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["FOGLIO DI RILEVAMENTO GRIGIONESE"]
[]
[]
["per prestazioni dal Fondo sociale"]
[]
["Le designazioni di persone e professioni si riferiscono ad entrambi i sessi"]
["Inoltrato da:",null,null,null,null,{"$f":"CONCATENATE(usrNAME,\", \",usrZUSATZ1,\", \",usrZUSATZ2)","v":", , "}]
["Generalità, situazione professionale e familiare"]
[null,null,null,null,null,null,null,"Richiedente (dossier persona principale)",null,null,null,null,null,null,null,null,null,null,null,"Partner (nella stessa economia domestica)"]
["Cognome"]
["Nome",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Stelle:"]
["Stato civile",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Strasse und Ort: "]
["Data di nascita",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MA:"]
["Attinenza",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Beruf"]
["Nazionalità"]
["Permesso di soggiorno"]
["Confessione"]
["Attività professionale"]
["Indirizzo",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"NPA",null,null,null,"Luogo"]
["Figli, al cui sostentamento provvede il richiedente"]
["Cognome",null,null,null,"Nome",null,null,"Data di nascita",null,null,"Cognome",null,null,null,"Nome",null,null,"Data di nascita",null,null,"Cognome",null,null,null,"Nome",null,null,"Data di nascita"]
[]
[]
["Altre persone, al cui sostentamento provvede il richiedente"]
["Cognome",null,null,null,"Nome",null,null,"Data di nascita",null,null,"Rapp. di parentela",null,null,null,null,"NPA",null,"Domicilio",null,null,null,null,"Indirizzo",null,null,null,null,null,null,"Importo"]
[]
[]
[]
["Reddito",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"al mese",null,null,null,null,"all'anno "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fr.",null,null,null,null,"Fr."]
["Proprio guadagno (stipendio lordo ./. deduzioni sociali)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,{"$f":"SUM(EINK_HP*12)","v":0}]
["Reddito del partner",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,{"$f":"SUM(EINK_PART*12)","v":0}]
["Reddito da AVS, AI, rendita, altro",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,{"$f":"SUM(EINK_2*12)","v":0}]
["Assistenza sociale materiale o assistenza pubblica",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,{"$f":"SUM(X34*12)","v":0}]
["Sublocazione, vitto",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,{"$f":"SUM(X35*12)","v":0}]
["Contribunti di mantenimento/alimenti",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,{"$f":"SUM(X36*12)","v":0}]
["Reddito patrimoniale (interessi, affitto, altro)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,{"$f":"SUM(X37*12)","v":0}]
["Altro reddito (ad es. rimborso RIP)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,{"$f":"SUM(X38*12)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,{"$f":"SUM(X39*12)","v":0}]
["Totale redditi",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(X31:AA39)","v":0},null,null,null,null,{"$f":"SUM(AC31:AF39)","v":0}]
[]
["Oneri correnti",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"al mese",null,null,null,null,"all'anno"]
["Forfait COSAS (aprile 2005)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,{"$f":"(X43*12)","v":0}]
["Affitto (o interessi ipotecari)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,{"$f":"SUM(X44*12)","v":0}]
["Riscaldamento, elettricità, acqua e altre spese accessorie",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0]
["Premi delle casse malati incl. aliquota percentuale",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0]
["Ulteriori costi fissi (ad es. vitto fuori casa)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0]
["Alimenti",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0]
["Rate di pagamento per esecuzioni",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0]
["Altri pagamenti",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0]
["Spese per il veicolo a motore",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0]
["Totale spese",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(X43:AA52)","v":0},null,null,null,null,{"$f":"SUM(AC43:AF52)","v":0}]
[]
["Sostanza"]
["Sostanza liquida (avere a risparmio, titoli, contanti, ecc.)"]
["Fondi e immobili (valore fiscale)"]
["Veicolo a motore"]
["Quota a eredità indivisa"]
["Totale sostanza",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AC56:AF59)","v":0}]
["Debiti"]
["Debiti ipotecari"]
["Debiti da mutui"]
["Fatture non pagate"]
["Totale debiti",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AC62:AF64)","v":0}]
["Sostanza netta"]
["Motivazione della domanda e piano di aiuto"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
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["L'utente è d'accordo con la trasmissione di dati personali necessari all'evasione della domanda  "]
["alle istituzioni menzionate di seguito."]
[]
[]
[null,null,null,null,null,null,null,null,null,"Ufficio",null,null,null,null,null,null,null,null,null,null,null,null,"Utente"]
["Luogo / data",null,null,null,null,null,null,null,null,"Servizio sociale regionale XY",null,null,null,null,null,null,null,null,null,null,null,null,"Utente"]
[]
[]
[]
[]
["Piano di finanziamento"]
["Istituzione:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fr."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fr."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fr."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fr."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fr."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fr."]
[null,null,null,null,"Totale",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fr.",null,{"$f":"SUM(AB107:AF112)","v":0}]
[]
[]
["Decisione:",null,null,null,"autorizzati Fr."]
[]
[null,null,null,null,"Osservazioni:"]
[]
[]
[]
[]
[]
[]
["Data:",null,null,null,"Data",null,null,null,null,null,null,null,null,null,null,null,"Visto:"]
[]
[]
["ACCORDO"]
[]
[]
["tra"]
[]
["utente"]
[]
["e il "]
[]
["Ufficio & Servizio sociale regionale"]
[]
[]
["concernente l'assunzione di una gestione delle finanze a breve termine secondo le Istruzioni sulla contabilità"]
["dei servizi sociali dell'Ufficio cantonale del Servizio sociale"]
[]
[]
[1,"Il Servizio sociale si assume per l'utente la gestione delle entrate da fondi e da fondazioni. Queste entrate"]
[null,"possono essere utilizzate solo secondo il piano di finanziamento."]
[]
[2,"La gestione è limitata nel tempo e cessa quando i mezzi richiesti avranno potuto essere versati secondo il"]
[null,"piano di finanziamento. "]
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[3,"La gestione avviene tramite il conto corrente del Servizio sociale presso la Banca Cantonale Grigione."]
[]
[]
["Luogo / data",null,null,null,null,"luogo & data"]
[]
["Ufficio",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Utente"]
[]
[]
[]
[]
["Servizio sociale regionale & Servizio",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Utente"]