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Overview

Use this form to apply for a certificate of National Health Insurance (NHI) eligibility, or of the NHI premium assessed and paid. Submit it at the NHI and Pension Section counter, South Annex 2nd floor, counter 23, with an identity document. Counter hours are weekdays from 8:30 to 17:00. The form is A4 size, portrait. The management section of the NHI and Pension Section answers questions at 03-3579-2401.

What the certificate can show

  • Whether the person is eligible for NHI
  • The amount of NHI premium assessed
  • The amount of NHI premium paid

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Other guides in this topic

Health insurance and pensionJoining national health insuranceGuide Health insurance and pensionLeaving national health insuranceGuide Health insurance and pensionFuneral benefit for people under 75Guide

How to apply

  1. Fill in the application form for an NHI certificate.
  2. Submit it at the NHI and Pension Section counter with an identity document.

What to bring

  • Application form for an NHI certificate
  • Applicant's identity document, such as an NHI certificate, My Number card or driver's license

Where

Itabashi Ward Office

South Annex, 2nd floor, counter 23

  • Weekdays 8:30–17:00 (not Saturdays, Sundays or public holidays)

Contact

Management Unit, National Health Insurance and Pension Section

Help in your language: Itabashi desk

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