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{"sheet":"附件1","index":0,"n_rows":22,"n_cols":12,"rows_kept":22,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,14],[2,1,2,2],[2,3,2,6],[2,8,2,14],[3,1,3,2],[3,3,3,14],[4,1,4,2],[4,3,4,14],[5,1,5,2],[5,3,5,14],[6,1,6,2],[6,3,6,14],[7,1,7,2],[7,3,7,6],[7,7,7,8],[7,9,7,10],[7,11,7,12],[7,13,7,14],[8,1,8,2],[8,3,8,6],[8,7,8,8],[8,9,8,10],[8,11,8,12],[8,13,8,14],[9,1,9,14],[10,1,10,3],[10,4,10,7],[10,8,10,10],[10,11,10,14],[11,1,11,5],[11,6,11,7],[11,8,11,10],[11,11,11,14],[12,1,12,14],[13,1,13,2],[13,3,13,6],[13,7,13,8],[13,9,13,14],[14,1,14,2],[14,3,14,6],[14,7,14,10],[14,11,14,14],[15,1,15,14],[16,1,16,8],[16,9,16,14],[21,0,21,14],[2,0,14,0],[15,0,16,0],[17,0,18,0],[19,0,20,0],[19,1,20,14],[17,1,18,14]],"flags":["formulas_cached_only"]}
["附件1"]
["护理型养老机构市级一次性建设补助申请表"]
["养老机构填写","项目名称",{"$nulls":5},"项目地址"]
[null,"申请补助类别",null,"新建补助□  扩建补助□   自有房屋改建补助□   租赁房屋改建补助□ "]
[null,"项目类型",null,"养老机构内设护理院□  专业护理院□  专业养护院□                  内设分支医疗机构□  其他□"]
[null,"用地方式",null,"划拨土地建设□  出让土地建设□ 租赁土地建设□ 集体土地建设□                     "]
[null,"建设进度",null," 投入使用□  "]
[null,"建筑面积 （平方米）",{"$nulls":5},"原有床位数（张）",null,null,null,"新增床位数（张）"]
[null,"投资规模 （万元）",{"$nulls":5},"申请市级补助资金数（万元）",null,null,null,"申请市级资助床位数（张）"]
[null,"以下已投入使用项目填写"]
[null,"法人登记证书编号",{"$nulls":6},"机构许可（备案回执）编号"]
[null,"法人代表姓名",{"$nulls":6},"手机"]
[null,"以下已开工建设项目填写"]
[null,"立项批复（备案）文号",{"$nulls":5},"施工许可证编号"]
[null,"项目举办单位",{"$nulls":5},"项目举办单位法人及联系电话"]
["项目举办单位负责人填写","    本人郑重声明以上信息完全真实。如能获得资助资金，本人承诺将用于规定用途、5年内不退出养老行业。如以上信息不属实，本人自愿承担法律责任。"]
[null,"法人代表签字（加盖单位公章）：",{"$nulls":7},"申请时间：  年  月  日"]
["县级民政部门审核意见","    经审查，该单位系新建□/扩建□/自有房屋改建补助□/租赁用房改建项目□，新增床位   张，符合资助条件，建议资助   万元。\n    以上信息属实，如有虚假，本人自愿承担法律责任。\n                                      县级民政部门核查人签字：         \n\n                                 县级民政部门负责人签字（加盖单位公章）      \n                                                      年  月  日                                                                                                    "]
[]
["市级民政部门审批意见","    经复审，该单位系新建□/扩建□/自有房屋改建补助□/租赁用房改建项目□，新增床位   张，符合资助条件，核定资助   万元。\n   \n                                    市级民政部门核查人签字：            \n\n                                 市级民政部门负责人签字（加盖单位公章）      \n                                               年  月  日                                                                         "]
[]
["注:1.此表一式四份（市级两份），由县、市民政主管业务科（处）室存档。"]

{"sheet":"附件2","index":1,"n_rows":19,"n_cols":6,"rows_kept":19,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,6],[2,2,2,3],[2,5,2,6],[5,2,5,6],[6,2,6,6],[7,2,7,6],[8,1,8,6],[9,1,9,2],[9,3,9,6],[10,4,10,6],[11,1,11,6],[12,2,12,3],[12,5,12,6],[13,2,13,6],[14,1,14,6],[15,1,15,3],[15,4,15,6],[18,0,18,6],[2,0,15,0],[16,0,17,0],[16,1,17,6]],"flags":["formulas_cached_only"]}
["附件2"]
["社区养老服务设施一次性建设（改造）补助申请表"]
["社区养老服务设施填写","项目名称",null,null,"地址"]
[null,"建设规模（平方米）",null,"设置床位数（张）",null,"投资总额（万元）"]
[null,"申请补助资金数（万元）"]
[null,"建设方式","征地新建□ 新建小区配建□ 租赁房屋改建□ "]
[null,"建设进度","已投入使用□    建设完成□"]
[null,"申请补助资金额度","万元"]
[null,"以下已投入使用项目填写"]
[null,"法人登记证书编号"]
[null,"项目法人代表",null,"联系电话"]
[null,"以下开工建设项目填写"]
[null,"项目举办单位",null,null,"项目举办单位法人代表及联系电话"]
[null,"立项批复（备案）文号"]
[null,"    本人郑重声明以上信息完全真实。如能获得资助资金，本人承诺将用于规定用途，绝不挪作他用。如以上信息不属实，本人自愿承担法律责任。"]
[null,"法人代表签字（加盖单位公章）：",null,null,"申请时间：  年  月  日"]
["县级民政部门审核意见","    经审查，该中心符合资助条件，给予一次性建设补助□     万元。\n    以上信息属实，如有虚假，本人自愿承担法律责任。\n         县级民政部门核查人签字：      \n\n   县级民政部门负责人签字（加盖单位公章） \n                           年  月  日                                             "]
[]
["注:此表一式两份，分别由县级民政、财政主管业务处室存档。"]

