],[133,6,136,6],[1,2,5,2],[1,3,5,3],[1,4,5,4],[61,2,69,2],[61,3,69,3],[61,4,69,4]]}
[null,"訪問系","支給単位","都市ガスを利用している場合","プロパンガスを利用している場合",null,null,null,"サービス種別"]
[null,"居宅介護","１事業所当たり",20800,19800,null,null,null,"生活介護"]
[null,"重度訪問介護",null,null,null,null,null,null,"短期入所（単独型）"]
[null,"同行援護",null,null,null,null,null,null,"療養介護"]
[null,"行動援護",null,null,null,null,null,null,"自立訓練（機能訓練）"]
[null,"重度障害者等包括支援",null,null,null,null,null,null,"自立訓練（生活訓練）"]
[null,null,null,null,null,null,null,null,"自立訓練（宿泊型）"]
["key","訪問系","高圧・低圧","都市ガス・プロパンガス","1人当たりの平均移動距離/日","金額",null,null,"就労移行支援"]
[{"$f":"B9&D9&E9","v":"居宅介護都市ガス同一建物減算有"},"居宅介護","-","都市ガス","同一建物減算有",10500]
["居宅介護プロパンガス同一建物減算有","居宅介護","-","プロパンガス","同一建物減算有",10000]
[{"$f":"B11&D11&E11","v":"居宅介護都市ガス12㌔未満"},"居宅介護","-","都市ガス","12㌔未満",18300,null,null,"就労継続支援Ａ型"]
[{"$f":"B12&D12&E12","v":"居宅介護プロパンガス12㌔未満"},"居宅介護","-","プロパンガス","12㌔未満",17800,null,null,"就労継続支援Ｂ型"]
["居宅介護都市ガス12㌔～22㌔未満","居宅介護","-","都市ガス","12㌔～22㌔未満",25400,null,null,"児童発達支援"]
["居宅介護プロパンガス12㌔～22㌔未満","居宅介護","-","プロパンガス","12㌔～22㌔未満",24900,null,null,"児童発達支援センター"]
["居宅介護都市ガス22㌔以上","居宅介護","-","都市ガス","22㌔以上",28200,null,null,"医療型児童発達支援センター"]
["居宅介護プロパンガス22㌔以上","居宅介護","-","プロパンガス","22㌔以上",27700,null,null,"放課後等デイサービス"]
["重度訪問介護都市ガス12㌔未満","重度訪問介護","-","都市ガス","12㌔未満",18300]
["重度訪問介護プロパンガス12㌔未満","重度訪問介護","-","プロパンガス","12㌔未満",17800]
["重度訪問介護都市ガス12㌔～22㌔未満","重度訪問介護","-","都市ガス","12㌔～22㌔未満",25400,null,null,"同一建物減算有"]
["重度訪問介護プロパンガス12㌔～22㌔未満","重度訪問介護","-","プロパンガス","12㌔～22㌔未満",24900,null,null,"12㌔未満"]
["重度訪問介護都市ガス22㌔以上","重度訪問介護","-","都市ガス","22㌔以上",28200,null,null,"12㌔～22㌔未満"]
["重度訪問介護プロパンガス22㌔以上","重度訪問介護","-","プロパンガス","22㌔以上",27700,null,null,"22㌔以上"]
["同行援護都市ガス12㌔未満","同行援護","-","都市ガス","12㌔未満",18300]
["同行援護プロパンガス12㌔未満","同行援護","-","プロパンガス","12㌔未満",17800]
["同行援護都市ガス12㌔～22㌔未満","同行援護","-","都市ガス","12㌔～22㌔未満",25400]
["同行援護プロパンガス12㌔～22㌔未満","同行援護","-","プロパンガス","12㌔～22㌔未満",24900]
["同行援護都市ガス22㌔以上","同行援護","-","都市ガス","22㌔以上",28200]
["同行援護プロパンガス22㌔以上","同行援護","-","プロパンガス","22㌔以上",27700]
