List of Child Daycare Support Service Application Forms

Those applying for the Child Daycare Support Service for the first time or renewing the service validity period are required to submit the necessary documents.

Regarding the draft service usage plan, there are two types: the "Service Usage Plan" created by the local planning consultation support office, and the draft service usage plan "Self-Plan" created by the individual or others. Please submit either one.

If you have any questions about the procedures, please contact the Disability Welfare Division.

List of Documents for Users

Documents Required for Service Renewal and New Applications

In the case of renewal, the necessary documents will be sent to your home in the month before the expiration date of the beneficiary certificate.

[For Both New and Renewal]

• Application Form for Disability Child Daycare Benefits and Nursing Care Benefits, etc. (PDF 304.5KB)
• Application Form for Disability Child Daycare Benefits and Nursing Care Benefits, etc. (Word 124.5KB)
• Application Form for Disability Child Daycare Benefits and Nursing Care Benefits, etc. (Sample) (PDF 472.5KB)

[For Both New and Renewal]

• [Infants and Young Children] Support Survey Form (PDF 70.3KB)
• [Infants and Young Children] Support Survey Form (Excel 21.0KB)
• [School-age Children] Support Survey Form (PDF 459.3KB)
• [School-age Children] Support Survey Form (Excel 25.1KB)

[New]

• Child Consultation Form (PDF 601.3KB)
• Child Consultation Form (Word 27.6KB)
• Child Consultation Form (Sample) (PDF 824.9KB)

[Update]

• [Child Development Support] Child Survey Form (PDF 227.4KB)
• [Child Development Support] Child Survey Form (Word 72.0KB)
• [After-School Day Service] Child Survey Form (PDF 214.6KB)
• [After-School Day Service] Child Survey Form (Word 71.0KB)

[For Both New and Renewal]

Please submit if you have created your own usage plan.

• Self Plan (PDF 132.1KB)
• Self Plan (Sample) (PDF 190.2KB)

Documents required for changes in the amount of benefits, services, etc.

• Application Form for Disability Child Daycare Benefits and Nursing Care Benefits, etc. (PDF 304.5KB)
• Application Form for Disability Child Daycare Benefits and Nursing Care Benefits, etc. (Word 124.5KB)
• Application Form for Disability Child Daycare Benefits and Nursing Care Benefits, etc. (Sample) (PDF 472.5KB)

Please submit if you have created your own usage plan.

• Self Plan (PDF 132.1KB)
• Self Plan (Sample) (PDF 190.2KB)

Documents Required for Changes to Name, Address, etc.

• Notification of Application Content Change (PDF 93.0KB)
• Notification of Application Content Change (Word 50.5KB)

Documents Required for Reissuance of Beneficiary Certificate

• Application Form for Reissuance of Beneficiary Certificate (PDF 99.5KB)
• Application Form for Reissuance of Beneficiary Certificate (Word 49.5KB)

Other Topics

• Plan Consultation Support Request (Change) Notification Form (PDF 76.0KB)
• Plan Consultation Support Request (Change) Notification Form (Word 38.5KB)
• User Burden Limit Management Office Request Notification Form (PDF 31.3KB)