000-0000〇〇県〇〇市〇〇町〇〇丁目〇〇番地①

0
Loan CodeKA
1234567〇〇 〇〇 様2023 年 version

Aichi Prefectural Council of Social Welfare
Special Loan Redemption Administration Center

1 2Special
3 4 5loans
6 7 such as emergency small funds due to the impact of the new coronavirus infection
Information on Exemptions, Deferrals and Redemptions
Notification of Exemption and Repayment

This information is sent to those who have borrowed the Kinkyu Koguchi Shikin (R4.4.1 or later)", "Sogo Shien Shikin(first time)" (R4.4.1 or later), and " Sogo Shien Shikin (extension)".
Redemption (repayment of borrowed money) will begin from January 2024、Full or partial
repayment of the loan is exempted if the requirements set by the Country are met.How to check whether you are
eligible for redemption exemption and about the exemption application procedure as to the requisite, please refer to theattached booklet ③「Procedures for Application for Redemption Exemption, Redemption and Redemption Deferment」
1. Documents, etc. sent this time (enclosed)* We will guide you to apply for each borrowed fund, so those who borrow multiple types will receive separate
envelopes.

①

Information on Exemption and Deferral of Redemption and Redemption (this Notice)②

Application for exemption from repayment of loans related to special loans for emergency small funds, etc.

③

Application procedure for exemption, redemption, or deferral of reimbursement (Important Notice)④

Change Notification Form (Please submit this form if you have changed your name or address)⑤

Redemption Deferral Application Form⑤-1⑥

Status Confirmation Sheet for Deferral of Redemption
Account registration application form (not sent to those who have already registered for an account)

Debit application form (not sent to those who have already registered an account)

Sogo Shien Shikin(extension)In the person
who borrowed、「Kinkyu Koguchi Shikin」（by R4.3.31）「Sogo Shien Shikin (firsttime)」（by R4.3.31）
Borrowed, you will receivea description in a separate
letterself-addressed stamped envelope

2. contact information
Aichi Prefectural Council of Social WelfareSpecial
Loan Redemption Administration Center【TEL ／Contact Number】052‐684-9766【受付時間／Reception Time】平日 9:00 ~ 17:00※You can also call in English, Spanish, Nepali, Portuguese, Vietnamese, Tagalog, and Sri Lankan.

Special Loan HP of
the Society

This information is also available on our website.
英語 Please check the homepage 簡体語 请查看主页 韓国語 홈페이지를 확인해 주세요スペイン語 Porfavor, consulte la página de inicio ネパール語 कृपया गृहपृष्ठ जााँच गर्नु होस् ポルトガル語 Verifique a página inicial
ベトナム語 Vui lòng kiểm tra trang chủ【Please note】
・For inquiries regarding this matter, please contact the above telephone number.
・It may be difficult to reach us immediately after receiving this notice. Please understand.
・Once submitted, the documents will not be returned. Thank you for your understanding.
・We will not be able to answer the results of your exemption application by phone. Please confirm the result notification you
receive after the review.
・Those who have applied for exemption or postponement of repayment should wait until they are notified of the outcome
before making repayment.
・The person who has decided may also receive a payment slip, but there is no need for reimbursement.。

③

Important notice

Aichi Prefectural Social Welfare Council (a Social Welfare Corporation)

COVID-19 Temporary Loan Emergency Funds

Redemption Exemption Application, Redemption,
Procedures for Deferral of redemption
Types offunds

Emergency
Small Loan

Applications
byMarch 31,2022

Timing ofreimbursement
exemption
procedures

General Support
Fund (first)

GeneralSupport Fund(first)Emergency Small
Loan
Applications
after April 1,
2022

Applications by
March 31, 2022

Applications
after April 1,
2022

General Support
Fund(extension)(4th month to
6th month)Year 2022

Year 2023

The information was sent to thetarget audience in a separate letter.

The information here is for this funds.

General Support
Fund(Saikashituke)

Year 2024●Flowchart for checking eligibility for exemption

The information will be
provided to eligible
applicants in 2024.

