Various applications related: Information on welfare for the elderly

• Click here for the application for certification for long-term care
• Click here for home and care prevention service plan creation request notification.

・Transferred The Long-term Care Insurance registration form (PDF: 151KB)
　　[Entry Example] The Long-term Care Insurance transferred registration form (PDF: 203KB) (if he died)

・The Long-term Care Insurance Address Land Special Exception (PDF: 186KB) (Only for those who fall under the Address Special Exception System)　　
　　[Entry Example] The Long-term Care Insurance Address (PDF: 122KB) Application, change and termination (PDF: 122KB)
　　※For details on the system, please refer to "Information on Address Local Special System".
　　※The style for business establishments can be found on the "Information Page for Business Establishments (11. Address Special Exception)".

・Application for re-grant of The Long-term Care Insurance Insured Card (PDF: 229KB)　
　　[Entry Example] Re-grant application such as identification of care insured person (PDF: 240KB)

Please refer to "Reduction of food expenses and room charges <The Long-term Care Insurance burden limit certificate>" (PDF: 128KB) for an overview of the system.
In addition, please confirm whether it corresponds to system in "flow figure (PDF: 167KB)" to judge whether it corresponds to system.
・The Long-term Care Insurance Burden Limit Certification Application Form (PDF: 119KB) 　
[Entry example: For FY2024]　The Long-term Care Insurance Limit Certification Application Form (PDF: 333KB)
[Entry example: For FY2023]　The Long-term Care Insurance Limit Certification Application Form (PDF: 826KB)
　

・Application form
・Documents that can confirm the amount of assets of the insured person and spouse (only if there is)
※When submitting, please check the “Submission Check Sheet (PDF: 584KB)”.

　　＜Self-pay subsidy for nursing care services and reduction of low-income earners in Long-term Care Insurance Premium＞
　　　Please confirm system guidance handbill (PDF: 1,061KB) about system of care service self-pay subsidy.
　　　・Download (Excel: 93KB) of Yokohama-shi care service self-pay subsidy certification application and Yokohama-shi Long-term Care Insurance Premium reduction of taxes application (Excel: 93KB)
　　　・Download the income and asset status report and consent form (Excel: 230KB)
　　　・Download of Yokohama City Nursing Care Service Self-pay Subsidy Transfer registration form (PDF: 98KB)

　　<Expensive nursing care service costs, etc.>
　　　Please confirm this page about system, procedure such as large amount care service costs.

　　<High-priced medical care combined nursing care service expenses>
　　　Please confirm this page about system, procedure such as high-priced medical care total nursing care service costs.

　　　Person using home service, facility service by repayment payment submits when we claim insurance benefit.
　　　The main required documents is (1) Application Form for Payment of Nursing Care Benefits, (2) Certificate of Service Provision, and (3) Receipts (paid by the person (for 100%)).
　　　For more information on how to apply, please contact the Insurance and Pension Division.

　　　・Download the payment application form for nursing care benefits (PDF: 97KB)
　　　・Please download the service provision certificate from "(3) Service provision certificate" on this page.
　　　・Download of petition (in the case of application by heirs, etc.) pertaining to insurance benefits application (PDF: 92KB)

　　<Renovation of Housing in The Long-term Care Insurance>
　　　Please refer to this page for the The Long-term Care Insurance Housing Renovation System, procedures and application documents.
　　<Purchase of specific welfare equipment>
　　　Please refer to this page for the specific welfare equipment purchase system and procedures.
　　<Lending of welfare equipment to mild persons>
　　　Please refer to this page for the welfare equipment lending system, procedures, and application documents for mild people.

　　　If it is difficult to pay the The Long-term Care Insurance user's burden due to earthquake disaster, storm or flood, fire, death or unemployment of a livelihood maintainer.
　　　You may be able to reduce or exempt.
　　　For more information, please contact Insurance and Pension Division.
　　　Download a set of documents pertaining to reduction and exemption from The Long-term Care Insurance user burden (PDF: 362KB)

　　　Please refer to this page for procedures for using The Long-term Care Insurance due to the act of a third party (perpetrator) such as traffic accidents.

　　　About Long-term Care Insurance Premium

　　　・Please refer to this page for the application form for "Long-term Care Insurance Premium Low-income earners Reduction" and the income and asset status report and consent form.
　　　　(It is a common style with the nursing care service self-pay subsidy.)
　　　・If it is difficult to pay insurance premiums due to disaster, unemployment, bankruptcy or other circumstances, you may be entitled to a reduction in Long-term Care Insurance Premium.
　　　　For more information, please contact your ward office Insurance and Pension Division.
　　　　If you fill out the application form in advance, please use this reduction application form (PDF: 109KB).