Tokyo Metropolitan Severe Physical and Mental Disability Allowance

Eligible Individuals

(1) Individuals with severe intellectual disabilities who require constant supervision by a caregiver due to significant mental conditions and need special consideration

(2) Individuals with overlapping severe intellectual and severe physical disabilities

(3) Persons with severe physical disabilities who have lost function in both upper and lower limbs and have disabilities to the extent that sitting is difficult or worse

Note: Simply being classified as severe (Physical Disability Certificate grades 1 or 2, Ai no Techou grades 1 or 2) does not meet the eligibility requirements for payment.

Note: It is necessary to undergo a direct assessment at the Tokyo Welfare Center for the Physically and Mentally Disabled or the Tama Branch Office. If it is difficult to visit due to the disability situation, an assessment can also be conducted at home.

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Amount Granted

Monthly amount: 60,000 yen

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Payment Restrictions

Those who fall under any of the following categories are not eligible to apply or receive benefits. For more details, please contact the Disability Welfare Division.

(1) When income exceeds the income limit standard amount (for those 20 years and older, the individual's income; for those under 20, the income of the person obligated to support)

(2) When residing in a facility

(3) When hospitalized continuously for more than 3 months in a hospital, etc.

(4) Those who are 65 years or older and applying for the first time

Note: Whether the income exceeds the income limit is determined based on the amount after deductions from the income of the person themselves or their obligated supporter. For details, please refer to the income limit table and deduction table below.

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Income Limit Threshold Table

Number of dependents	The person themselves
0 people	3,758,000 yen
1 person	4,138,000 yen
2 people	4,518,000 yen
3 people	4,898,000 yen
4 people	5,278,000 yen
5 people	5,658,000 yen

If the following conditions apply, you can receive an increase in the limit amount.

• If there is an elderly spouse eligible for deduction or an elderly dependent relative among the dependents, 100,000 yen per person
• If there is a specified dependent (19 years or older but under 23) or a dependent eligible for deduction (16 years or older but under 19) among the dependents, 250,000 yen per person

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Deduction Amount Table

Type of Deduction	Deduction Amount for the Individual	Deduction Amount for the Support Obligor	Notes
Casualty Loss Deduction	Equivalent Amount	Equivalent Amount
Medical Expenses Deduction	Equivalent Amount	Equivalent Amount
Small-Scale Enterprise Mutual Aid Premium Deduction	Equivalent Amount	Equivalent Amount
Special Spousal Deduction	Equivalent Amount	Equivalent Amount	Maximum 330,000 yen
Social Insurance Premium Deduction	Equivalent Amount	80,000 yen
Disability Deduction (Self)	―	270,000 yen
Disability Deduction (Dependent Relative)	270,000 yen	270,000 yen
Special Disability Deduction (Individual)	-	400,000 yen
Special Disability Deduction (Dependent Relative)	400,000 yen	400,000 yen
Widow Deduction	270,000 yen	270,000 yen
Single Parent Deduction	350,000 yen	350,000 yen
Working Student Deduction	270,000 yen	270,000 yen

Deductions for the above items are applied from the income of the individual or the support obligor, and income assessment is conducted.

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Required Documents for Application

The documents required for application are as follows. Forms 1 and 2 are provided at the Disability Welfare Division counter.

1. Application Form for Certification of Eligibility for Severe Physical and Mental Disability Allowance
2. Diagnostic Survey Form
3. (Non) Taxation Certificate

Note: The (Non) Taxation Certificate can be omitted if you enter the Individual Number (My Number) in item 1.

　4. Power of Attorney (Disability Welfare Division Form)

Note: If a third party is applying on your behalf, please bring the "Power of Attorney (Disability Welfare Division Form)" and identification documents of the representative. A third party refers to a person who does not fall under any of the following categories: the applicant themselves or the person legally responsible for the applicant if the applicant is under 20 years old.

• Power of Attorney (Disability Welfare Division Form) (PDF 138.1 KB)

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