Is the borrower exempt from both per capita and per income taxes of resident tax
for the fiscal year 2023?
non taxable

Who is the current head of household?
Non-borrower

Was the current head of household the same household
when the loan was taken out?
Borrower
him/herself

Yes
Is the current head of household exempt fromboth per capita and per income taxes of resident
tax for the fiscal year 2023?
non
taxationtaxableNo

Target page：P.2

taxation

P.2

Target page：

Target page：

P.3

Please refer to the Exemption Application page.

Target page：

P.6

Not eligible for exemption.
Please check our Reimbursement
Information page.

If you have receiving public assistance after borrowing money or have received a disability
certificate, etc., you are eligible to apply for a waiver.
Please contact the Special Loan Reimbursement Administration Center (052-684-9766).

● What you will find in this guide
１ Redemption Exemption Application ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ P.2~P.3
２ Tax Exemption Certificate ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ P.4~P.5
３ Future Redemption ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ P.6~P.12

４ Procedures for deferment of redemption

・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ P.13~P.16

1

１

Redemption Exemption Application
For those who were guided to P.2 as a result of the flowchart●Those who fall under the procedures on this page
１．The borrower is the head of the household and is exempt from resident tax (both per capita and perincome) for the fiscal year 2023.
or
２．The borrower is exempt from resident tax (both per capita and per income) for the fiscal year 2023
and were in a different household from the current head of household at the time of borrowing.

●Please mail the required documents 1, 2, and 3 in the enclosed return envelopeby the application deadline below.
selfchecking
columnDocuments required for application

No.

certificate of residence ※Please be sure to send a proof ofresidence that meets the following requirements.

1

2
3・ "世帯全員の住民票の原本と相違ないことを証明する" The statement mustread.
・My number must not be listed.
・Issued within the last 3 months.
・The head of household must be listed.

□

Tax Exemption Certificate for fiscal year 2023（Borrower only）※Both the equalization and income tax rates are exempt from taxation.
※A tax certificate with a taxable amount of "0" is acceptable.（See page 4.）

Application for exemption from reimbursement②□□※Enclosed A4 form

※Attention※
・If you receive more than one notice, please enclose three copies of the application form andone original copy each of 1. the resident certificate and 2. the tax exemption certificate. (Onecopy of the Certificate of Residence and Certificate of Tax Exemption is acceptable.）・Documents cannot be returned once sent.
Example of How to Write an

Exemption Application Form
【 Please write with a ballpoint pen. 】●Application deadline
No later than Friday, September 29, 2023
1.Certificate ofresidence

1

2. Tax Exemption Certificate 3. Application for exemption
from reimbursement（ Borrower only ）1✔
Sampleチェックを入れてくださいPlease checkthe box.

SamplePlease mail documents
1, 2, and 3.

２

self‐addressed stamped envelope Please check all※If your name oraddress has changed,
please also mail the"Notification of Change④" together.

items ① through⑥ before checking
the box.

3
Please indicate the date
you filled out the form.

2

✔
✔
✔
✔
✔
✔
5 8

4

11

Name must be listed by theborrower.

愛知県 花子111-111-1111
Please include a phone number
where you can be reached.

１Redemption Exemption Application
For those who were guided to P.3 as a result of the flowchart●Those who fall under the procedures on this page・Borrower and head of household are not the same person, and both borrower and head of household aretax exempt.

●Please mail the required documents 1, 2, and 3 in the enclosed return envelopeby the application deadline below.
self-checking
columnDocuments required for application

No.

certificate of residence ※Please be sure to send a proof ofresidence that meets the following requirements.

1

2
3・ "世帯全員の住民票の原本と相違ないことを証明する" The statement
・My number must not be listed.
・Issued within the last 3 months.
・The head of household must be listed.

□must read.

