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["Anlage zum Antrag auf den bewohnerorientierten Aufwendungszuschuss für Investitionskosten gem. § 13 Alten- und Pflegegesetz NRW"]
["Kurzzeit- und Verhinderungspflege"]
[]
["Name u. Anschrift d. Einrichtung:",{"$nulls":6},"Abrechnungsmonat:"]
[null,"Investitionskosten je Tag (bitte Betrag eintragen):"]
[null,"Einzelzimmer:",{"$nulls":4},"Eintragungen sind bitte nur in den weiß hinterlegten Feldern vorzunehmen."]
[null,"Doppelzimmer:"]
[null,"Eingestreute Plätze KZP:"]
["Name, Vorname","Gewöhnlicher Aufenthalt\nbei Aufnahme\n(Wohnort, Straße)","Geb.-Datum","Pflegestufe","Art d. Pflege\nK / V *","Unterbringung im Antragsmonat",null,"Unterbringung im ",null,"Aufenthalt\nin Tagen","InvestKosten\nje Tag","InvestKosten\nje Tag","Investitionskosten\ngesamt"]
[{"$nulls":5},"von","bis","EZ","DZ"]
[{"$nulls":5},"(Datum)","(Datum)","bitte ankreuzen"]
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[{"$nulls":7},"Summe:",null,"",null,null,0]
[]
["*K = Kurzzeitpflege gem. § 42 SGB XI, V = Verhinderungspflege gem. § 39 SGB XI"]