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[null,"附件4"]
[null,"退休人员过世“一件事”打包办申请表\n（参保单位申请）"]
[null,"离退休人员基本信息"]
[null,"离退休人员\n姓名",null,null,"民族",null,null,"性别","□男     □女"]
[null,"公民身份号码",{"$nulls":5},"死亡时间"]
[null,"殡葬方式","□火葬（火化时间             ，火化场所                  ）\n□土葬                         □其他                    。"]
[null,"待遇发放\n方式","□支付至参保单位、再由参保单位支付给遗属\n\n□支付至离退休人员本人养老保险待遇发放账户或其他银行账户"]
[null,"申请办理事项"]
[null,"                      □个人账户一次性待遇申领（养老保险）"]
[null,"                      □遗属待遇申领（养老保险）"]
[null,"                      □工伤保险待遇变更"]
[null,"                      □养老保险待遇发放账户维护申请"]
[null,"                      □工伤保险待遇发放账户维护申请"]
[null,"离退休人员其他银行账户信息"]
[null,"开户银行"]
[null,"银行账户"]
[null,"\n      参保单位（章）：\n            \n\n      经办人：                                填表日期：\n"]
[null,"备注：1.企业离退休人员过世的，“个人账户一次性待遇申领（养老保险）”和“遗属待遇申领（养老保险）”两项业务须同时申报；机关事业单位退休人员过世的，只能申报“个人账户一次性待遇申领（养老保险）”业务。\n2.养老保险待遇、工伤保险待遇发放账户维护申请不作为单独申请事项，勾选“个人账户一次性待遇申领（养老保险）”时方可勾选。"]