Tax Exemption Certificate for 2023 (Both borrower and head ofhousehold are required)□・The borrower and head of household must be tax exempt in 2023.
※Both the equalization and income tax rates are exempt from taxation.
※A tax certificate with a taxable amount of "0" is acceptable.（See page 4.）

Application for exemption from reimbursement②※Enclosed A4 form□

※Attention※
・If you receive more than one notice, please enclose three copies of the application form
and one original copy each of 1. the resident certificate and 2. the tax exemption certificate.
One copy of the Certificate of Residence and Certificate of Tax Exemption is acceptable.）・Documents cannot be returned once sent.
Example of How to Write an
Exemption Application Form

●Application deadline
No later than Friday, September 29, 2023

【 Please write with a ballpoint pen 】

1. Certificate of
2. Tax Exemption Certificate 3. Application for exemption
residence （ Borrower and Head of Household） from reimbursement

1
SampleSamplePlease checkthe box.

Please mail documents
1, 2, and 3.

✔

２

self‐addressed stamped envelope

Please check all
items ① through⑥ beforechecking the box.

※If your name oraddress has changed,
please also mail the"Notification of Change④" together.

✔
✔
✔
✔
4

✔
✔

3
Please indicate the date
you filled out the form.

3

Name must be listed by theborrower.

5

8

11

愛知県 花子111-111-1111
Please include a phone number
where you can be reached.

2

Tax Exemption Certificate

What is a Tax Exemption Certificate that shows that a taxpayer
is exempt from both per capita and per income taxes of resident
tax?
This is a document issued by the municipal office of your residence（※）that certifies
the taxable amount of the individual.

「Emergency Small Loan （Applications after April 1, 2022）」「 General Support Fund (first)（Applications after April 1, 2022）」「 General Support Fund (extension) 」

If you borrowed the above funds,

Please obtain a certificate for the "fiscal year 2023" in which you are exempt fromtaxation on "both per capita and per income tax".
※Certificates for the fiscal year 2023 can be obtained at the municipal office of thecity, ward, town or village where you reside as of January 1, 2023.
※ Please note that the "Notice of Reduction (Cancellation) of Citizen's andPrefectural Tax Amount" is not a certificate of tax exemption.
・Depending on the municipality, an "income taxation certificate"or "municipal/prefectural inhabitant tax income/taxation
certificate" with the taxable amount of "0" may be issued insteadof a tax exemption certificate.
(This is handled in the same way as a certificate of tax exemption.)【 Please refer to the list of names of documents proving tax
exemption in Aichi Prefecture on the next page. 】

If the equalization and income tax rates are listed as 0yen, the applicant is exempt from taxation.
※Blank columns are not tax exempt. Please contact themunicipal office.

Frequently Asked Questions
Q1. Where and how do I get a tax exemption
certificate?

Aichi Prefectural Social Welfare Council andthe respective municipal councils of social
welfare are unable to answer questions
regarding taxes, such as those listed on the left.

Q2. I would like to obtain a tax exemption
certificate, but I have not filed a tax
return, year-end adjustment, or resident
tax return.

Please contact the tax department of
your local municipal office.

Q3. I do not know if the residence tax is
exempt.

・If you have not filed an income tax return or made a year-end adjustment, you may
not be issued a certificate of tax exemption unless you file an inhabitant tax return.
For information on how to file resident tax returns, please contact the tax
department of your local municipal office.

4

2

Tax Exemption Certificate

愛知県内の非課税を証明する書類名称一覧
市町村
あ 愛西市
あま市
安城市
一宮市
稲沢市
犬山市
岩倉市
大府市
岡崎市
尾張旭市
阿久比町
大口町
大治町
か 春日井市
蒲郡市
刈谷市
北名古屋市
清須市
江南市
小牧市
蟹江町
幸田町
さ 新城市
瀬戸市
設楽町
た 高浜市
田原市
知多市
知立市
津島市
東海市
常滑市
豊明市
豊川市
豊田市
豊橋市

