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["附件2"]
["吉林省省直生育保险补贴奖励申领表"]
["申请人信息"]
["姓名",null,"性别",null,"年龄",null,"医保编号"]
["工作单位",{"$nulls":3},"身份证号"]
["联系电话","（固话）",null,null,"（手机）"]
["申领项目"]
["申领项目"," 男职工护理补贴（ ）",{"$nulls":3},"女职工围产补贴（   ）"]
[null," 无工作男职工配偶围产补贴（   ）",{"$nulls":3},"退休后独生子女父母奖励（  ）"]
["配偶信息"]
["姓名",{"$nulls":3},"工作单位"]
["身份证号",{"$nulls":3},"结婚证号"]
["子女信息"]
["子女姓名",null,"性别",null,"身份证号"]
["审核信息"]
["单位审核意见"]
[{"$nulls":4},"（加  盖  公  章）"]
[null," 审核人：",{"$nulls":3}," 联系电话："]
[{"$nulls":7},"年  月   日"]
["备注：1、办理生育保险护理补贴、围产补贴需提供结婚证和子女户口本原件及复印件，无工作男职工配偶领取补贴，须同时提供医保局生育费用报销凭证（未报销生育费用的需提供女方失业证明）。\n     2、办理独生子女奖励需提供《独生子女光荣证》（原件及复印件）；无子女、离婚后再婚未育和合法收养子女的退休人员，需由单位人事部门开具有效证明；参保人员退休时独生子女死亡的需要派出所开具有效证明。"]
[{"$nulls":7},"吉林省社会医疗保险管理局印制"]