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- About medical care premium payment certificate for elder senior citizens
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About medical care premium payment certificate for elder senior citizens
Last update date November 4, 2022
Proof of Certificate of Payment for Medical Care for Elderly Seniors
The certificate for payment of medical care for seniors proves the amount of insurance premium paid in one year, and can be applied up to five years ago.
When applying at the ward office window
| Cases of application (Main) | Necessary items (Note) |
|---|---|
| Requests by the individual | ・Identity verification documents |
Requests by household members |
<Those who have resident registration in Yokohama City on the day of application> |
| Bills by proxy/agent | ・Identification documents of the assignee (proxy/agent) |
Application fee
It costs 300 yen per case for one 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 Form
Fill out the application form with required items.
（２） Fixed postal money order for commissions
Sold at Japan Post Bank (postal savings window) (Please do not enter anything in the postal flat-rate small money order) 。
For fixed postal money order, please prepare at an amount that does not change. In the event that a fixed amount of exchange exceeding the payment amount is sent.
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 for applying by mail
- If you are in a hurry or have a reliable receipt, please use express delivery or registered mail for mailing to the ward office or reply envelope.
- Since it is necessary to confirm that the application has been made by the person's will (in principle, the request will be made in the name of the person), the certificate will be sent to the Address of the person.
- If you move out of Yokohama and move further after moving out of Yokohama, please enclose a copy of your current address and the old Address (eg, 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 mailing request) (PDF: 434KB)
Other cautions
- If you need a certificate of payment for late-stage medical care premiums immediately after payment at a financial institution, please bring your receipt together.
- Please note that if the Address or name you fill out the application form is different from the contents of the ledger, we may issue it after making necessary confirmation.
- Depending on your request, you may not be able to issue a certificate to anyone other than the person.
Inquiries about procedures
Please contact your ward office Insurance and Pension Division.
Contact information
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For inquiries to this page
Health and Welfare Department, Health and Social Welfare Bureau
Phone: 045-671-2409
Phone: 045-671-2409
Fax: 045-664-0403
Email address: kf-kouki@city.yokohama.jp
Page ID: 478-995-629
