Showing posts with label Welfare. Show all posts
Showing posts with label Welfare. Show all posts

Sunday, June 4, 2023

[WELFARE] Medical Subsidy for Infants and Children for Everyone from August 2023

The city of Yokohama is going to offer medical subsidy for all the infants and children under high school age (0 to 9th graders) from August 2023. Basically medical expense for children of those ages will be free.  

*Now (until the end of July, 2023), if the income of the caregiver of a child (over 3 years old) surpasses the income limit of the subsidy system, they lose the certificate. 

For those who don't have or have lost the right to use the medical subsidy certificate for children of the city of Yokohama need to reapply to receive the new certificate. 

Those who are subjected must have already received a white envelop from the city with the announcement , application form and a return envelop. If you are eligible (see the conditions as follows) and haven't received the envelop, contact your local ward office. 

-You have a child or children under 10th grade. 

-You don't have the certificate.

-You live in Yokohama now and have a health insurance card.

-You don't live on welfare. 

-You don't receive subsidy from the medical subsidy system for heavily disabled persons or/and medical subsidy system for single-parented household. 

-You don't receive medical service based on Child Welfare Act.


How to apply

To receive the certificate by the end of July, apply before June 30th, 2023. 

1) Via electronic application system (of the city of Yokohama)

If you haven't used the application system before, you need to sign up. 

Scan the QR code on the face page of the white paper marked 別紙1on the top right corner. Fill in the form, and attach a photo of the health insurance card of your child. 

2) By post

Fill in the application and send it back in the yellow envelop (no postal stamps needed). A photocopy of the health insurance card of your child needs to be enclosed. 

Monday, May 16, 2022

[WELFARE] Changes in Child Allowance System

 


There will be some changes in the laws concerning Child Allowance on June 1st, 2022. Those who have children under 15 years old must have received this yellow envelop. 

From this year,

1) Basically you will not have to turn in the present condition form for Child Allowance.

2) If your income exceeds the limit, you will not receive the special allowance. 


1) About the present condition form(現況届)

If you receive the form AFTER JUNE 1st, it is NECESSARY TO TURN IN THE FORM.

a) Those who are under divorce process and live separately with their spouse

b) This whose actual address is different from the one registered in the Jyumin-hyo (residence card), due to violence from the spouse etc.

c) Those whose child doesn't have Jyumin-hyo

d) In case the guardian(s) of the child is a corporation or in case the recipient of the allowance is a facility or a foster parent

5) Other cases in which the present condition needs to be confirmed

*If you are one of a), b), c), d) and don't received the form, contact the local government


 If none of a), b), c), d) applies to you, BASICALLY YOU WILL NOT NEED TO TURN IN THE FORM unless your children's condition has changed. The local government will confirm the condition on referring the Basic Resident Registration system etc.

Please report if there's any change in the following issues:

1) If your spouse's Jyumin-hyo is outside Yokohama or/and the address of the child/children has changed (including moving outside Japan).

2) On your marriage or common-law marriage, you have come to support a child/children (in case your spouse or partner has a child/children). 

3) On your divorce,  you have lost the spouse who supported the child/children together.

4) You have no children for whom to receive the allowance anymore (in case you stopped supporting the child/children).

5) Your pension has changed (ex. from Employer's Pension to National Pension).

6) The recipient of the allowance or his/her spouse has become a civil servant. 


2) About the Limit of Income(所得の基準額)

If the recipient's income exceeds the limit in the numbers in the table B, s/he will not receive the allowance from October 2022 (the allowance for June to September). 

@If your income becomes below the limit again after the allowance stopped, you will need to apply to the allowance by yourself again.

@The number of the dependents includes the spouse and dependent family members (excluding the children supported by a foster family or in a facility) and non-dependent children who shared the same livelihood on December 31st in the previous year. 


  



Saturday, May 30, 2020

[WELFARE] Child Allowance Present Condition Form 2020

You may have already received a yellow envelop from the city; it's the season of the Jido Teate, Genkyo Todoke (児童手当・特例給付現況届) , Child Allowance Present Condition form to continue to receive the allowance for another year.  


Haven't received it yet?

If you have children under 15 and have not received the envelop, you might need to check if your registration was properly done when you moved in to Yokohama. 