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["附件3"]
["家庭养老床位建设补贴申请表"]
[]
["养老服务机构填写","服务机构名称（盖章）",null,null,"地址"]
[null,"负责人",null,"联系电话",null,"服务机构等级"]
[null,"法人登记证书编号",null,"申请补助（万元）",null,"核定床位","户数","新增床位（张）"]
[]
[null,"本人郑重声明以上信息完全真实。如能获得资助资金，本人承诺将用于规定用途。如以上信息不属实，本人自愿承担法律责任。\n\n机构(实际运营方）法人代表签字（加盖单位公章）：          年    月    日"]
[null,"提报材料目录："]
["县级民政部门审批意见","  经审查，该项目符合资助条件，共建设床位    张，确定资助     万元。\n     \n               县级民政部门核查人签字：          \n\n               县级民政部门负责人签字（加盖单位公章）\n\n                      年  月  日        \n\n                     "]
["注:此表一式两份，分别由县级民政、财政主管业务处室存档。"]

{"sheet":"附件4","index":3,"n_rows":14,"n_cols":8,"rows_kept":14,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,8],[2,2,2,4],[2,6,2,8],[3,1,3,2],[3,3,3,4],[3,5,3,6],[3,7,3,8],[4,2,4,4],[5,2,5,6],[6,2,6,4],[9,1,9,4],[9,5,9,8],[10,1,10,8],[11,1,11,8],[12,1,12,8],[13,0,13,8],[2,0,10,0]],"flags":["formulas_cached_only"]}
["附件4"]
["养老机构市级运营奖补申请表"]
["养老机构（实际运营方）填写","机构名称",null,null,null,"地址"]
[null,"法人登记证书编号",null,null,null,"机构许可（备案回执）编号"]
[null,"开始运营时间","  年  月  日",null,null,"机构负责人姓名",null,"联系电话"]
[null,"运营方式","民建民营□    公办养老机构委托运营□    ",{"$nulls":4},"评定等级"]
[null,"公办养老机构\n委托运营实际\n运营方名称",null,null,null,"公办养老机构委托运营方法人代表",null,"机构床位数（张）"]
[null,"申请运营补助普通人数（人）",null,"补助金额（万元）",null,"半自理（中度失能）老人（人）",null,"完全不能自理（重度失能）老年人（人）"]
[null,"申请运营补助特殊人数（人）",null,"补助金额（万元）",null,"其中：低保、计生特扶老年人（中度失能）",null,"其中：低保、计生特扶老年人（重度失能）"]
[null,"申请市级补助资金（万元）"]
[null,"    本人郑重声明以上信息完全真实。如能获得资助资金，本人承诺将用于规定用途。如以上信息不属实，本人自愿承担法律责任。\n\n\n机构(实际运营方）法人代表签字（加盖单位公章）：                    年    月    日"]
["县级民政部门审核意见","    经审查，    年度该机构入住自理老人   人，半自理老人    人，不能自理老人    人，入住老年人满意率   %，符合资助条件，建议资助   万元。                                                                                            以上信息属实，如有虚假，本人自愿承担法律责任。\n\n                                                县级民政部门核查人签字：          \n\n                                            县级民政部门负责人签字（加盖单位公章）      \n\n                                                           年  月  日                                                                         "]
["市级民政部门审批意见","    经复审，    年度该机构入住自理老人   人，半自理老人    人，不能自理老人    人，符合资助条件，核定资助   万元。                                                                       \n\n                                                  市级民政部门核查人签字：           \n\n                                             市级民政部门负责人签字（加盖单位公章）      \n                                                                                                                                           \n                                                     年  月  日                                                                         "]
["注:此表一式四份（市级两份），由县、市民政部门主管业务科（处）室存档。"]

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["附件5"]

{"sheet":"附件6街道综合运营","index":5,"n_rows":16,"n_cols":12,"rows_kept":16,"cut":false,"hidden":true,"merged":[[0,0,0,1],[1,0,1,14],[2,1,2,2],[2,3,2,6],[2,8,2,14],[3,1,3,2],[3,3,3,14],[4,1,4,2],[4,3,4,14],[5,1,5,2],[5,3,5,6],[5,7,5,10],[5,11,5,14],[6,1,6,2],[6,3,6,6],[6,7,6,8],[6,9,6,14],[7,1,7,2],[7,3,7,6],[7,7,7,8],[7,9,7,10],[7,11,7,12],[7,13,7,14],[8,1,8,2],[8,3,8,6],[8,7,8,8],[8,9,8,10],[8,11,8,12],[8,13,8,14],[9,1,9,14],[10,1,10,8],[10,9,10,14],[15,0,15,14],[2,0,8,0],[9,0,10,0],[11,0,12,0],[13,0,14,0],[13,1,14,14],[11,1,12,14]],"flags":["formulas_cached_only"]}
["附件6"]
["街道综合养老服务中心省级运营奖补申请表"]
["街道综合养老服务中心填写","项目名称",{"$nulls":5},"项目地址"]
[null,"建设类别",null,"新建□  改扩建□   自有房屋改造□   租赁房屋改造□ "]
[null,"用地方式",null,"划拨土地□  出让土地□ 租赁土地□ 集体经济土地□                     "]
[null,"运营主体",{"$nulls":5},"街道综合养老服务中心负责人"]
[null,"建成时间",{"$nulls":5},"投入使用时间"]
[null,"建筑面积 （平方米）",{"$nulls":5},"床位数（张）",null,null,null,"床位利用率"]
[null,"投资规模 （万元）",{"$nulls":5},"申请省级补助资金数（万元）",null,null,null,"老年人服务满意度"]
["项目举办单位负责人填写","    本人郑重声明以上信息完全真实。如能获得资助资金，本人承诺将用于规定用途、5年内不退出养老行业。如以上信息不属实，本人自愿承担法律责任。"]
[null,"法人代表签字（加盖公章）：",{"$nulls":7},"申请时间：  年  月  日"]
["县级民政、财政部门审核意见","    经审查，该单位系政府统筹规划内当年投入使用的街道综合养老服务中心，建筑面积    平方米，床位   张，床位利用率达到    %，服务老年人满意度为    %，符合资助条件，建议资助   万元。\n    \n    县级民政部门核查人签字：            县级财政部门核查人签字：\n\n   县级民政部门负责人签字（加盖单位公章）  县级财政部门负责人签字（加盖单位公章）    \n                           年  月  日                            年  月  日                                                                         "]
[]
["市级民政、财政部门审核意见","    经复审，该单位该单位系政府统筹规划内当年投入使用的街道综合养老服务中心，建筑面积    平方米，床位   张，床位利用率达到    %，服务老年人满意度为    %，符合资助条件，核定资助   万元。\n   \n    市级民政部门核查人签字：            市级财政部门核查人签字：\n\n    市级民政部门负责人签字（加盖单位公章）  市级财政部门负责人签字（加盖单位公章）    \n\n                             年  月  日                             年  月  日                                                                         "]
[]
["注:1.市级项目不需填写县（市、区）民政部门填写审核意见。2.此表一式四份（市级项目两份），由县市民政、财政主管业务处室存档。"]

