Medical ID related (single-parent families, etc.)
Update date: April 1, 2024
It is in PDF file format, so please print it out and use it.
Note: We recommend plain paper and A4 print size.
Thermal paper for thermal printers cannot be accepted.
Application for medical assistance for single-parent families (PDF: 100KB)
[Example] Application for medical assistance for single-parent families (PDF: 132KB)
Documents that can be submitted by mail
The above documents can also be submitted by mail.
Please check the attached documents on the website and submit them without any omissions, seal omissions, or incomplete attachments.
Points to note when submitting by mail
The reception date by mail will be the date the application/notification arrives at the city hall.
In order to avoid postal accidents, we recommend sending by special record/simple registered mail.
In addition, if there are any deficiencies in the application or notification, we will contact you by phone or letter at a later date. Be sure to fill in your address, name and phone number.
To open PDF files, you need Adobe Acrobat Reader DC (formerly Adobe Reader).
If you don't have it, you can download it for free from Adobe.
Download Adobe Acrobat Reader DC
Inquiries about this page
Inagi City Child Welfare Department Childcare Support Division
2111 Higashi-Naganuma, Inagi-shi, Tokyo
Phone: 042-378-2111 Fax: 042-377-4781