In the envelop, you find:

1) A white one-sided sheet (how to fill in the form)
2) A white sheet with your name and address on (the child allowance present condition form to fill//turn in)
3) A green sheet (the announcement of the present condition form)
4) A blue-green sheet (how to apply over the Internet using your "My Number" card)
5) A white double-sided sheet about the temporary allowance for Coved-19
6) A green envelop (to send it by post but you need to buy an 84 yen postal stamp)


What are different from the last year's?

1) If you are NOT a member of the mutual-aid association, you DON'T need to attach the copy of your insurance card.
2) You will receive the temporary allowance this fiscal year due to the outbreak of Covid-19. No need to sign up for this. The recipient of the special benefit is not the case.


*in this context, "you" refers to the recipient of the envelop, usually one of the caretakers who earns more than the other(s).
*"My Number" stands for the social security and tax number (system).


1) HOW TO FILL IN THE FORM


①Date of application  ex) June 15th, 2020 = 令和 2年  6 月 15 日
Always in  yy-mm-dd order in Japan. The year 2020 is Reiwa 2.
②Recipient information area
③The recipient's name (who earns the most in your household)
④Family name stamp if you have, or the recipient's signature.
⑤Sex: Male 男 Female 女
⑥Birthdate (may already be printed) Circle 昭和(showa) if you were born before January 8th, 1989. Circle 平成(heisei) if you were born after. 
⑦Address (may be already printed), if the current address isn't what is printed here, erase with two parallel lines and fill in the correct address
⑧Telephone numbers (upper line: home, lower line: mobile phone number)
⑨Address on January 1st, 2020: Circle and if outside Yokohama, write the address in the ( )  (横浜市内 inside Yokohama, 横浜市街 outside Yokohama, 国外 overseas)
*If outside Yokohama, fill in the prefecture, city, and ward names of your previous residence
⑩Occupation: Circle  会社員 employee 自営業 self-employed 公務員 civil servant 無職unemployed その他 others (  )
⑪Office name and number
⑫Employee or not: 被用者=Employee
⑬ Pension Type: (1) Employee's Pension (2) National Pension (including no.3)  (3) Others 
*If you are a member of the Mutual Aid Pension, draw a circle in the parenthesis
(  ) Private School Mutual Aid  (  ) Pension Fund Association for Local Government Officials (  ) National Public Service Personnel Mutual Aid   (  ) Other types of Mutual Aid
⑭(Upper)Do you have a spouse? Circle Yes: 有 No: 無
If no, you don't have to fill in the Spouse area.
(Lower)Do you (financially) support your spouse? Circle Yes: 有 No: 無
⑮When filling in the information of your spouse below, you need his/her accordance as in Convenant clauses and agreement.
⑯Spouse's information area
⑰Name of the spouse
⑱Birthdate of the spouse
⑲Address: Do you live together with your spouse? Circle Yes:同居 No:別居 If No, fill in the address in the [ ].
⑳Occupation: Circle  会社員 employee 自営業 self-employed 公務員 civil servant 無職 unemployed その他 others
㉑Address on January 1st 2019. Circle 横浜市 inside Yokohama 横浜市外 outside Yokohama 国外 overseas
㉒Office name and number
㉓Children information area
㉔Children whom the recipient takes care of (guard) and who were born after April 2nd, 2002
(write the full names of your children)
㉕Relationship (子child 孫 grandchild etc.)
㉖Birthdate
㉗Residence(同居 together 別居 separated)
㉘Living (must be 同一same if it's your child. In case of caretakers other than the parents, 維持maintaining)

*Please fill in all your children from 0 year old to 18 years old (considered as 18 years old till March 31st after turning 18).
*Need another document if you live separately with your children. 
*In case your children are studying abroad, write down the date of departure. Need another document to submit, too.

2) SUMMERY OF THE WHITE SHEET (FORM)
What is written on the bottom

*You cannot change the recipient with this form. 

*If you have more than six children, you have two sheets of this form. Please submit both.


Convenant clauses and agreement
(1) I agree with that the city of Yokohama searches the recipient and his/her spouse's income information for official records or documents at other executive agencies or using My Number system in order to judge the necessary conditions to provide Child Allowance. 
(2) In case the necessary information cannot be confirmed by official records, I will turn in necessary documents.

Caution: To continue to receive Child Allowance, you need to turn in this Present Condition form.
In two years without turning in the form, you will lose the right to receive the allowance.

