The Long-term Care Insurance application-related documents (for business operators)

Last Updated July 12, 2024

Please download various application documents necessary for nursing care (support required) authorization from the following.
We also accept applications by mail. However, please note that the application date for various documents will be the date of receipt of the documents.

Destination

〒235-0016
3-5-1, Isogo, Isogo-ku, Yokohama-shi
For Isogo Ward Office Elderly and Disabled Support Division The Long-term Care Insurance

Telephone: 045-750-2494 Fax: 045-750-2540

1 Application for certification for long-term care (support required)

Download the style to the Yokohama City site (to the City of Yokohama, Health and Social Welfare Bureau page)
Please fill in required items and submit it with your The Long-term Care Insurance insured card.
Notes
Applications for renewal applications will be accepted 60 days before the expiration date of the certification validity period.

2 Home care service and care prevention care management plan creation request form

Download the style to the Yokohama City site (to the City of Yokohama, Health and Social Welfare Bureau page)
Please write required items and submit it with your The Long-term Care Insurance insured card.
The attached certificate of insured person will be returned by registered mail to the registered location of resident certificate on the next business day.

3 Information Provision Application Form

Download the style to the Yokohama City site (to the City of Yokohama, Health and Social Welfare Bureau page)
Please fill out the application form with required items and prepare the attached documents as necessary.
It will take approximately one week from application to offer. Thank you for your understanding.
※Please be sure to check the following notes before applying.

required documents when applying for information provision

A. Information Provision Application Form
B. Applicant Confirmation Documents
　　Identity verification documents (employee card, employee ID card, etc.) with a face photo with a description of affiliation
　　In the case of identification documents without the name of the office, a certificate of enrollment is required.
C. Contract Documents
　　If the home / care prevention service plan creation has been notified in advance, it can be omitted.
　　If you enter the facility, you need a copy of the contract. (Only the stamped part is acceptable.)

(a)　When you apply at the counter

We will check the applicant confirmation documents twice at the time of application and at the time of delivery of a copy.
Either one must bring the confirmation documents of the applicant (applicant or representative on the front of the application form).

(b)　If you wish to apply by fax

There is a temporary application form for fax only. For more information, please contact us by phone.
When you receive the materials, please bring the original information application form and the applicant confirmation documents.

(c)　When applying by mail

If you wish to receive a copy by mail, we will send it by registered mail.
In addition to the above required documents, please attach a return envelope (with stamp) and mail it.
To the Yokohama City site (to the City of Yokohama, Health and Social Welfare Bureau page)
Notes

Those who use the home service cannot provide it if there is no notification of the home care service plan creation request form. Please be sure to check before applying.
For contractors of the preventive plan, please apply via the Regional Comprehensive Support Center in charge. (If you wish to apply directly, please contact us separately.)
Please return the provided materials immediately after the end of the contract.