["行動援護都市ガス12㌔未満","行動援護","-","都市ガス","12㌔未満",18300]
["行動援護プロパンガス12㌔未満","行動援護","-","プロパンガス","12㌔未満",17800]
["行動援護都市ガス12㌔～22㌔未満","行動援護","-","都市ガス","12㌔～22㌔未満",25400]
["行動援護プロパンガス12㌔～22㌔未満","行動援護","-","プロパンガス","12㌔～22㌔未満",24900]
["行動援護都市ガス22㌔以上","行動援護","-","都市ガス","22㌔以上",28200]
["行動援護プロパンガス22㌔以上","行動援護","-","プロパンガス","22㌔以上",27700]
["重度障害者等包括支援都市ガス12㌔未満","重度障害者等包括支援","-","都市ガス","12㌔未満",18300]
["重度障害者等包括支援プロパンガス12㌔未満","重度障害者等包括支援","-","プロパンガス","12㌔未満",17800]
["重度障害者等包括支援都市ガス12㌔～22㌔未満","重度障害者等包括支援","-","都市ガス","12㌔～22㌔未満",25400]
["重度障害者等包括支援プロパンガス12㌔～22㌔未満","重度障害者等包括支援","-","プロパンガス","12㌔～22㌔未満",24900]
["重度障害者等包括支援都市ガス22㌔以上","重度障害者等包括支援","-","都市ガス","22㌔以上",28200]
["重度障害者等包括支援プロパンガス22㌔以上","重度障害者等包括支援","-","プロパンガス","22㌔以上",27700]
[{"$f":"B41&D41&E41","v":"児訪問系都市ガス12㌔未満"},"児訪問系","-","都市ガス","12㌔未満",18300]
["児訪問系プロパンガス12㌔未満","児訪問系","-","プロパンガス","12㌔未満",17800]
["児訪問系都市ガス12㌔～22㌔未満","児訪問系","-","都市ガス","12㌔～22㌔未満",25400]
["児訪問系プロパンガス12㌔～22㌔未満","児訪問系","-","プロパンガス","12㌔～22㌔未満",24900]
["児訪問系都市ガス22㌔以上","児訪問系","-","都市ガス","22㌔以上",28200]
["児訪問系プロパンガス22㌔以上","児訪問系","-","プロパンガス","22㌔以上",27700]
["居宅訪問型児童発達支援都市ガス12㌔未満","居宅訪問型児童発達支援","-","都市ガス","12㌔未満",18300]
["居宅訪問型児童発達支援プロパンガス12㌔未満","居宅訪問型児童発達支援","-","プロパンガス","12㌔未満",17800]
["居宅訪問型児童発達支援都市ガス12㌔～22㌔未満","居宅訪問型児童発達支援","-","都市ガス","12㌔～22㌔未満",25400]
["居宅訪問型児童発達支援プロパンガス12㌔～22㌔未満","居宅訪問型児童発達支援","-","プロパンガス","12㌔～22㌔未満",24900]
["居宅訪問型児童発達支援都市ガス22㌔以上","居宅訪問型児童発達支援","-","都市ガス","22㌔以上",28200]
["居宅訪問型児童発達支援プロパンガス22㌔以上","居宅訪問型児童発達支援","-","プロパンガス","22㌔以上",27700]
["保育所等訪問支援都市ガス12㌔未満","保育所等訪問支援","-","都市ガス","12㌔未満",18300]
["保育所等訪問支援プロパンガス12㌔未満","保育所等訪問支援","-","プロパンガス","12㌔未満",17800]
["保育所等訪問支援都市ガス12㌔～22㌔未満","保育所等訪問支援","-","都市ガス","12㌔～22㌔未満",25400]
["保育所等訪問支援プロパンガス12㌔～22㌔未満","保育所等訪問支援","-","プロパンガス","12㌔～22㌔未満",24900]
["保育所等訪問支援都市ガス22㌔以上","保育所等訪問支援","-","都市ガス","22㌔以上",28200]
["保育所等訪問支援プロパンガス22㌔以上","保育所等訪問支援","-","プロパンガス","22㌔以上",27700]
[]
[]
[null,"通所系","支給単位","高圧かつ都市ガスを利用している場合","高圧かつプロパンガスを利用している場合","低圧かつ都市ガスを利用している場合","低圧かつプロパンガスを利用している場合"]