The backside
The copy of your insurance card is basically unnecessary except for those who belong to the Mutual Aid association.

1. The recipient is a member of
-Private School Mutual Aid
-Japan Post Mutual Aid
-The Ministry of Education, Culture, Sports, Science and Technology Mutual Aid (limited to branches like universities)

or other Mutual Aid associations

 ↓
Please attach the photocopy of the recipient's card. *Not the one of your children.

2. The recipient is a member of Mutual Aid Pension (as declared on the surface) but the health insurance is National Health Insurance.
↓
Please receive a certificate from your office.
*Your office (company) will fill in the form on the bottom.

3)SUMMERY OF THE GREEN SHEET


 




[IMPORTANT]You need to turn in the present condition form: in case it wasn't submitted, you will not receive the allowance of June and after.

What To Submit
-A present condition form
-A photocopy of your health insurance card or pension certificate etc. ONLY IF your membership is mutual-aid.

The department of Child and Youth will contact you in case you need to submit other documents.


Deadline
Tuesday, June 30th, 2020
*ATTENTION: Confirm the business hours of your local ward office if you wish to turn it in at the counter.

How to Submit
1) By Post: Use the green envelop enclosed in the letter. Please put the right amount of postal stamp. You can also make use of registered mail system of the Japan Post if you wish.

2) At the Counter: You can bring it to your ward office, こども家庭支援課 (kodomo katei shien ka/the department of Child and Family Support).

3) Through the e-apply system (please read the blue-green paper for more information)

[on the BACK]
Income Check of the Recipient's Spouse
To confirm who is the main supporter of your household (=who earns more), the income of the recipient's spouse must be checked and the accordance is needed.

Prescription of Child Allowance
If you don't submit the form, you will lose the right to receive Child Allowance in two years. You will have to re-apply at your ward office in that case.

How much Child Allowance you will receive
The amount changes according to your income.
The monthly amount per child
Child Allowance (under the income limit):
under 3 y-old 15000 yen
3-12 (elementary school), 1st &2nd child 10000 yen, after 3rd child 15000 yen
12-15 (junior high school) 10,000 yen
Special Benefit (over the income limit): 5000 yen regardless of age
Point: Income Limit 
If your income is over the income limit, you will receive Special Benefit (5000 yen/child/month) regardless of the age and the number of children.
The recipient is a caretaker who support most of the expense of the child (basically the one who earns more). If your spouse earns more etc. you need to change the recipient (the department of Child and Adolescent will let you know).

The income limit differs according to the number of dependent family members and the deduction.
*Let me skip the income limit system!*



4) SUMMERY OF THE BLUE-GREEN SHEET 



 


In the city of Yokohama, you can turn it in over Myna Portal.
You need your "My Number" card and IC card reader/writer. Please visit the website below for more information.

Myna Portal URL: https:/app.oss.myna.go.jp/Application/search?orgCode=14100

Or search "ぴったりサービス", .
From the top page, choose 神奈川県・横浜市 (Kanagawa prefecture, Yokohama city),
then search 現況届, and choose 児童手当等の現況届.

From June, 2020, you don't need to attach the copy of your insurance card unless you are a member of one of the Mutual-Aid associations. If you have a National Health Insurance card and are a member of the Mutual-Aid association, you need to attach the certification of your pension.

[on the Back]

When you use this system, you need:
-"My Number" card
-A computer or smartphone (some smartphones are not applicable to this system)
-An IC card reader/writer if you use a compter
-The application form (you need the number under the barcode to sign up)

For questions about how to use the e-apply system (toll free) 0120-95-0178
For questions about the allowance 045-641-8411 (faximille 045-641-8412)




5) SUMMERY OF THE TEMPORARY ALLOWANCE DUE TO COVID-19

 

The government decided to provide temporary allowance for families with young children regarding the outbreak of Covid-19.
-No application is required for those who receive the regular child allowance.
-If you don't wish to receive this temporary allowance, contact the department of Child and Youth by June 10th, 2020.
-This temporary allowance is added to the regular allowance for the month of April 2020.
-10,000 yen per child.
-Those who receive the special allowance (5000 yen per child/month) are not the subject of this allowance.
-The allowance will be distributed from June 15th.
-The subjects are children who are under 16 (on March 31st, 2020) and were born before March 31st, 2020.
-Those who lived outside Yokohama on March 31st, 2020 will receive the allowance from the local government of their previous address.