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["附件5"]
["社区养老服务设施市级运营奖补申请表"]
["社区养老设施实际运营方填写","项目名称",null,null,"地址"]
[null,"类别","街道综合养老中心□ 社区日间照料中心□",null,null,"评定等级"]
[null,"建设规模\n（平方米）",null,"设置床位数\n（张）",null,"建设投资总额（万元）"]
[]
[null,"兴办主体","政府（街道）建□ 社会建□ 政府与社会合资合作建□"]
[null,"运营方式","公建公营□ 民建民营□ 委托运营□ "]
[null,"市级是否已给予一次性建设补助",null,null,"是□ 给予补助时间    年",null," 否□"]
[null,"基本运营情况"]
[null,"运营单位",null,null,"运营单位法人代表及联系电话"]
[null,"协议运营年限",null,null,"开始运营时间"]
[null,"申请补助资金","万元"]
[null,"    本人郑重声明以上信息完全真实。如能获得资助资金，本人承诺将用于规定用途，绝不挪作他用。如以上信息不属实，本人自愿承担法律责任。"]
[null,"法定代表人签字（加盖单位公章）：",null,null,"申请时间：  年  月  日"]
["县级民政部门审核审批意见","    经审查，该中心符合资助条件，给予社区养老设施运营奖补补助   万元。"]
[null,"    县级民政部门核查人签字：            "]
[null,"    县级民政部门负责人签字（加盖单位公章）:"]
[null,"    "]
[null,"                                                     年  月  日"]
["注:此表一式两份，分别由县级民政、财政主管业务处室存档。"]

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["附件6"]
["农村幸福院市级运营奖补申请表"]
["农村幸福院实际运营方填写","项目名称",null,null,"地址"]
[null,"类别","   农村幸福院□",null,null,"评定等级"]
[null,"建设规模\n（平方米）",null,"设置床位数\n（张）",null,"建设投资总额（万元）"]
[]
[null,"兴办主体","政府（街道）建□ 社会建□ 政府与社会合资合作建□"]
[null,"运营方式","公建公营□ 民建民营□ 委托运营□ "]
[null,"市级是否已给予一次性建设补助",null,null,"是□ 给予补助时间    年",null," 否□"]
[null,"基本运营情况"]
[null,"运营单位",null,null,"运营单位法人代表及联系电话"]
[null,"协议运营年限",null,null,"开始运营时间"]
[null,"申请补助资金额","万元"]
[null,"    本人郑重声明以上信息完全真实。如能获得资助资金，本人承诺将用于规定用途，绝不挪作他用。如以上信息不属实，本人自愿承担法律责任。"]
[null,"法定代表人签字（加盖单位公章）：",null,null,"申请时间：  年  月  日"]
["县级民政部门审核审批意见","    经审查，该中心符合资助条件，给予日间照料设施运营奖补补助   万元。"]
[null,"    县级民政部门核查人签字：            "]
[null,"    县级民政部门负责人签字（加盖单位公章）:"]
[null,"                                                          年  月  日"]
["注:此表一式两份，分别由县级民政、财政主管业务处室存档。"]

{"sheet":"附件7","index":8,"n_rows":16,"n_cols":14,"rows_kept":16,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,13],[9,0,9,11],[15,0,15,7],[10,0,14,13]],"flags":["formulas_cached_only"]}
["附件7"]
["家庭养老床位运营奖补申请表"]
["序号","养老服务机构名称","签约家庭养老床位老人姓名","身份证号","户籍所在区（县）","住址","类别：低保、优抚、计生特扶","老人能力状况（经第三方评估）","签约服务协议书编号","签约提供服务内容","签约家庭养老床位起止时间","补助资金（元）","签约家庭养老床位老人监护人姓名","联系电话"]
[]
[]
[]
[]
[]
[]
[" 本人郑重声明以上信息完全真实。如能获得资助资金，本人承诺将用于规定用途。\n    如以上信息不属实，本人自愿承担法律责任。\n\n    法人代表签字（加盖单位公章）：                       申请时间：  年  月  日",{"$nulls":11},"合计（万元）"]
[" 经审查，该单位符合条件老年人   人，其中照护6级   人，照护5级   人，符合资助条件，建议资助   万元。\n    以上信息属实，如有虚假，本人自愿承担法律责任。\n                              县级民政部门核查人签字：\n  \n                               县级民政部门负责人签字（加盖单位公章）：                                                                \n                                                                     年  月  日\n\n\n                                   \n"]
[]
[]
[]
[]
["注:此表一式两份，分别由县级民政、财政主管业务处室存档。"]

