Special cash payment - how to fill out the form

Please see below to check how to fill out the special cash payment application form for each municipalities.

The recipient information (name, relationship to head of household and date of birth) is already printed.

Date of birth is printed using Japanese calendar. 

Please check below to convert your birth year to Japanese year.
http://www.allcalendars.net/JapaneseYearConverter.php

How to fill out - sample

Onna-village

Front

Back

Uruma-city (there are two different formats)

  • Version1

Front

Back

  • Version2

Front and back

Yomitan-village

Front and back

Okinawa-city

Front

Back