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["济南市抚恤定补优抚对象医保减员信息登记表"]
["区县退役军人事务管理局名称（盖章）：                                                        年        月        日"]
["序号","单位名称","姓名","公民身份号码         (必须填写18位)","性别","年龄","人员类别  （在职/退休）","优抚类别","减员原因","减员后是否终止优抚医疗待遇","备注"]
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["说明:1、本表一式两份，加盖区县退役军人事务管理局公章，减员原因为死亡的须附死亡证明（复印件），与表格电子版一并报送。"]
["     2、单位名称：参保人有工作单位的须填写实际单位名称，无工作单位的须填写济南市XX区退役军人事务管理局。"]
["     3、优抚类别须规范填写：一至十级残疾军人、烈士遗属、因公牺牲军人遗属、病故军人遗属、复员军人、带病回乡退伍军人、参战退役人员。"]