{"sheet":"附件8","index":9,"n_rows":16,"n_cols":13,"rows_kept":16,"cut":false,"hidden":false,"merged":[[0,0,0,2],[1,0,1,12],[9,0,9,10],[15,0,15,6],[10,0,14,12]],"flags":["formulas_cached_only"]}
["附件8"]
["居家基本养老服务补助申请表"]
["序号","居家养老服务组织（企业）名称","老人姓名","身份证号","类别：低保、优抚、计生特扶、高龄独居老年人","家庭住址","联系电话","开始服务日期","终止服务\n日期","照护需求等级（1-6级、独居）","每月实际服务时间（小时）","补助标准（元/月）","补助资金合计（元）"]
[]
[]
[]
[]
[]
[]
[" 本人郑重声明以上信息完全真实。如能获得资助资金，本人承诺将用于规定用途。\n    如以上信息不属实，本人自愿承担法律责任。\n    法人代表签字（加盖单位公章）：                       申请时间：  年  月  日",{"$nulls":10},"合计（万元）"]
[" 经审查，该单位符合条件老年人   人，其中照护5-6级   人，照护3-4级   人，照护1-2级   人，高龄独居  人。符合资助条件，建议资助   万元。\n                    以上信息属实，如有虚假，本人自愿承担法律责任。\n                                县级民政部门核查人签字：\n  \n                               县级民政部门负责人签字（加盖单位公章）：                                                                \n                                                                     年  月  日\n\n\n                                   \n"]
[]
[]
[]
[]
["注:此表一式两份，分别由县级民政、财政主管业务处室存档。"]

{"sheet":"附件9","index":10,"n_rows":18,"n_cols":6,"rows_kept":18,"cut":false,"hidden":false,"merged":[[1,0,1,5],[3,1,3,3],[5,1,5,5],[6,1,6,2],[6,3,6,4],[7,1,7,5],[8,0,8,3],[8,0,8,3],[8,4,8,5],[9,2,9,3],[9,4,9,5],[11,4,11,5],[12,0,12,5],[13,0,13,2],[13,3,13,5],[14,0,14,5],[16,1,16,5],[17,0,17,5]],"flags":["formulas_cached_only"]}
["附件9"]
["大中专毕业生入职养老服务一次性奖补申请表"]
["姓名",null,"性别",null,"出生年月","    年  月"]
["身份证号码",null,null,null,"户籍所在地"]
["毕业院校",null,"毕业证书编号",null,"工作岗位"]
["全日制学历","中职□  技工院校□   专科（高职）□   大学本科□   硕士研究生及以上□  "]
["全日制院校毕业时间","       年   月",null,"参加养老工作时间",null,"       年   月"]
["现工作机构"]
["  与现工作机构签订劳动合同时间",null,null,null,"年   月"]
["在养老服务机构连续工作年限","        年","申请一次性入职补助年度",null,"第     年"]
["申请一次性入职补助金额","          万元","申请5年以上每年补助","   万元","申请10年以上每年补助","  万元"]
["申请5年以上补助年度",null,"第   年","本次申请数额","共     万元"]
["   本人郑重声明以上信息完全真实，此前未享受过市级大中专毕业生入职养老服务一次性奖补。在养老服务机构工作年限真实，如以上信息不属实，本人自愿承担法律责任。"]
["   申请人签字：",null,null,"申请时间：  年  月  日"]
["    经审查，该同志符合资助条件，建议给予入职补助   万元，5年以上年度补助   万元，10年以上年度补助   万元。\n    \n        \n    所在机构负责人签字（加盖单位公章）                      年  月  日     \n\n                                                                 "]
["    所在机构负责人签字（加盖单位公章）                      年  月  日     "]
["                         县级民政部门审核意见","经核实，该同志符合资助条件，建议给予大中专毕业生入职养老服务奖补   万元，5年以上年度补助   万元，10年以上年度补助   万元。\n   \n                             县级民政部门核查人签字：              \n\n                         县级民政部门负责人签字（加盖单位公章）      \n\n                                                 年  月  日 "]
["注:此表一式两份，由县级民政部门主管业务科（处）室存档。"]

{"sheet":"附件10","index":11,"n_rows":15,"n_cols":6,"rows_kept":15,"cut":false,"hidden":false,"merged":[[1,0,1,5],[3,1,3,3],[4,1,4,5],[5,1,5,5],[6,1,6,2],[6,3,6,4],[7,2,7,5],[8,0,8,1],[8,2,8,5],[9,2,9,4],[10,0,10,2],[10,3,10,5],[11,0,11,5],[12,0,12,2],[12,3,12,5],[13,0,13,5],[14,0,14,4]],"flags":["formulas_cached_only"]}
["附件10"]
["养老护理员职业技能等级市级补助申请表"]
["姓名",null,"性别",null,"出生年月","       年  月"]
["身份号码",null,null,null,"户籍所在地"]
["参加工作时间","    年   月"]
["所在养老机构名称"]
["开始从事养老护理岗位时间","    年    月",null,"连续从事养老护理岗位时间",null," 年   个月"]
["是否曾经领取岗位技能补贴","   □否","□是  领取年度     年    金额        万元"]
["现养老护理员职业技能等级",null," 一级/高级工□    二级/技师□   三级/高级技师□       "]
["技能等级证书编号",null,"   取得现技能等级证书时间",null,null,"       年    月"]
["申请市级养老护理员技能等级补助数额\n（万元）"]
["    本人郑重声明以上信息完全真实。如以上信息不属实，本人自愿承担法律责任。"]
["申请人签字：",null,null,"申请时间：  年  月  日"]
["    经审查，该同志符合资助条件，建议给予养老护理员职业技能等级补助   万元。\n  \n        \n    所在机构负责人签字（加盖单位公章）                      年  月  日     \n\n                                                                 "]
["注:此表一式两份，由县级民政部门主管业务科室存档。"]

