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Disability welfare related

Last updated: August 23, 2023

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.

File Download Opens in a new window.Child consultation vote (PDF: 567KB)

File Download Opens in a new window.Child consultation vote writing sample (PDF: 660KB)

File Download Opens in a new window.Child consultation vote (Word: 27KB)

File Download Opens in a new window.Assistive device supply application (under 18 years old) (PDF: 176KB)

File Download Opens in a new window.Assistive device supply application form (18 years old or older) (PDF: 160KB)

File Download Opens in a new window.Physically and mentally handicapped person (child) medical expense subsidy system (maru obstacle) reimbursement payment application (PDF: 138KB)

File Download Opens in a new window.Daily life tool expenses supply application (PDF: 107KB)

File Download Opens in a new window.Stoma appliance, paper diaper supply application (PDF: 105KB)

File Download Opens in a new window.Housing facilities improvement allowance supply application (PDF: 109KB)

File Download Opens in a new window.Nursing Care Benefits/Training Benefits Application Form (Adult) [Double-sided printing] (PDF: 226KB)

File Download Opens in a new window.[Sample] Nursing Care Benefits/Training Benefits Application Form (Adult) (PDF: 392KB)

File Download Opens in a new window.Nursing Care Benefits/Training Benefits Application Form (Children) [Double-sided printing] (PDF: 224KB)

File Download Opens in a new window.[Sample] Nursing Care Benefits/Training Benefits Application Form (Child) (PDF: 384KB)

File Download Opens in a new window.Self-plan style 1-1 (PDF) (PDF: 119KB)

File Download Opens in a new window.Self-plan style 1-2 (PDF) (PDF: 85KB)

File Download Opens in a new window.Self-plan style 1-1 (Excel) (Excel: 24KB)

File Download Opens in a new window.Self-plan style 1-2 (Excel) (Excel: 22KB)

File Download Opens in a new window.Self-plan style 1-1 (entry example) (PDF: 248KB)

File Download Opens in a new window.Self-plan style 1-2 (entry example) (PDF: 145KB)

File Download Opens in a new window.Plan consultation support, child with a disability consultation support request notification form (PDF: 69KB)

File Download Opens in a new window.Situation report (automobile fuel costs (gasoline, etc.) taxi fare benefits) (PDF: 127KB)

File Download Opens in a new window.Receipt attachment paper (automobile fuel expenses (gasoline, etc.) taxi fare benefit) (PDF: 55KB)

File Download Opens in a new window.Situation report (entry example) (PDF: 191KB)

File Download Opens in a new window.Receipt attachment paper (entry example) (PDF: 82KB)

File Download Opens in a new window.Nursing care benefit expenses malpractice petition form (Inagi city style) (Excel: 35KB)

File Download Opens in a new window.Doctor's written opinion (reference style) concerning the use of child tsusho service (PDF: 89KB)

File Download Opens in a new window.Q&A (PDF: 90KB) concerning the use of child tsusho service

File Download Opens in a new window.Positive help care report (PDF: 91KB)

File Download Opens in a new window.[entry example] sunny help care report (PDF: 173KB)

File Download Opens in a new window.Positive help bill (PDF: 83KB)

File Download Opens in a new window.[Entry example] Hidamari help request form (PDF: 326KB)

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Inquiries about this page

Inagi City Welfare Department Disability Welfare Division
2111 Higashinagumanuma, Inagi City, Tokyo
Phone: 042-378-2111 Fax: 042-377-4781

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Disability Welfare Division

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Inagi City Hall

2111 Higashinagumanuma, Inagi City, Tokyo 206-8601
Office hours: 8:30 a.m. to 5:00 p.m. Main phone: 042-378-2111 Fax: 042-377-4781
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