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- Long-term Care Insurance Premium Payment Certificate
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Long-term Care Insurance Premium Payment Certificate
Last Updated April 7, 2021
Certificate of Long-term Care Insurance Premium Payment Certificate
The Long-term Care Insurance Premium Payment Certificate certifies the amount of premium paid in one year and allows you to apply up to five years ago.
When applying at the ward office window
Case of application (main) | Necessary items (Note) | |
---|---|---|
Request by the principal |
| |
Requests by household members | <Persons who have resident registration in Yokohama City on the day of application>
<Persons who do not have resident registration in Yokohama City on the day of application>
| |
Billing by proxy/agent |
|
(Note) Copies may be made if necessary.
Application fee
It costs 300 yen per case per year.
Application destination
You can apply at the nearest ward office, Insurance and Pension Division.
When applying by mail
Please send the following documents to the ward office Insurance and Pension Division.
(1) Payment certificate application
Please fill out the application form with required items.
(2) Fixed amount postal money order for commissions
Available at Japan Post Bank (postal savings window) (Please do not enter anything in the fixed amount postal money order.) 。
For postal fixed amount money order, please prepare at the amount that will not be changed. If a fixed amount of money that exceeds the payment amount is sent, the amount of money will be paid.
Please note that you will be sent a fixed amount of money for the payment amount again.
(3) Reply envelope
Please put a stamp and fill in the address.
Precautions when applying by mail
- If you are in a hurry or have a reliable receipt, please use express mail or registered mail for mailing to the ward office or reply envelope.
- Since it is necessary to confirm that the application has been made at the will of the person (in principle, the request will be made in the name of the person), the certificate will be sent to the person in Address.
- If you move out of Yokohama and move further, please enclose a copy of the relationship between your current address and the former Address (e.g., a copy of both sides of your driver's license).
Download the application form
Payment certificate application (for mail request) (PDF: 356KB)
Example of application form (for mail request) (PDF: 434KB)
Other notes
- If you need a certificate of payment for Long-term Care Insurance Premium immediately after payment at a financial institution, please bring your receipt together.
- Please note that if the Address entered in the application form or your name is different from the contents of the ledger, we may issue it after necessary confirmation.
- Depending on your request, you may not be able to issue a certificate other than yourself.
Inquiries regarding procedures
Please contact Insurance and Pension Division of your ward office.
Click here for more information.
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Inquiries to this page
Health and Social Welfare Bureau Senior Health and Welfare Department The Long-term Care Insurance Division
Telephone: 045-671-4254
Telephone: 045-671-4254
Fax: 045-550-3614
Email address: kf-kaigohoken@city.yokohama.jp
Page ID: 144-988-099