{"sheet":"附件11","index":12,"n_rows":16,"n_cols":4,"rows_kept":16,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,4],[2,1,2,2],[2,3,2,4],[3,1,3,2],[3,3,3,4],[4,1,4,2],[4,3,4,4],[5,1,5,2],[5,3,5,4],[6,1,6,2],[6,3,6,4],[7,1,7,2],[7,3,7,4],[8,1,8,2],[8,3,8,4],[9,1,9,2],[9,3,9,4],[10,1,10,2],[10,3,10,4],[11,1,11,4],[12,1,12,3],[15,0,15,4],[2,0,12,0],[13,0,14,0],[13,1,14,4]],"flags":["formulas_cached_only"]}
["附件11"]
["农村幸福院一次性建设补助申请表"]
["农村幸福院填写","项目名称"]
[null,"建制村（社区）名称"]
[null,"建设规模（平方米）",null,"亩、   平方米    床位   张"]
[null,"本次申请补助类别",null,"一次性建设补助□   "]
[null,"项目进度",null,"建设完工□  投入使用□"]
[null,"项目投入使用时间",null,"年   月   日"]
[null,"本村（社区）老年人数",null,"人"]
[null,"在本场所常年相对固定活动老年人数",null,"人"]
[null,"申请一次性建设补助数额",null,"万元"]
[null,"    本人郑重声明以上信息完全真实。如能获得资助资金，本人承诺将用于规定用途，绝不挪作他用。如以上信息不属实，本人自愿承担法律责任。"]
[null,"村（社区）负责人签字（加盖单位公章）："]
["县级民政部门审核意见","    经审查，该项目符合资助条件，确定资助   万元。\n    以上信息属实，如有虚假，本人自愿承担法律责任。\n   县级民政部门核查人签字：          \n\n县级民政部门负责人签字（加盖单位公章）\n\n                      年  月  日                                           "]
[]
["注:此表一式两份，分别由县级民政、财政主管业务处室存档。"]

{"sheet":"附件12","index":13,"n_rows":24,"n_cols":10,"rows_kept":24,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,11],[2,2,2,3],[2,4,2,5],[2,6,2,11],[3,2,3,3],[3,4,3,5],[3,6,3,7],[3,8,3,9],[3,10,3,11],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[4,10,4,11],[5,2,5,3],[5,4,5,5],[5,6,5,7],[5,8,5,9],[5,10,5,11],[6,1,6,3],[6,4,6,11],[7,2,7,11],[8,2,8,11],[9,4,9,6],[9,7,9,8],[10,4,10,6],[10,7,10,8],[11,1,11,11],[12,1,12,3],[12,4,12,6],[12,7,12,8],[12,9,12,11],[13,1,13,3],[13,4,13,6],[13,7,13,8],[13,9,13,11],[23,0,23,11],[2,0,13,0],[14,0,15,0],[16,0,18,0],[19,0,22,0],[3,1,5,1],[9,1,10,1],[9,9,10,9],[9,12,10,12],[14,12,15,12],[16,12,18,12],[19,12,22,12],[9,2,10,3],[9,10,10,11],[14,1,15,11],[16,1,18,11],[19,1,22,11]],"flags":["formulas_cached_only"]}
["附件12"]
["特困人员供养设施（敬老院）市级一次性建设补助申请表"]
["养老机构填写","项目名称",null,null,"项目地址"]
[null,"申请补助类别（根据实际情况选择填写）","新建补助□ ",null,"护理型床位张数（张）",null,null,null,"投资总额（万元）"]
[null,null,"扩建补助□ ",null,"护理型床位张数（张）",null,null,null,"投资总额（万元）"]
[null,null,"改造提升补助□ ",null,"护理型床位张数（张）",null,null,null,"投资总额（万元）"]
[null,"是否纳入省级三年改造提升项目库",null,null,"是□       否□"]
[null,"用地方式","划拨土地建设□  出让土地建设□  租赁土地建设□  现有土地建设□                      "]
[null,"建设进度","开工建设□   投入使用□  "]
[null,"建筑面积（平方米）",null,null,"已申请省级补助资金数（万元）",{"$nulls":4},"申请市级补助资金数（万元）"]
[{"$nulls":4},"申请省级资助床位数（张）"]
[null,"以下已投入使用项目填写"]
[null,"法人登记证书编号",{"$nulls":5},"机构备案回执编号"]
[null,"法定代表人姓名",{"$nulls":5},"手机"]
["项目举办单位负责人填写","    本人郑重声明以上信息完全真实。如能获得资助资金，本人承诺将用于规定用途。\n    如以上信息不属实，本人自愿承担法律责任。\n\n    法人代表签字（加盖单位公章）：                  申请时间：  年  月  日"]
[]
["县级民政部门审核意见","    经审查，该单位系新建项目□/扩建项目□/改造提升项目□，护理型床位   张，符合资助条件，建议资助   万元。\n    以上信息属实，如有虚假，本人自愿承担法律责任。\n                              县级民政部门核查人签字：\n                              县级民政部门负责人签字（加盖单位公章）：                                                                \n                                                            年  月  日      "]
[]
[]
["市级民政部门审批意见","    经复审，该单位系新建项目□/扩建项目□/改造提升项目□，护理型床位   张，符合资助条件，核定资助   万元。 \n  \n                                      市级民政部门核查人签字：\n\n                                 市级民政部门负责人签字（加盖单位公章）：\n                                                      年  月  日"]
[]
[]
[]
["注:此表一式四份（市级项目两份），由县、市民政部门主管业务科处存档。"]