証明書
課税（非課税）証明書
た
非課税証明書所得（非）課税証明書
所得非課税証明書
非課税証明書課税（非課税）証明書
課税証明書
な
所得課税証明書
非課税証明書所得（非）課税証明書
課税（非課税）証明書
非課税証明書
課税証明書
所得課税証明書
住民税決定証明書（所得課税証明書）
所得課税証明書
非課税証明書
非課税証明書
非課税証明書
所得課税証明書（非課税証明書は文言のみが記載される）非課税証明書
所得課税証明書
非課税証明書
非課税証明書は非課税証明書
非課税証明書
非課税証明書
課税・非課税証明書
ま（所得証明書）
非課税証明書
所得課税（非課税）証明書 や
市民税・県民税（所得）証明書
所得課税証明書
非課税証明書
非課税証明書
所得課税証明書
非課税証明書

5

市町村
武豊町
東栄町
東郷町
飛島村
豊根村
豊山町
名古屋市
熱田区
北区
昭和区
千種区
天白区
中川区
中村区
中区
西区
東区
瑞穂区
港区
南区
緑区
名東区
守山区
長久手市
西尾市
日進市
半田市
東浦町
碧南市
扶桑町
南知多町
美浜町
みよし市
弥富市

証明書
所得（課税）証明書
所得（非課税）証明書
非課税証明書
課税・非課税証明書
非課税証明書
非課税証明書市民税・県民税証明書（課税・非課税証明）※市税事務所、区役所など
で発行

非課税証明書
所得課税証明書
所得証明書（課税証明書）
所得・課税証明書
所得・課税（非課税）証明書
所得・課税証明書
非課税証明書
課税・非課税証明書
非課税証明書
所得課税証明書
課税（非課税）証明書

3

Future Redemption

For those who were guided to P.6 as a result of the flowchart・Those who are not eligible for the exemption will be required to repay theloan.
・ If it is difficult for you to repay the borrowed money, you can apply for a"deferment of reimbursement," reimbursement can be postponed for up to
12 months.

※Please refer to page 13 for details on "Deferral of Redemption".

●Future Flow of Redemption (Repayment)
・ Account registration for repayment transfers is required. (Those who have alreadyregistered do not need to complete the registration process.)・ A "Notice of Commencement of Redemption" will be sent around December 2023.

・From January 2024 onward, reimbursement by direct debit (debited on the27th of each month) will begin.
Year 2023
Apr.

May

Jun.

Jul.

Aug.

Year 2024
Sep.

Oct.

Nov.

Dec.

Jan.

Feb.

Commencement ofredemption

Account registration for repaymenttransfer

Notice of Commencement ofRedemption● How to register an account for transfer
・There are two ways to register for an account.
Type of registration application

Documents required for application

Page

Application for use of automatic
payment

Application by filling out the account registration
application form and automatic payment application
form

7

Website Registration Application

Application from a smartphone or computer screen

8※The registered account will be the common reimbursement transfer
account for all loans.
※Some financial institutions may not be able to handle this service.
※If the debit date is a Saturday or Sunday, the debit will be made on thenext business day.
※If a withdrawal cannot be made due to insufficient funds remaining in theaccount, a payment slip will be sent.
※The debits for the following month cannot be combined to pay the total.

6

Future Redemption

3● Procedures for account transfers(Application using the Automatic Payment Application Form)
selfchecking
columnDocuments required for applicationNo.

①

Account Registration Form⑦
・Please provide your name, current address, telephone number, gender,
date of birth, and date.

□②

request form for bank account transfer （B5 photocopying Paper）
・The delivery seal must be stamped darkly and clearly in the correct
place.
・Please tear off the third page and keep it as a copy.

□

Please provide your name, address,
telephone number, gender, date of birth,and date to be submitted.

・Please enter the name of the financial
institution, branch name, deposit type, accountnumber, and account name of the account you
wish to register.
・Please fill in the box below for Japan Post Bank.
・The delivery seal must be stamped darkly andclearly.