Sunday, June 2, 2019

[WELFARE] Child Allowance Present Condition Form 2019

If you received a yellow envelop from the city, you need to turn in Jido Teate, Genkyo Todoke (児童手当・特例給付現況届) , Child Allowance Present Condition form by the end of June, to continue to receive the allowance for another year.  If you have children under 15 and have not received the envelop, you might need to check if your registration was properly done when you moved in to Yokohama. 



In the envelop, you find:
1) A green sheet (the announcement of the present condition form)
2) A blue-green sheet (how to apply over the Internet using your "My Number" card)
3) A white one-sided sheet (how to fill in the form)
4) A white sheet (the child allowance present condition form to fill//turn in)
5) A green envelop (to send it by post but you need to buy a postal stamp)



*in this context, "you" refers to the recipient of the envelop, usually one of the caretakers who earns more than the other(s).
*"My Number" stands for the social security and tax number (system).


1) SUMMERY OF THE GREEN SHEET

 




[IMPORTANT]You need to turn in the present condition form: in case it wasn't submitted, you will not receive the allowance in June and after.

What To Submit
-A present condition form
-A photocopy of your health insurance card or pension certificate etc.

-The department of Child and Youth will contact you in case you need to submit other documents.


Deadline
Sunday, 30th June, 2019
*ATTENTION: Confirm the business hours of your local ward office if you wish to turn it in at the counter.

How to Submit
1) By Post: Use the green envelop enclosed in the letter. Please put the right amount of postal stamp. You can also make use of registered mail system of the Japan Post if you wish.

2) At the Counter: You can bring it to your ward office, こども家庭支援課 (kodomo katei shien ka/the department of Child and Family Support).

[on the BACK]
Income Check of the Recipient's Spouse
To confirm who is the main supporter of your household (=who earns more), the income of the recipient's spouse must be checked and the accordance is needed.

Prescription of Child Allowance
You will no longer have right to receive Child Allowance in two years without submitting the present condition form. You will have to re-apply at your ward office in that case.

How much Child Allowance you will receive
The amount changes according to your income.
The monthly amount per child
Child Allowance (under the income limit):
under 3 y-old 15000 yen
3-12 (elementary school), 1st &2nd child 10000 yen, after 3rd child 15000 yen
12-15 (junior high school) 10,000 yen
Special Benefit (over the income limit): 5000 yen regardless of age
Point: Income Limit 
If your income is over the income limit, you will receive Special Benefit (5000 yen/child/month) regardless of the age and the number of children.
The recipient is a caretaker who support most of the expense of the child (basically the one who earns more). If your spouse earns more etc. you need to change the recipient (the department of Child and Adolescent will let you know).

The income limit differs according to the number of dependent family members and the deduction.
*Let me skip the income limit system!*



2) SUMMERY OF THE BLUE-GREEN SHEET 

 




Now you can apply the form by the e-apply system.
In the city of Yokohama, you can turn it in over Myna Portal from the 1st to 30th June.
You need the "My Number" card and IC card reader/writer. Please visit the website below for more information.

Myna Portal URL: https:/app.oss.myna.go.jp/Application/search
Or search "ぴったりサービス".

From the top page, choose 神奈川県・横浜市 (Kanagawa prefecture, Yokohama city),
then search 現況届, and choose 児童手当等の現況届.

[on the Back]

For questions about how to use the e-apply system (toll free) 0120-95-0178
For questions about the allowance 045-641-8411 (faximille 045-641-8412)

From later in the year Reiwa 1 (2019), you will not need to submit the copy of your health insurance. However, you need to, this time. More information will be announced when it gets ready.

Please answer the questionnaire about e-apply system.
Read the QR code and answer the questionnaire (it takes about 2 minutes) if you could. By June 30th.