{"sheet":"附件13机构建设汇总 ","index":14,"n_rows":12,"n_cols":28,"rows_kept":12,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,27],[2,0,2,23],[2,24,2,27],[3,3,3,6],[3,7,3,11],[3,12,3,15],[3,16,3,17],[3,18,3,20],[3,21,3,23],[3,24,3,25],[3,26,3,27],[4,22,4,23],[10,0,10,2],[11,0,11,27],[3,0,5,0],[3,1,5,1],[3,2,5,2],[4,3,5,3],[4,4,5,4],[4,5,5,5],[4,6,5,6],[4,7,5,7],[4,8,5,8],[4,9,5,9],[4,10,5,10],[4,11,5,11],[4,12,5,12],[4,13,5,13],[4,14,5,14],[4,15,5,15],[4,16,5,16],[4,17,5,17],[4,18,5,18],[4,19,5,19],[4,20,5,20],[4,21,5,21],[4,24,5,24],[4,25,5,25],[4,26,5,26],[4,27,5,27]],"flags":["formulas_cached_only"]}
["附件13"]
["护理型养老机构市级一次性建设补助项目汇总表"]
["       民政局、财政局（盖章）"]
["序号","机构名称","项目地址","申请补助类别",null,null,null,"类型",{"$nulls":4},"用地方式",null,null,null,"建设进度 ",null,"建设规模",null,null,"投资规模",null,null,"县级初审意见",null,"市级审批意见"]
[null,null,null,"新建补助","扩建补助","自有房屋改建补助","租赁用房改建补助","养老机构内设护理院","专业护理院","专业养护院","内设分支医疗机构","其他","划拨土地建设","自有土地建设","租赁土地建设","集体经济土地建设","开工建设","投入使用","建筑面积（平方米）","原有床位数（张）","新增床位数（张）","项目总投入（万元）","申请补助情况",null,"核定资助床位数（张）","建议资助资金（万元）","核定资助床位数（张）","核定资助资金（万元）"]
[{"$nulls":22},"其中申请市级补助资金（万元）","申请市级补助床位数(张 )"]
[null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27]
[]
[]
[]
["合计",null,null,"个","个",null,"个",{"$nulls":5},"个","个",null,null,null,"个"]
["注：1.此表以县（市、区）、市为单位逐级统一上报；2.本表第3-17列请对照项目具体情况分别打“√”，第18-25列请对照项目具体情况填写具体数字。"]

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["附件14"]
["社区养老服务设施、农村幸福院市级建设奖补项目汇总表"]
["     民政局、财政局（盖章）",{"$nulls":13},"填报时间：   年  月  日"]
["序号","项目名称","地址","类别",null,null,"建设规模（平方米）","设置床位（张）","投资总额（万元）","兴办主体",null,null,"建设方式",null,null,"建设进度",null,"法人及电话","申请补助金额（万元）","县级确定补助资金（万元）"]
[null,null,null,"街道综合养老中心","社区日间照料中心","农村幸福院",null,null,null,"政府（街道）建","社会建","政府与社会合资合作建","征地新建","新建小区配建","租赁房屋改建","投入使用","建设完成"]
[null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,17,18,19,20]
[]
[]
[]
["合计"]
["注：1.此表以县（市、区）和市为单位逐级统一汇总上报；2.本表第3-5列、9-17列请对照项目具体情况分别打“√”，其余项请据实填报。"]

{"sheet":"附件15运营","index":16,"n_rows":12,"n_cols":23,"rows_kept":12,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,22],[2,0,2,5],[2,19,2,22],[3,3,3,5],[3,6,3,10],[3,14,3,16],[3,17,3,19],[10,0,10,2],[11,0,11,22],[3,0,4,0],[3,1,4,1],[3,2,4,2],[3,11,4,11],[3,12,4,12],[3,13,4,13],[3,20,4,20],[3,21,4,21],[3,22,4,22]],"flags":["formulas_cached_only"]}
["附件15"]
["社区养老服务设施、农村幸福院市级运营奖补项目汇总表"]
["     民政局、财政局（盖章）",{"$nulls":18},"填报时间：   年  月  日"]
["序号","项目名称","地址","类别",null,null,"评定等级",{"$nulls":4},"建设规模（平方米）","设置床位（张）","建设投资总额（万元）","兴办主体",null,null,"运营方式",null,null,"运营主体","运营\n时间","县级确定补助资金（万元）"]
[null,null,null,"街道综合养老中心","社区日间照料中心","农村幸福院","一星","二星","三星","四星","五星",null,null,null,"政府（街道）建","社会建","政府与社会合资合作建","公建公营","民建民营","委托运营"]
[null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22]
[]
[]
[]
[]
["合计"]
["注：1.此表以县（市、区）和市为单位逐级统一汇总上报；2.本表第3-10列、14-19列请对照项目具体情况分别打“√”，其余项请据实填报。"]

