Childcare Center, Home Daycare Provider, Certified Childcare Center and Related Forms
As a general rule, the files are in PDF format, so please print them out for use.
Note: It is recommended to use plain paper for printing, and the print size is A4.
Thermal printers cannot accept thermal paper.
Childcare Center Usage Guide
Application for Use / Transfer Application Related
- FY 2026 Childcare Center / Home Daycare Provider Use Application Form and Education and Childcare Benefit Certification Application Form (PDF 795.7KB)

- (Example) Fiscal Year 2026 Childcare Center / Home Daycare Provider Usage Application Form and Education & Childcare Benefit Certification Application Form (PDF 359.5KB)

- FY 2026 Childcare Center / Home Daycare Provider Transfer Application Form (PDF 506.1KB)

- FY 2026 Employment Certificate (For After-School Childcare Program, Childcare Center, Home Daycare Provider, and Certified Childcare Center) (Excel 86.6KB)

- FY 2026 Employment Certificate (For After-School Childcare Program, Childcare Center, Home Daycare Provider, and Certified Childcare Center) (PDF 687.4KB)

- Guidelines for Filling Out the Employment Certificate for Fiscal Year 2026 (PDF 163.6KB)

- Schedule Table (Working at 2 or more locations, Self-employed, Nursing/Caregiving, Schooling, etc.) (PDF 206.3KB)

- Childcare Service Contract Certificate (PDF 78.9KB)

- Temporary Custody Service Usage Record Certificate (PDF 88.8KB)

- Job Search Activity Declaration Form (Certificate of Use of Job Search Support Organizations, Certificate of Employment Selection) (PDF 143.1KB)

- Moving-in Pledge (When moving into the residence of grandparents or others within the city) (PDF 50.6KB)

- My Number Notification Form (PDF 160.2KB)

Application Content Change, Withdrawal, Decline, and Changes in Family Situation During Enrollment
- Application Form for Changes to Childcare Center, Home Daycare Provider, etc. Usage Application (PDF 123.1KB)

- Childcare Center / Home Daycare Provider Use and Transfer Application Withdrawal Form (PDF 74.3KB)

- Notification of Declining Use of Childcare Center or Home Daycare Provider, etc. (PDF 79.5KB)

- Notification of Change in Household Situation (also Application Form for Change of Education and Childcare Benefit Certification and Application Form for Change of Facility Use Benefit Certification) (PDF 226.1KB)

- Certificate of Leave and Return to Work (PDF 356.5KB)

Other Topics
- Childcare Center Withdrawal Notification (PDF 404.0KB)

- Childcare Center / Home Daycare Provider Usage Coordination (Selection) Result Notification (Not Available) Issuance Request (PDF 41.2KB)

- Application Form for School Lunch Food Material Fee Exemption (PDF 183.5KB)

- Request for Issuance of Childcare Fee Payment Certificate (PDF 36.5KB)

- Certificate Reissue Application Form (PDF 57.7KB)

- Home Daycare Provider Tour Application Form (PDF 258.1KB)

- Power of Attorney (PDF 54.0KB)

Points to Note When Submitting by Mail
The date of receipt when submitting by mail will be the City Hall arrival date.
The city cannot be held responsible for non-delivery or delays due to postal accidents, so we recommend sending items via Specified Recorded Mail or Simplified Registered Mail.
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This page is managed by the Child Welfare Department Child Care Support Division
2111 Higashi-Naganuma, Inagi City, Tokyo 206-8601
Phone number: 042-378-2111 Fax number: 042-377-4781
Contact the Child Care Support Division, Child Welfare Department, Inagi City
