List of Application Forms for Child Welfare Support Services

For those applying for child welfare support services for the first time or those updating the validity period of the services, submission of necessary documents is required.

Regarding the service utilization plan draft, there is a "service utilization plan" created by the local planning consultation support office and a "self-plan" service utilization plan draft created by the individual. Please submit one of them.

If you have any questions about the procedures, please contact the Disability Welfare Division.

List of Documents for Users

Documents required for service renewal, new applications, etc.

In case of renewal, we will send the necessary documents to your home in the month before the expiration date of the recipient certificate.

[New and Updated Common]

• Application Form for Benefits for Children with Disabilities and Care Benefits (PDF 291.5KB)
• Application Form for Benefits for Children with Disabilities (Word 121.5KB)
• Application Form for Benefits for Children with Disabilities and Care Benefits (Sample) (PDF 443.3KB)

[New and Updated Common]

• Infants and Young Children Support Survey Form (PDF 70.3KB)
• Infants and Young Children Support Survey Form (Excel 21.0KB)
• Support Survey Form for School-Aged Children (PDF 459.3KB)
• Support Survey Form for School-Aged Children (Excel 25.1KB)

[New]

• Child Consultation Form (PDF 601.3KB)
• Child Consultation Form (Word 27.6KB)
• Child Consultation Form (Sample) (PDF 824.9KB)

[Update]

• [Child Development Support] Child Survey Form (PDF 227.4KB)
• [Child Development Support] Child Survey Form (Word 72.0KB)
• After School Day Service Child Survey Form (PDF 214.6KB)
• After School Day Service Child Survey Form (Word 71.0KB)

[New and Updated Common]

If you have created your own usage plan, please submit it.

• Self Plan (PDF 132.1KB)
• Self Plan (Sample) (PDF 190.2KB)

Documents required for changes in the amount of benefits, services, etc.

• Application Form for Benefits for Children with Disabilities and Care Benefits (PDF 291.5KB)
• Application Form for Benefits for Children with Disabilities (Word 121.5KB)
• Application Form for Benefits for Children with Disabilities and Care Benefits (Sample) (PDF 443.3KB)

If you have created your own usage plan, please submit it.

• Self Plan (PDF 132.1KB)
• Self Plan (Sample) (PDF 190.2KB)

Documents required for changes to name, address, etc.

• Application Form for Change of Application Details (PDF 93.0KB)
• Application Form for Change of Application Details (Word 50.5KB)

Documents Required for Reissuance of Recipient Certificate

• Application Form for Reissuance of Beneficiary Certificate (PDF 99.5KB)
• Application Form for Reissuance of Beneficiary Certificate (Word 49.5KB)

Other Topics

• Request for Consultation Support Plan (Change) Notification (PDF 76.0KB)
• Request for Planning Consultation Support (Change) Notification (Word 38.5KB)
• User Burden Limit Management Office Request Form (PDF 31.3KB)