{"sheet":"附件16","index":17,"n_rows":11,"n_cols":24,"rows_kept":11,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,23],[2,14,2,23],[3,4,3,6],[3,8,3,12],[3,13,3,18],[3,19,3,23],[4,9,4,11],[4,14,4,16],[4,20,4,22],[9,0,9,1],[10,0,10,23],[3,0,5,0],[3,1,5,1],[3,2,5,2],[3,3,5,3],[4,4,5,4],[4,5,5,5],[3,7,5,7],[4,8,5,8],[4,12,5,12],[4,13,5,13],[4,17,5,17],[4,18,5,18],[4,19,5,19],[4,23,5,23]],"flags":["formulas_cached_only"]}
["附件16"]
["养老机构市级运营奖补项目汇总表"]
["       民政局、财政局（盖章）",{"$nulls":13},"填报日期：    年  月  日"]
["序号","机构名称","养老机构设立许可证书编号","机构运营时间","运营方式",null,null,"机构床位数（张）","机构申请补助情况",{"$nulls":4},"县级初审情况",{"$nulls":5},"市级审批情况"]
[{"$nulls":4},"民建民营","公办养老机构委托运营",null,null,"申请运营补助人数（人）",null,null,null,"申请市级补助资金数（万元）","核定补助人数（人）",null,null,null,"入住老年人满意率%","县级建议资助资金（万元）","核定补助人数（人）",null,null,null,"市级核定资助资金（万元）"]
[{"$nulls":6},"实际运营方名称",null,null,"其中自理老人数（人）","半自理（轻度和中度失能）老人数（人）","完全不能自理（重度失能）老人数（人）",null,null,"其中自理老人数（人）","半自理（轻度和中度失能）老人数（人）","完全不能自理（重度失能）老人数（人）",null,null,null,"其中自理老人数（人）","半自理（轻度和中度失能）老人数（人）","完全不能自理（重度失能）老人数（人）"]
[null,null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22]
[null,null,null,"年  月"]
[]
["合计",null,null,"___","个","个","___"]
["注：1.此表以县（市、区）和市为单位逐级统一上报;2.本表第3-4列请对照项目具体情况分别打“√”，第6-22列请对照项目具体情况填写具体数字。"]

{"sheet":"附件17","index":18,"n_rows":9,"n_cols":19,"rows_kept":9,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,18],[2,0,2,4],[2,14,2,18],[3,3,3,4],[3,9,3,10],[3,11,3,12],[3,15,3,16],[3,17,3,18],[7,0,7,2],[8,0,8,18],[3,0,4,0],[3,1,4,1],[3,2,4,2],[3,5,4,5],[3,6,4,6],[3,7,4,7],[3,8,4,8],[3,13,4,13],[3,14,4,14]],"flags":["formulas_cached_only"]}
["附件17"]
["家庭养老床位市级建设奖补项目汇总表"]
["     民政局、财政局（盖章）"]
["序号","服务机构名称","地址","类别",null,"评定星级","原设置家庭床位（张）","新增家庭床位（张）","投资总额（万元）","建设进度",null,"运营方式",null,"运营组织（企业）名称","法人及电话","申请补助金额（万元）",null,"县级确定补助资金（万元）"]
[null,null,null,"养老机构","街道综合养老中心",{"$nulls":4},"投入使用","建设完成","民建民营","委托运营",null,null,"申请补助床位数","申请补助金额（万元）","核定补助床位数","县级确定补助资金（万元）"]
[null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18]
[]
["合计"]
["注：1.此表以县（区）为单位逐级统一汇总上报；2.本表第3-4列、9-12列请对照项目具体情况分别打“√”，其余项请据实填报。"]

{"sheet":"附件18","index":19,"n_rows":9,"n_cols":19,"rows_kept":9,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,18],[2,0,2,4],[2,14,2,18],[3,3,3,4],[3,6,3,7],[3,12,3,13],[3,15,3,18],[7,0,7,2],[8,0,8,18],[3,0,4,0],[3,1,4,1],[3,2,4,2],[3,5,4,5],[3,8,4,8],[3,9,4,9],[3,10,4,10],[3,11,4,11],[3,14,4,14]],"flags":["formulas_cached_only"]}
["附件18"]
["家庭养老床位市级运营奖补项目汇总表"]
["     民政局、财政局（盖章）"]
["序号","服务机构名称","地址","类别",null,"评定星级","运营方式",null,"运营组织（企业）名称","法人及电话","设置家庭床位（张）","申请运营补助人数（人）","人员类别",null,"申请补助金额（万元）","县级确定补助资金（万元）"]
[null,null,null,"养老机构","街道综合养老中心",null,"民建民营","委托运营",{"$nulls":4},"一般老人","低保、优抚、计生特扶",null,"核定运营补助人数（人）","其中：一般老人","低保、优抚、计生特扶","县级确定补助资金（万元）"]
[null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18]
[]
["合计"]
["注：1.此表以县（区）为单位逐级统一汇总上报；2.本表第3-4列、6-7列请对照项目具体情况分别打“√”，其余项请据实填报。"]

{"sheet":"附件19","index":20,"n_rows":9,"n_cols":20,"rows_kept":9,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,19],[2,0,2,2],[2,13,2,19],[3,4,3,7],[3,9,3,12],[3,14,3,19],[7,0,7,2],[8,0,8,19],[3,0,4,0],[3,1,4,1],[3,2,4,2],[3,3,4,3],[3,8,4,8],[3,13,4,13]],"flags":["formulas_cached_only"]}
["附件19"]
["居家基本养老服务市级奖补项目汇总表"]
["     民政局、财政局（盖章）"]
["序号","居家养老服务组织名称","地址","法人及电话","服务组织类别",null,null,null,"申请居家补助人数（人）","服务类别及人数",null,null,null,"申请补助金额（万元）","县级确定补助资金（万元）"]
[{"$nulls":4},"养老机构","街道综合养老中心","社区日间照料中心","其他养老组织",null,"5-6级","3-4级","1-2级","高龄独居",null,"核定运营补助人数（人）","5-6级","3-4级","1-2级","高龄独居","县级确定补助资金（万元）"]
[null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19]
[]
["合计"]
["注：1.此表以县（区）为单位逐级统一汇总上报；2.本表第4-7列请对照项目具体情况分别打“√”，其余项请据实填报。"]