[null,"生活介護","１事業所当たり",77500,78900,59300,60700]
[null,"短期入所（単独型）"]
[null,"療養介護"]
[null,"自立訓練（機能訓練）"]
[null,"自立訓練（生活訓練）",null,null,null,null,null,null,77500,78900,59300,60700]
[null,"自立訓練（宿泊型）"]
[null,"就労移行支援"]
[null,"就労継続支援Ａ型"]
[null,"就労継続支援Ｂ型"]
[]
["key","通所系","高圧・低圧","都市ガス・プロパンガス","金額"]
[{"$f":"B73&C73&D73","v":"生活介護高圧都市ガス"},"生活介護","高圧","都市ガス",77500]
[{"$f":"B74&C74&D74","v":"生活介護高圧プロパンガス"},"生活介護","高圧","プロパンガス",78900]
["生活介護低圧都市ガス","生活介護","低圧","都市ガス",59300]
["生活介護低圧プロパンガス","生活介護","低圧","プロパンガス",60700]
[{"$f":"B77&C77&D77","v":"短期入所（単独型）高圧都市ガス"},"短期入所（単独型）","高圧","都市ガス",77500]
[{"$f":"B78&C78&D78","v":"短期入所（単独型）高圧プロパンガス"},"短期入所（単独型）","高圧","プロパンガス",78900]
["短期入所（単独型）低圧都市ガス","短期入所（単独型）","低圧","都市ガス",59300]
["短期入所（単独型）低圧プロパンガス","短期入所（単独型）","低圧","プロパンガス",60700]
[{"$f":"B81&C81&D81","v":"療養介護高圧都市ガス"},"療養介護","高圧","都市ガス",77500]
[{"$f":"B82&C82&D82","v":"療養介護高圧プロパンガス"},"療養介護","高圧","プロパンガス",78900]
["療養介護低圧都市ガス","療養介護","低圧","都市ガス",59300]
["療養介護低圧プロパンガス","療養介護","低圧","プロパンガス",60700]
[{"$f":"B85&C85&D85","v":"自立訓練（機能訓練）高圧都市ガス"},"自立訓練（機能訓練）","高圧","都市ガス",77500]
[{"$f":"B86&C86&D86","v":"自立訓練（機能訓練）高圧プロパンガス"},"自立訓練（機能訓練）","高圧","プロパンガス",78900]
["自立訓練（機能訓練）低圧都市ガス","自立訓練（機能訓練）","低圧","都市ガス",59300]
["自立訓練（機能訓練）低圧プロパンガス","自立訓練（機能訓練）","低圧","プロパンガス",60700]
[{"$f":"B89&C89&D89","v":"自立訓練（生活訓練）高圧都市ガス"},"自立訓練（生活訓練）","高圧","都市ガス",77500]
[{"$f":"B90&C90&D90","v":"自立訓練（生活訓練）高圧プロパンガス"},"自立訓練（生活訓練）","高圧","プロパンガス",78900]
["自立訓練（生活訓練）低圧都市ガス","自立訓練（生活訓練）","低圧","都市ガス",59300]
["自立訓練（生活訓練）低圧プロパンガス","自立訓練（生活訓練）","低圧","プロパンガス",60700]
[{"$f":"B93&C93&D93","v":"自立訓練（宿泊型）高圧都市ガス"},"自立訓練（宿泊型）","高圧","都市ガス",77500]
[{"$f":"B94&C94&D94","v":"自立訓練（宿泊型）高圧プロパンガス"},"自立訓練（宿泊型）","高圧","プロパンガス",78900]
["自立訓練（宿泊型）低圧都市ガス","自立訓練（宿泊型）","低圧","都市ガス",59300]
["自立訓練（宿泊型）低圧プロパンガス","自立訓練（宿泊型）","低圧","プロパンガス",60700]
[{"$f":"B97&C97&D97","v":"就労移行支援高圧都市ガス"},"就労移行支援","高圧","都市ガス",77500]
[{"$f":"B98&C98&D98","v":"就労移行支援高圧プロパンガス"},"就労移行支援","高圧","プロパンガス",78900]
["就労移行支援低圧都市ガス","就労移行支援","低圧","都市ガス",59300]