Example of Entry
アイチケン ハナコ

愛知県 花子
461-0011
名古屋市東区白壁1-45 白壁ビル3階
111-111-1111✔

1990 3 1786●Application deadline
No later than Friday, December 15, 2023
✓ Please mail the following documents.
①Account Registration Form

②request form for bankaccount transfer

社会福祉法人愛知県社会福祉協議会 会長 殿

コロナ特例貸付に係る、すべての貸付に対する共通の償還振替用口座として、別紙依頼書のとおり口座登録することに同意します。

□ゆうちょ銀行□ゆうちょ銀行以外の銀行
フリガナ

名
（〒

－

)

申
込
者 現住所

自宅
電話
携帯

性
別

□男
□女

生
年
月
日

令和５年

年

月

月

self‐addressed stamped envelope※If your name oraddress has changed,“Notification of
Change ④" should
also be mailed
together with theresidence certificate.

口座登録申込書氏

If you do not know your personalseal, please contact your financial
institution.

日日・If you have already completed the procedures and wish to change to another account,
you will need to re-register.

7

3

Future Redemption●Procedures for account transfers（ Application by website registration ）・Web-based registration does not require a seal (inkan).
・Please apply by January 10, 2024 in order for the debit to begin in January
2024.
・If you apply after the deadline, you may not be able to withdraw from theprogram in time. In that case, we will send you a payment form, so please
repay with the payment form.

・Please have the "Information on Exemption and Redemption" and "Passbook
or cash card of the account to be registered" ready when applying via the
web registration.
・The address and loan code are required to register the account.

①

Website Registration
Entry Screen

・Scan the QR code on the right with your smartphone andfollow the instructions.
If you are using a computer, you can enter the input sitefrom the website of Aichi Prefectural Social Welfare Council.
（ For more information, please see the next page. ）8

3

Future Redemption●Procedures for account transfers（ Application by website registration ）2. Enter Application
Information

1. Privacy Policy① Enter the “貸付コード“.
② Enter your name, a phone number
where you can be reached, and yourdate of birth (Western calendar year).
③ Click “申請情報の確認”.

① Click "開く/Open" on the screen.
② Check "上記全てに同意します。 “.
③ Click " 同意して次へ".

①

①
②

②
③

③

9

Future Redemption●Procedures for account transfers（ Application by website registration ）3

3. Confirm Application
Information

4. Payment① If the information entered① Click “口座登録".

is correct, click “次へ".

①

①

10

3

Future Redemption●Procedures for account transfers（ Application by website registration ）6. Confirm
Registration details

5. Register Bank AccountHolder’s Name
① Enter the name of the account holder
for the account to be registered.
② Enter the name of the account holder
in full-width katakana characters.

① If the information entered iscorrect, click “お支払い情報の登録
画面へ".

①

①

②

11

3

Future Redemption●Procedures for account transfers（ Application by website registration ）7. Go to registration
page

8. Enter accountinformation① The screen will switch to① Enter the account information

the account information

shown in the passbook and press

registration screen, and press

Register.

“はい YES".

①①

The screen representation
varies from financial
institution to financial
institution.

Registration is complete when you see
this screen.

12

4

Procedures for deferment of redemption
To those who have received special loans for livelihood welfare funds due to the effects of the newcoronavirus infection

Procedures for deferment of redemption【 How to apply 】
June 2023, Aichi Prefectural Social Welfare Council
If you are eligible for deferment of reimbursement, please send the enclosed ⑤ "Application for Deferment of Reimbursement of Small
Emergency Special Loan for Livelihood and Welfare Fund Loan Program" along with the necessary documents to the Aichi Social
Welfare Council Special Loan Reimbursement Administration Center by return envelope.
【 Documents required for application 】① Application for deferral of redemption ※ If there is more than one loan, a single application form is required to defer all loans
eligible for deferment.
② Proof documents, etc. required for application for the following eligibility requirements 【 Any one of these is fine. 】

Required documents for application

Eligibility Requirements【Any one of these is fine.】
Certificate of disaster, etc.