3) SUMMERY OF THE WHITE ONE-SIDED SHEET




How to fill in the form

①Date of application  ex) June 15th, 2019 = 令和 1 年  6 月 15 日
Always in  yy-mm-dd order in Japan. The year 2019 is Reiwa 1 (from May).
②Recipient information area
③The recipient's name (who earns the most in your household)
④Family name stamp if you have, or the recipient's signature.
⑤Sex: Male 男 Female 女
⑥Birthdate (may already be printed) Circle 昭和(showa) if you were born before January 8th, 1989. Circle 平成(heisei) if you were born after. 
⑦Address (may be already printed), if the current address isn't what is printed here, erase with two parallel lines and fill in the correct address
⑧Telephone numbers (upper line: home, lower line: mobile phone number)
⑨Address on January 1st, 2019: Circle and if outside Yokohama, write the address in the ( )  (横浜市内 inside Yokohama, 横浜市街 outside Yokohama, 国外 overseas)
*If outside Yokohama, fill in the prefecture, city, and ward names of your previous residence
⑩Occupation: Circle  会社員 employee 自営業 self-employed 公務員 civil servant 無職unemployed その他 others (  )
⑪Office name and number
⑫Employee or not: 被用者=Employee
⑬ Pension Type: (1) Employee's Pension (2) Mutual Aid Pension (3) National Pension (including no.3) (4) No Pension
Those with (1) and (2) are required to photocopy the health insurance card and attach it on the back of the form.
⑭(Upper)Do you have a spouse? Circle Yes: 有 No: 無
If no, you don't have to fill in the Spouse area.
(Lower)Do you (financially) support your spouse? Circle Yes: 有 No: 無
⑮When filling in the information of your spouse below, you need his/her accordance as in Convenant clauses and agreement.
⑯Spouse's information area
⑰Name of the spouse
⑱Birthdate of the spouse
⑲Address: Do you live together with your spouse? Circle Yes:同居 No:別居 If No, fill in the address in the [ ].
⑳Occupation: Circle  会社員 employee 自営業 self-employed 公務員 civil servant 無職 unemployed その他 others
㉑Address on January 1st 2019. Circle 横浜市 inside Yokohama 横浜市外 outside Yokohama 国外 overseas
㉒Office name and number
㉓Children information area
㉔Children whom the recipient takes care of (guard) and who were born after April 2nd, 2001
(write the full names of your children)
㉕Relationship (子child 孫 grandchild etc.)
㉖Birthdate
㉗Residence(同居 together 別居 separated)
㉘Living (must be 同一same if it's your child. In case of caretakers other than the parents, 維持maintaining)

*Please fill in all your children from 0 year old to 18 years old (considered as 18 years old till March 31st after turning 18).
*Need another document if you live separately with your children. 
*In case your children are studying abroad, write down the date of departure. Need another document to submit, too.

4) SUMMERY OF THE WHITE SHEET (FORM)
What is written on the bottom

*You cannot change the recipient with this form. 

*If you have more than six children, you have two sheets of this form. Please submit both.


Convenant clauses and agreement
(1) I agree with that the city of Yokohama searches the recipient and his/her spouse's income information for official records or documents at other executive agencies or using My Number system in order to judge the necessary conditions to provide Child Allowance. 
(2) In case the necessary information cannot be confirmed by official records, I will turn in necessary documents.

Caution: To continue to receive Child Allowance, you need to turn in this Present Condition form.
In two years without turning in the form, you will lose the right to receive the allowance.

The backside
Please attach a copy of your health insurance on this side.

@Why a copy of our health insurance card is necessary?
We need to confirm that the recipient of the allowance is "employed" or not and we use the copy of the health insurance card of the recipient as an easy way to check it (If the recipient is a member of National Pension or s/he is not a member of any, the photocopy of the health insurance card is not necessary).
 You may need to turn in the pension certificate depending on your pension, so please read the following statements and submit what is necessary.

1. The recipient is a member of
-Employees Pension (so-called Kosei Nenkin pension or Kyosai Nenkin pension)
If the recipient had an issuance card of one of below or don't know whats:
 (a) Health Insurance Membership Card (Japan Health Insurance Association/ Health Insurance Associations)
 (b) Japan Doboku Kenchiku (public engineering) Health Insurance Association Card
 (c) Private School Teachers mutual-aid Association Card
 (d) Japan Post mutual-aid Association Card
(e) Sailor Health Insurance Card
(f) Ministry of Education, Culture, Sports, Science and Technology mutual-aid Membership Card (limited to branches like universities)
 (g) Among mutual-aid membership cards, the one that it is clear the employer is an independent administrative institution or a local independent administrative institution.
 ↓
Please attach the photocopy of the recipient's card. *Not the one of your children.

