Updated: February 25, 2022
Download various notification forms for nursery schools, certified children’s schools, etc.
1 Education / childcare benefit certification application and facility (business) use application
You cannot apply by email.
- Education / childcare benefit certification application and facility (business) use application PDF (PDF: 146KB) , Excel (Excel: 40KB)
description example (PDF: 283KB)
* There are other documents that need to be submitted in addition to the above application form.
For details, please refer to the guide (PDF: 971KB) for using Reiwa 4th year nursery school / certified childcare center (childcare certification) .
* If you apply electronically, you do not need a usage application, but you will need to submit other necessary documents by mail.
2 Other documents
The form downloaded from now on can be used as a notification form.
However, notifications via the Internet such as e-mail are not possible. Please submit by mail to the Children and Family Affairs Division of each ward health and welfare center. (Direct submission is also possible)
* The following documents are required even when applying electronically.
| No. | Document name | Format / size |
|---|---|---|
| ―――― | Documents to be submitted / Precautions checklist [Submit all] | PDF (PDF: 241KB) , Excel (Excel: 62KB) |
| 1 | Facility (business) use application subsidy form | PDF (PDF: 243KB) , [ Description example (PDF: 513KB) ] |
| 2 | Consent form regarding facility (business) use | PDF (125KB) |
| 3 | My number (individual number) declaration form | PDF (165KB) , Word (word: 53KB) |
| Four | Declaration of possession status of disability certificate, etc. related to reduction of childcare fees, etc. | PDF (PDF: 176KB) |
| Five | Employment certificate (new form) * This form uses macros. Make sure macros are enabled before using. | PDF (PDF: 209KB) EXCEL [Description procedure] |
| 6 | Consent form (for those looking for a job) | PDF (213KB) , Word (word: 51KB) |
| 7 | Pledge regarding move-in (those who are planning to move in from outside the city) | PDF (144KB) , Word (word: 46KB) |
| 8 | Notification of change request for facilities (business) | PDF (135KB) , Word (word: 56KB) |
| 9 | Notification of cancellation of facility (business) use | PDF ( 89KB) , Word (word: 43KB) |
| Ten | Withdrawal of payment authorization application and facility (business) use applicationFacility (business) usage decision (unofficial decision) Decline notification | PDF (106KB) , Word (word: 46KB) |
| 11 11 | Pregnancy report | PDF (118KB) , Word (word: 17KB) |
| 12 | Petition for the residence status of parents | PDF (148KB) , Word (word: 63KB) |
| 13 | Childcare leave petition( Notice about childcare during childcare leave (PDF: 157KB) Please also check here.) | PDF (112KB) , Word (word: 38KB) |
| 14 | Chiba City Certified Children’s Garden (No. 1 Certified Children) Application Form* If you wish to use Chishirodaihigashi Certified Children’s Garden or Sachi Certified Children’s Garden( Reiwa 4th year Chiba City Certified Children’s Garden No. 1 Certified Child Use Application Information (PDF: 349KB) Please also check here.) | PDF (PDF: 167KB) , Excel (Excel: 47KB) |
| 15 | Pledge to live in a large condominium | PDF (112KB) , Word (word: 40KB) |
| 16 16 | Notification of change of desired destination* Form to be used when you want to change the facility (business) you want to use after applying | PDF (103KB) , Word (word: 26KB) |
| 17 17 | Pledge regarding employment of childcare workers, etc. | Word (word: 47KB) |
| 18 18 | Pledge to work as an instructor for children’s rooms, etc. | PDF (143KB) , Word (word: 44KB) |
| 19 19 | Education / childcare benefit certification change application* Before submitting the application for change of education / childcare benefit certification, please be sure to consult with the Ward Children and Family Affairs Division where your garden is located (if you are using an out-of-town garden, the Ward Children and Family Affairs Division of your place of residence). .. Whether or not the change application will be approved will be decided after examination.( Handling of required childcare amount (standard childcare time certification / short-time childcare certification) (PDF: 146KB) Please also check here.) | PDF (252KB) , Excel (Excel: 54KB) |
| 20 | Pledge and consent form regarding application for use of nursery schools before birth | PDF (105KB) , Word (word: 21KB) |
| twenty one | Notification of admission selection order due to extension of childcare leave | PDF (112KB) , Word (word: 24KB) |
| twenty two | Notification of change in application details for education / childcare benefit certification* Before submitting the notification of change in the content of the application for certification of education and childcare benefits, please consult with the Children and Family Affairs Division of the ward where your garden is located (if you are using an out-of-town garden, the Children and Family Affairs Division of your place of residence). please give me. | PDF (74KB) , Excel (Excel: 42KB) |
| twenty three | Facility (business) usage status report* Distributed from the garden you are using to the target people around September every year and collected at the garden you are using. Documents to be submitted and deadlines for submission will be announced at the time of distribution.* As much as possible, please submit in the form distributed by the garden you are using. | PDF (PDF: 616KB) , [Description example] (PDF: 780KB) Word (word: 35KB) |
* If you have any questions about how to write, please contact the Children and Family Affairs Division of each ward.
[Caution]
・ This service distributes predetermined application forms, application forms, etc. from the Internet.
・ Paper is the responsibility of the user.
-Print in A4 size paper. Also, as the type of paper, thermal paper, colored paper, and the back side of other paper cannot be used.
・ If the form has been tampered with using computer software, or if the form does not follow the specified form, we may not be able to accept it.
・ The employment certificate can be accepted even if it is created by inputting it into the posted Excel.
・ Forms posted in an electronically editable state (Excel, Word) other than the employment certificate can be accepted even if they are created by inputting into Excel or Word.
Inquiries (mailing address)
| Central Health and Welfare Center Children and Family Affairs Division | Address 4-5-1 Central, Chuo-ku, 260-8511Phone 043-221-2172 FAX 043-221-2606 E-mail kodomokatei.CHU@city.chiba.lg.jp |
|---|---|
| Hanamigawa Health and Welfare Center Children and Family Affairs Division | Address 1-1 Mizuho, Hanamigawa-ku, 262-8510Phone 043-275-6421 FAX 043-275-6318 E-mail kodomokatei.HAN@city.chiba.lg.jp |
| Inage Health and Welfare Center Children and Family Affairs Division | Address 4-12-4 Anagawa, Inage-ku, 263-8550Phone 043-284-6137 FAX 043-284-6182 E-mail kodomokatei.INA@city.chiba.lg.jp |
| Wakaba Health and Welfare Center Children and Family Affairs Division | Address 2-19-1 Kaizuka, Wakaba-ku, 264-8550Phone 043-233-8150 FAX 043-233-8178 E-mail kodomokatei.WAK@city.chiba.lg.jp |
| Green Health and Welfare Center Children and Family Affairs Division | Address 226-1 Kamatoricho, Midori-ku, 266-8550Phone 043-292-8137 FAX 043-292-8284 E-mail kodomokatei.MID@city.chiba.lg.jp |
| Mihama Health and Welfare Center Children and Family Affairs Division | Address 5-15-2 Masago, Mihama-ku, 261-8581Phone 043-270-3150 FAX 043-270-3291 E-mail kodomokatei.MIH@city.chiba.lg.jp |