{"sheet":"附件20大中专","index":21,"n_rows":8,"n_cols":24,"rows_kept":8,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,23],[3,9,3,12],[3,18,3,20],[3,21,3,22],[7,0,7,17],[3,0,4,0],[3,1,4,1],[3,2,4,2],[3,3,4,3],[3,4,4,4],[3,5,4,5],[3,6,4,6],[3,7,4,7],[3,8,4,8],[3,13,4,13],[3,14,4,14],[3,15,4,15],[3,16,4,16],[3,17,4,17],[3,23,4,23]],"flags":["formulas_cached_only"]}
["附件20"]
["大中专毕业生入职养老服务一次性奖补汇总表"]
["       民政局、财政局（盖章）                               "]
["序号","姓名","性别","出生年月","身份证号码","户籍所在地","毕业院校","毕业时间","毕业证书编号","学历",null,null,null,"参加养老工作时间","现工作机构名称","入职本养老机构时间（年月）","与现工作机构签订劳动合同时间（年月）","在养老机构连续工作年限","申请大学生入职养老服务补助",null,null,"申请岗位补助",null,"申请补助数额（元）"]
[{"$nulls":9},"中职（技工院校）","专科（高职）","本科","硕士研究生及以上",{"$nulls":5},"第一年度","第二年度","第三年度","满5年以上第几年","满10年以上第几年"]
[]
["合计","___","___","___","___","___",null,null,"___","___","___","___","___","___",null,"___","___","___"]
["注：此表以县（区）为单位逐级统一上报。"]

{"sheet":"附件21养老护理","index":22,"n_rows":8,"n_cols":15,"rows_kept":8,"cut":false,"hidden":false,"merged":[[1,0,1,14],[2,10,2,14],[3,10,3,12],[7,0,7,10],[3,0,4,0],[3,1,4,1],[3,2,4,2],[3,3,4,3],[3,4,4,4],[3,5,4,5],[3,6,4,6],[3,7,4,7],[3,8,4,8],[3,9,4,9],[3,13,4,13],[3,14,4,14]],"flags":["formulas_cached_only"]}
["附件21"]
["养老护理员职业技能等级市级奖补汇总表"]
["       民政局、财政局（盖章）                               ",{"$nulls":9},"填报日期：  年  月  日"]
["序号","姓名","性别","出生年月","身份证号码","户籍所在地","参加工作时间","现工作机构","连续从事护理岗位时间（年数）","开始从事护理岗位日期（年月）","现养老护理职业技能等级",null,null,"取得现职业技能等级证书时间","申请市级养老护理员职业技能等级补助数额（元）"]
[{"$nulls":10},"一级/高级工","二级/技师","三级/高级技师"]
[]
["合计","___","___","___","___","___","___","___","___","___","___",null,"___","___"]
["注：1.此表以县（市、区）和市为单位逐级统一上报。"]

{"sheet":"附件22敬老院奖补","index":23,"n_rows":11,"n_cols":28,"rows_kept":11,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,27],[2,0,2,5],[2,17,2,27],[5,9,5,12],[5,14,5,17],[9,0,9,2],[10,0,10,27],[3,0,6,0],[3,1,6,1],[3,2,6,2],[5,3,6,3],[5,4,6,4],[5,5,6,5],[5,6,6,6],[5,7,6,7],[5,8,6,8],[5,13,6,13],[5,18,6,18],[5,19,6,19],[5,20,6,20],[5,21,6,21],[5,22,6,22],[5,23,6,23],[5,24,6,24],[5,25,6,25],[5,26,6,26],[5,27,6,27],[3,18,4,19],[3,20,4,23],[3,24,4,27],[3,3,4,4],[3,5,4,7],[3,8,4,12],[3,13,4,17]],"flags":["formulas_cached_only"]}
["附件22"]
["特困人员供养设施（敬老院）市级一次性建设补助项目汇总表"]
["     民政局、财政局（盖章）",{"$nulls":16},"填报时间：   年  月  日 "]
["序号","机构名称","项目地址","是否纳入三年改造提升项目库",null,"补助类别",null,null,"建设规模",{"$nulls":4},"投资规模",{"$nulls":4},"建设进度",null,"县级初审情况",null,null,null,"市级审批情况"]
[]
[null,null,null,"是","否","新建补助","扩建补助","改造提升补助","建筑面积（平方米）","护理型床位数（张）",null,null,null,"项目总投入（万元）","申请补助情况",null,null,null,"开工建设","投入使用","核定资助新建护理型床位数(张 )","核定资助扩建护理型床位数(张 )","核定资助改造提升护理型床位数(张 )","核定资助市级资金（万元）","核定资助新建护理型床位数(张 )","核定资助扩建护理型床位数(张 )","核定资助改造提升护理型床位数(张 )","核定市级资助资金（万元）"]
[{"$nulls":9},"原有床位数","新建床位数","扩建床位数","改造床位数",null,"其中申请补助资金（万元）","申请省级补助新建护理型床位数(张 )","申请省级补助扩建护理型床位数(张 )","申请省级补助改造提升护理型床位数(张 )"]
[null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27]
[]
["合计"]
["注：1.此表以县（市、区）、市为单位逐级统一上报；2.本表第3-7列、18-19列请对照项目具体情况分别打“√”，其余项请据实填报。"]