2. The recipient is a member of (1) Employees Pension or (2) Mutual Aid Pension (as declared on the surface) but the health insurance is National Health Insurance.
↓
Please receive a certificate from your office.
*Your office (company) will fill in the form on the bottom.













Thursday, June 7, 2018

[WELFARE] Child Allowance Present Condition Form 2018

The yellow envelop from the city of Yokohama arrived! We need to turn in Jido Teate, Genkyo Todoke (児童手当・特例給付現況届) , Child Allowance Present Condition form by the end of June, to continue to receive the allowance for another year. 



In the envelop, you find:
1) A green sheet (the announcement of the present condition form)
2) A blue-green sheet (how to apply over the Internet using your "My Number" card)
3) A white one-sided sheet (how to fill in the form)
4) A white sheet (the child allowance present condition form)
5) A green envelop (to send it by post)



*in this context, "you" refers to the recipient of the envelop, usually one of the caretakers who earns more than the other(s).
*"My Number" is a nickname for the social security and tax number system.


1) SUMMERY OF THE GREEN SHEET



[IMPORTANT]You need to turn in the present condition form: in case it wasn't submitted, you will not receive the allowance in June and after.

What To Submit
-A present condition form
-A photocopy of your health insurance card or pension certificate etc.

-For those who became a citizen of Yokohama after January 2nd, 2018, we will confirm the income information of you and your spouse using the social security and tax number system. 

*Those who have been living in Yokoahama since before January 1st, 2018 don't need this.
*In case we can't identify the necessary information, you may be asked to turn in your income certificate.

-In case you need another document to turn in, you will be notified of it later.

Deadline
Saturday, 30th June, 2018
*ATTENTION: your local ward office may not be open on this day, if you turn it in at the counter.

How to Submit
1) By Post: Use the green envelop enclosed in the letter. Please put the right amount of postal stamp. You can also make use of registered mail system of the Japan Post if you wish.

2) At the Counter: You can bring it to your ward office, こども家庭支援課 (kodomo katei shien ka/the department of Child and Family Support).
*Be careful of their business hours.

[on the BACK]
Income Check of the Recipient's Spouse
To confirm who is the main supporter of your household (=who earns more), the income of the recipient's spouse must be checked and the accordance is needed.

Prescription of Child Allowance
You will no longer have right to receive Child Allowance in two years without submitting the present condition form. You will have to re-apply at your ward office in that case.

How much Child Allowance you will receive
The amount changes according to your income.
The monthly amount per child
Child Allowance (under the income limit):
under 3 y-old 15000 yen
3-12 (elementary school), 1st &2nd child 10000 yen, after 3rd child 15000 yen
12-15 (junior high school) 10,000 yen
Special Benefit (over the income limit): 5000 yen regardless of age
Point: Income Limit 
If your income is over the income limit, you will receive Special Benefit (5000 yen/child/month) regardless of the age and the number of children.
The recipient is a caretaker who support most of the expense of the child (basically the one who earns more). If your spouse earns more etc. you need to change the recipient (the department of Child and Adolescent will let you know).

The income limit differs according to the number of dependent family members and the deduction.
*Let me skip the income limit system!*



2) SUMMERY OF THE BLUE-GREEN SHEET 






Now you can apply the form by the e-apply system.
In the city of Yokohama, you can turn it in over Myna Portal from the 1st to 30th June.
You need the "My Number" card and IC card reader/writer. Please visit the website below for more information.

Myna Portal URL: https://myna.go.jp/SCK0101_01_001/SCK0101_01_001_InitDiscsys.form

If you use the e-apply system, you can finish all the procedure at home (you need a scanner and to attach the necessary document).