["就労移行支援低圧プロパンガス","就労移行支援","低圧","プロパンガス",60700]
[{"$f":"B101&C101&D101","v":"就労継続支援Ａ型高圧都市ガス"},"就労継続支援Ａ型","高圧","都市ガス",77500]
[{"$f":"B102&C102&D102","v":"就労継続支援Ａ型高圧プロパンガス"},"就労継続支援Ａ型","高圧","プロパンガス",78900]
["就労継続支援Ａ型低圧都市ガス","就労継続支援Ａ型","低圧","都市ガス",59300]
["就労継続支援Ａ型低圧プロパンガス","就労継続支援Ａ型","低圧","プロパンガス",60700]
[{"$f":"B105&C105&D105","v":"就労継続支援Ｂ型高圧都市ガス"},"就労継続支援Ｂ型","高圧","都市ガス",77500]
[{"$f":"B106&C106&D106","v":"就労継続支援Ｂ型高圧プロパンガス"},"就労継続支援Ｂ型","高圧","プロパンガス",78900]
["就労継続支援Ｂ型低圧都市ガス","就労継続支援Ｂ型","低圧","都市ガス",59300]
["就労継続支援Ｂ型低圧プロパンガス","就労継続支援Ｂ型","低圧","プロパンガス",60700]
[]
[]
[null,"共同生活援助系","支給単位","高圧かつ都市ガスを利用している場合","高圧かつプロパンガスを利用している場合","低圧かつ都市ガスを利用している場合","低圧かつプロパンガスを利用している場合"]
[null,"共同生活援助（介護サービス包括型）","１住居定員１人当たり",7300,6600,5900,5200]
[null,"共同生活援助（日中サービス支援型）"]
[null,"共同生活援助（外部サービス利用型）"]
[]
["key","共同生活援助系","高圧・低圧","都市ガス・プロパンガス","金額","プロパンガスの場合、控除"]
[{"$f":"B117&C117&D117","v":"共同生活援助（介護サービス包括型）高圧都市ガス"},"共同生活援助（介護サービス包括型）","高圧","都市ガス",7300,0]
[{"$f":"B118&C118&D118","v":"共同生活援助（介護サービス包括型）高圧プロパンガス"},"共同生活援助（介護サービス包括型）","高圧","プロパンガス",6600,1500]
["共同生活援助（介護サービス包括型）低圧都市ガス","共同生活援助（介護サービス包括型）","低圧","都市ガス",5900,0]
["共同生活援助（介護サービス包括型）低圧プロパンガス","共同生活援助（介護サービス包括型）","低圧","プロパンガス",5200,1500]
["共同生活援助（日中サービス支援型）高圧都市ガス","共同生活援助（日中サービス支援型）","高圧","都市ガス",7300,0]
["共同生活援助（日中サービス支援型）高圧プロパンガス","共同生活援助（日中サービス支援型）","高圧","プロパンガス",6600,1500]
["共同生活援助（日中サービス支援型）低圧都市ガス","共同生活援助（日中サービス支援型）","低圧","都市ガス",5900,0]
["共同生活援助（日中サービス支援型）低圧プロパンガス","共同生活援助（日中サービス支援型）","低圧","プロパンガス",5200,1500]
["共同生活援助（外部サービス利用型）高圧都市ガス","共同生活援助（外部サービス利用型）","高圧","都市ガス",7300,0]
["共同生活援助（外部サービス利用型）高圧プロパンガス","共同生活援助（外部サービス利用型）","高圧","プロパンガス",6600,1500]
["共同生活援助（外部サービス利用型）低圧都市ガス","共同生活援助（外部サービス利用型）","低圧","都市ガス",5900,0]
["共同生活援助（外部サービス利用型）低圧プロパンガス","共同生活援助（外部サービス利用型）","低圧","プロパンガス",5200,1500]
[]
[]
[]
[]
[null,"児通所系","支給単位","高圧かつ都市ガスを利用している場合","低圧かつプロパンガスを利用している場合","低圧かつ都市ガスを利用している場合","低圧かつプロパンガスを利用している場合"]
[null,"児童発達支援","１事業所当たり",38750,38700,29650,29600]
[null,"児童発達支援センター"]
[null,"医療型児童発達支援センター",null,null,null,null,null,null,38750,38700,29650,29600]
