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[null,"保育できない状況の説明"]
[{"$nulls":6},"児童氏名"]
[{"$nulls":6},"申立者氏名"]
{"$rows_empty":23}
[{"$nulls":6},"令和　　 年 　　月　 　日"]
[{"$nulls":6},"申立者氏名"]
[]
[null,"※申立者の状況が「疾病（自宅療養）」「障害」「看護・付添い」「その他（その他）」の場合に提出してください。"]
[null,"※上記以外の場合でも、申立者の状況の確認のために、提出していただく場合があります。"]
[null,"※この書類は申立者本人が記載してください。"]