Inagi City

Long-term care insurance related

Last updated: May 10, 2024

Please print it out and use it.
Note: Plain paper is recommended for print paper, and A4 is recommended for print size.
Thermal paper for thermal printers cannot be accepted.

Click here for the form for businesses

Long-term care/support certification application (PDF format)

Application for long-term care/support certification (word format)

Other forms (PDF format)

Other forms (Word/Excel format)

Inquiries about this page

Elderly Welfare Division, Welfare Department, Inagi City Telephone: 042-378-2111