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National health insurance related

Updated: July 20, 2021

Note: We recommend plain paper and A4 print size.
Thermal paper for thermal printers cannot be accepted.

File Download Opens in a new window.Notification of appointment of agent (power of attorney) (PDF: 75KB)

File Download Opens in a new window.Notification regarding special insured persons, etc. (Excel: 41KB)

File Download Opens in a new window.Notification regarding specially insured persons, etc. (PDF: 132KB)

File Download Opens in a new window.Complete set of documents required for third party actions (traffic accident) (Excel: 155KB)

File Download Opens in a new window.Complete set of documents required for third party actions [sample entry for traffic accidents] (Excel: 140KB)

File Download Opens in a new window.Required documents for third-party actions (non-traffic accidents 1) (Word: 46KB)

File Download Opens in a new window.Required documents for third party acts (other than traffic accidents 2) (Word: 37KB)

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Inquiries regarding this page

Inagi City Citizens Department Insurance and Pension Division
2111 Higashi-Naganuma, Inagi-shi, Tokyo
Phone: 042-378-2111 Fax: 042-377-4781

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Insurance and Pension Division

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Inagi City's official mascot, Inagi Nashinosuke

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
Copyright (C) Inagi City. All rights reserved.
Copyright （C）K.Okawara・Jet Inoue. All rights reserved.
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