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["第１号様式別表１（第５条関係）"]
["就業規則改正計画書"]
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["　就業規則について、下記項目のうち策定予定の項目を１つ以上選んでチェックを入れてください。また、全項目について現状策定済みであるか、未策定であるかチェックを入れてください"]
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["　なお、①②両方を達成することが助成要件です。\n①「２希望者への治療と仕事の両立支援プラン作成部署・相談窓口の設置」の規定を策定済みであるか、新たに策定すること（策定済の項目を改正した場合は助成対象外）\n②「２プラン作成部署・相談窓口の設置」以外の項目を1つ以上新たに策定すること"]
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["名称（企業名又は団体名）　"]
[]
[null,"項目",null,null,null,null,"申請項目","現状"]
[null,null,null,null,null,null,"策定予定","策定済","未策定"]
[1,"がん検診の受診",null,null,null,null,null,null,null,null,true]
[2,"希望者への治療と仕事の両立支援プラン作成部署・相談窓口の設置"]
[3,"私傷病による休職・復職制度",null,null,null,null,null,null,null,null,false]
[4,"時差出勤制度",null,null,null,null,null,null,null,null,false]
[5,"フレックスタイム制度",null,null,null,null,null,null,null,null,false]
[6,"短時間勤務制度",null,null,null,null,null,null,null,null,false]
[7,"短時間正社員制度",null,null,null,null,null,null,null,null,false]
[8,"テレワーク制度（在宅勤務 / サテライトオフィス勤務 / モバイル勤務 )",null,null,null,null,null,null,null,null,false]
[9,"失効年次有給休暇付与制度（失効年次有給休暇積立制度）"]
[10,"時間単位・半日単位の年次有給休暇制度"]
[11,"病気休暇・（私）傷病休暇・治療休暇制度"]
[12,"試し出勤制度・リハビリ勤務制度"]
[13,"再雇用制度/カムバック制度/ジョブ・リターン制度"]
[14,"健康情報の取扱い"]