[on the Back]

The merits of the e-apply system: SKIP
Numbers for questions on the My Number system and Child Allowance: SKIP

The Changes in the income calculation (for single parent etc.): SKIP

3) SUMMERY OF THE WHITE ONE-SIDED SHEET



How to fill in the form

①Date of application  ex) June 15th, 2018 = 平成 30 年  6 月 15 日
Always in  yy-mm-dd order in Japan. The year 2018 is Heisei 30.
②Recipient information area
③The recipient's name (who earns the most in your household)
④Family name stamp if you have, or the recipient's signature.
⑤Sex: Male 男 Female 女
⑥Birthdate (may already be printed)
⑦Address (may be already printed), if the current address isn't what is printed here, erase with two parallel lines and fill in the correct address
⑧Telephone numbers (upper line: home, lower line: mobile phone number)
⑨Address on January 1st, 2018: Circle and if outside Yokohama, write the address in the ( )  (横浜市内 inside Yokohama, 横浜市街 outside Yokohama, 国外 overseas)
*If outside Yokohama, fill in the city of ward name of your previous residence
⑩Occupation: Circle  会社員 employee 自営業 self-employed 公務員 civil servant 無職unemployed その他 others (  )
⑪Office name and number
⑫Do you have a spouse? Circle Yes: 有 No: 無
If no, you don't have to fill in the Spouse area.
⑬ Pension Type: (1) Employee's Pension (2) Mutual Aid Pension (3) National Pension (including no.3) (4) No Pension
Those with (1) and (2) are required to photocopy the health insurance card and attach it on the back of the form.
⑭Employee or not: 被用者=Employee
⑮When filling in the information of your spouse below, you need his/her accordance as in Convenant clauses and agreement.
⑯Spouse's information area
⑰Name of the spouse
⑱Birthdate of the spouse
⑲Address: Do you live together with your spouse? Circle Yes:同居 No:別居 If No, fill in the address in the [ ].
⑳Occupation: Circle  会社員 employee 自営業 self-employed 公務員 civil servant 無職 unemployed その他 others
㉑Address on January 1st 2018. Circle 横浜市 inside Yokohama 横浜市外 outside Yokohama 国外 overseas
㉒Office name and number
㉓Children information area
㉔Children whom the recipient takes care of (guard) and who were born after April 2nd, 2000
(write the full names of your children)
㉕Relationship (子child 孫 grandchild etc.)
㉖Birthdate
㉗Residence(同居 together 別居 separated)
㉘Living (must be 同一same if it's your child. In case of caretakers other than the parents, 維持maintaining)

*Please fill in all your children from 0 year old to 18 years old (considered as 18 years old till March 31st after turning 18).
*Need another document if you live separately with your children. 
*In case your children are studying abroad, write down the date of departure. Need another document to submit, too.

4) SUMMERY OF THE WHITE SHEET (FORM)
What is written on the bottom

*You cannot change the recipient with this form. 

*If you have more than six children, you have two sheets of this form. Please submit both.


Convenant clauses and agreement
(1) I agree with that the city of Yokohama searches the recipient and his/her spouse's income information for official records or documents at other executive agencies or using My Number system in order to judge the necessary conditions to provide Child Allowance. 
(2) In case the necessary information cannot be confirmed by official records, I will turn in necessary documents.

Caution: To continue to receive Child Allowance, you need to turn in this Present Condition form.
In two years without turning in the form, you will lose the right to receive the allowance.

The backside
Please attach a copy of your health insurance on this side.

@Why a copy of our health insurance card is necessary?
We need to confirm that the recipient of the allowance is "employed" or not and we use the copy of the health insurance card of the recipient as an easy way to check it (If the recipient is a member of National Pension or s/he is not a member of any, the photocopy of the health insurance card is not necessary).
 You may need to turn in the pension certificate depending on your pension, so please read the following statements and submit what is necessary.

1. The recipient is a member of
-Employees Pension (so-called Kosei Nenkin pension or Kyosai Nenkin pension)
If the recipient had an issuance card of one of below or don't know whats:
 (a) Health Insurance Membership Card (Japan Health Insurance Association/ Health Insurance Associations)
 (b) Japan Doboku Kenchiku (public engineering) Health Insurance Association Card
 (c) Private School Teachers mutual-aid Association Card
 (d) Japan Post mutual-aid Association Card
(e) Sailor Health Insurance Card
(f) Ministry of Education, Culture, Sports, Science and Technology mutual-aid Membership Card (limited to branches like universities)
 (g) Among mutual-aid membership cards, the one that it is clear the employer is an independent administrative institution or a local independent administrative institution.
 ↓
Please attach the photocopy of the recipient's card. *Not the one of your children.

2. The recipient is a member of (1) Employees Pension or (2) Mutual Aid Pension (as declared on the surface) but the health insurance is National Health Insurance.
↓
Please receive a certificate from your office.
*Your office (company) will fill in the form on the bottom.