[null,"放課後等デイサービス"]
[]
["key","児通所系","高圧・低圧","都市ガス・プロパンガス","金額"]
[{"$f":"B140&C140&D140","v":"児童発達支援高圧都市ガス"},"児童発達支援","高圧","都市ガス",38750]
[{"$f":"B141&C141&D141","v":"児童発達支援高圧プロパンガス"},"児童発達支援","高圧","プロパンガス",38700]
["児童発達支援低圧都市ガス","児童発達支援","低圧","都市ガス",29650]
["児童発達支援低圧プロパンガス","児童発達支援","低圧","プロパンガス",29600]
[{"$f":"B144&C144&D144","v":"児童発達支援センター高圧都市ガス"},"児童発達支援センター","高圧","都市ガス",38750]
[{"$f":"B145&C145&D145","v":"児童発達支援センター高圧プロパンガス"},"児童発達支援センター","高圧","プロパンガス",38700]
["児童発達支援センター低圧都市ガス","児童発達支援センター","低圧","都市ガス",29650]
["児童発達支援センター低圧プロパンガス","児童発達支援センター","低圧","プロパンガス",29600]
[{"$f":"B148&C148&D148","v":"医療型児童発達支援センター高圧都市ガス"},"医療型児童発達支援センター","高圧","都市ガス",38750]
[{"$f":"B149&C149&D149","v":"医療型児童発達支援センター高圧プロパンガス"},"医療型児童発達支援センター","高圧","プロパンガス",38700]
["医療型児童発達支援センター低圧都市ガス","医療型児童発達支援センター","低圧","都市ガス",29650]
["医療型児童発達支援センター低圧プロパンガス","医療型児童発達支援センター","低圧","プロパンガス",29600]
[{"$f":"B152&C152&D152","v":"放課後等デイサービス高圧都市ガス"},"放課後等デイサービス","高圧","都市ガス",38750]
[{"$f":"B153&C153&D153","v":"放課後等デイサービス高圧プロパンガス"},"放課後等デイサービス","高圧","プロパンガス",38700]
["放課後等デイサービス低圧都市ガス","放課後等デイサービス","低圧","都市ガス",29650]
[{"$f":"B155&C155&D155","v":"放課後等デイサービス低圧プロパンガス"},"放課後等デイサービス","低圧","プロパンガス",29600]
[]
[]
[]
[null,"児訪問系","支給単位","⑮　都市ガスを利用している場合","⑯　プロパンガスを利用している場合"]
[null,"児訪問系","１事業所当たり",20800,19800]
[null,"居宅訪問型児童発達支援"]
[null,"保育所等訪問支援"]
[]
["key","児訪問系","高圧・低圧","都市ガス・プロパンガス","金額"]
[{"$f":"B165&D165","v":"児訪問系都市ガス"},"児訪問系","-","都市ガス",20800]
[{"$f":"B166&D166","v":"児訪問系プロパンガス"},"児訪問系","-","プロパンガス",19800]
["居宅訪問型児童発達支援都市ガス","居宅訪問型児童発達支援","-","都市ガス",20800]
["居宅訪問型児童発達支援プロパンガス","居宅訪問型児童発達支援","-","プロパンガス",19800]
["保育所等訪問支援都市ガス","保育所等訪問支援","-","都市ガス",20800]
["保育所等訪問支援プロパンガス","保育所等訪問支援","-","プロパンガス",19800]
[]
[null,"※１　「共同生活援助系」の１住居当たりの補助額の支給単位は定員とし、１住居当たりの定員が２～５人の場合は６人とする。また、プロパンガスの契約の場合の１住居当たりの補助額については、"]
[null,"　　補助単価に定員数を乗じた額から、埼玉県で別途実施される「埼玉県ＬＰガス料金負担軽減事業補助金」において軽減されるプロパンガス利用者負担額２，３００円を減算した額とする。"]
[]
[]
[]
[]
[]
["ガソリン区分①（12㎞未満）",12]
["ガソリン区分②（12㎞以上22㎞未満）",22]
["ガソリン区分③（22㎞以上）"]