Information provision related to certification for nursing care and support required

1. Introduction
2. Application Form
3. required documents
4. How to apply
5. Submission address

The handling is described in the text of the outline, so be sure to check it.

Information provision handling summary (PDF: 107KB) pertaining to Yokohama-shi certification for long-term care and certification for support required

• Information provision application pertaining to certification for long-term care (please print on both sides) (Excel: 25KB)

(Reference Form)

• Certificate of Enrollment (word: 27KB)
• Employment certificate for part-time jobs (word: 24KB)

Documents required for application vary depending on the application method (window or mail), so please be sure to check.

• Information provision application pertaining to certification for long-term care (please print on both sides) (Excel: 27KB)
• Copy of contract, etc. (Note 1)
• Confirmation of original documents such as employee ID or employee ID (Note 2)
• Original identification card andCertificate of enrollment (word: 27KB)(Note 3)

Note 1: A copy of the contract is required to confirm the contract relationship, but it can be omitted if the home / care prevention service plan creation has been reported in advance. However, a copy of the contract between the three parties is required as a home care support establishment entrusted by the comprehensive cannot be omitted for those requiring support.
Note 2: In order to confirm the applicant, a staff card, employee ID card, etc. (with a photo) are required, but if it is not possible to confirm that you belong to a business establishment or facility, the original identification card (with a photo) And a certificate of enrollment are required.
Note 3: If the establishment / facility can be confirmed with the staff card or employee ID card, submission is not required.

• Information provision application pertaining to certification for long-term care (please print on both sides) (Excel: 27KB)
• Copy of contract, etc. (Note 4)
• Copy of employee ID card or employee ID card (Note 5)
• Certificate of Enrollment (word: 27KB)(Note 6)
• Employment certificate for part-time jobs (word: 24KB)(Note 6)
• Reply envelope with stamp required for mailing by simple registered mail (for a total of 460 yen or 490 yen, including a simple registered fee of 350 yen plus a standard of 50g110 yen or a non-standard form of 50g140 yen)

Note 4: A copy of the contract is required to confirm the contract relationship, but it can be omitted if the home / care prevention service plan creation has been reported in advance. However, a copy of the contract between the three parties is required as a home care support establishment entrusted by the comprehensive cannot be omitted for those requiring support.
Note 5: In order to confirm the applicant, you will need a staff card, employee ID card, etc., but if you cannot confirm that you belong to a business establishment or facility, you will need an identification card and a certificate of enrollment.
Note 6: If you can confirm that you belong to a business or facility with your staff card or employee ID card, you do not need to issue a certificate.

Please prepare the necessary documents (*) and come to the Elderly and Disabled Support Division The Long-term Care Insurance office in each ward.
In addition, when the staff different from the care manager who is the applicant comes to the agency, confirmation documents of each applicant and the next agency are required.
For more information, please contact Elderly and Disabled Support Division The Long-term Care Insurance, each district.

If you wish to receive it by mail, please mail the necessary documents (*) to the Elderly and Disabled Support Division The Long-term Care Insurance in each ward.
Please refer to the following URL.
For more information, please contact Elderly and Disabled Support Division The Long-term Care Insurance, each district.

The submission address is Elderly and Disabled Support Division, each ward. Please refer to the following for details.