１ Those affected by earthquake, fire, etc.

Medical certificate, medical

２ Persons under medical treatment

condition certificate, etc.
Certificate of resignation, release

３ Unemployed or unemployed

form, etc.
Documentation confirming that

４ Those who have received a deferment of other loans, such as scholarships

the applicant has received aor business loans (excluding mortgages)

deferment of reimbursement ofother loans

５ When, as a result of consultation with a consultation support organization
for self-reliance, the said organization submits an opinion that it isappropriate to postpone the redemption due to the borrower's living
conditions.
（Please refer to the list of consultation offices of self-reliance consultation

Investigation Opinion by SelfReliance Counseling and Support
Organization

support organizations on the next page.）
６ Those who are recognized by the chairperson of the Prefectural Council ofSocial Welfare as having extreme difficulty in reimbursement due to the same
reasons as those listed above.
（Examples of compelling reasons）
・Unstable living conditions due to a decrease in income or unstable
employment (judged on the basis that income in the last three months isequivalent to resident tax exemption).
・Evacuated due to domestic violence, etc.
・Persons with multiple debts and the possibility of debt consolidation.
・The applicant is continuously in arrears of utility bills, etc., and is in need ofassistance. etc.

Status Confirmation Sheet for
Deferral of Redemption ⑤-1

Attention
In order to properly provide the necessary support for rebuilding their lives, please receive support from the Self-Reliance Counselingand Support Organization under the Livelihood Support System for the Needy as much as possible.
The grace period (postponement of repayment) will be granted for up to 12 months from the month in which the application for grace
period and certification documents arrive at the Redemption Office of the Aichi Social Welfare Council Special Loan.
We will contact you if there are any incomplete documents, etc.
A payment slip may be sent after submitting a deferment application, but reimbursement is not required during the redemption
period.
In addition, if deposits are made by direct debit in the month in which the grace period begins, the deposit amount will be refunded in
the following month.

≪ Contact ≫ Inquiries about loan redemption (repayment), waiver, and deferment of payment
Aichi Prefectural Social Welfare Council Special Loan Redemption Administration Center
TEL ： ０５２－６８４－９７６６ Monday - Friday (excluding national holidays) AM9:00～PM5:00

13

Consultation Support Services for Self-RelianceIf you have any problems or concerns about employment, housing, household management, etc., please consult with a local
consultation service. Our support staffwill work with you to determine what kind of support you need. We will create a specificplan and support you toward independencewhile staying close to you.
Your local government office is listed in the table below.
令和5年度 自立相談支援機関 相談窓口一覧
自治体名

名古屋市

事業実施者

窓口名

名古屋くらしサ
ポートコンソー 名古屋市仕事・暮らし
シアム(西区、中 自立サポートセンター
村区、中区、中 名駅
川区)
名古屋くらしサ
ポートコンソー名古屋市仕事・暮らし
シアム(熱田区、
自立サポートセンター
南区、瑞穂区、
金山
緑区、港区、天白区)
生活困窮者支援
共同事業体(千種 名古屋市仕事・暮らし
区、東区、北区、自立サポートセンター
昭和区、守山区、大曽根
名東区)

住

所

電話番号

自治体名

名古屋市中村区名駅南
一丁目5番17号 ネット
プラザ柳橋ビル3階

052-4467333

新城市

社会福祉法人新新城市くらし・しごと 新城市字東沖野２０番地
城市社会福祉協
サポートセンター
１２
議会

名古屋市熱田区新尾頭
二丁目2番7号 富春ビル
4階

052-6848131

東海市

東海市市民福祉
自立生活支援担当
部社会福祉課

窓口名

住

所

電話番号

0536-249811
052-603-2211
東海市中央町一丁目1番
地又は056233-1111

名古屋市北区大曾根四丁目17番23号 イトーピ
ア大曽根1階

生活福祉課自立相談グ
豊橋市今橋町１番地
ループ

豊橋市

事業実施者

052-5089611

大府市

0532-512313

知多市

知多市社会福祉 知多市自立生活サ ポー
知多市緑町32番地の6
協議会
トセンター

0562-393060

知立市社会福祉 知立市自立相談支援セ 知立市八ツ田町泉４３
協 議会
ンター
番地

0566-828833

生活困窮に関する相談 尾張旭市東大道町原田
窓口
2600-10561-768139

高浜市春日町五T目１６
社会福祉法人高
たかはま自立相談支援
５ 高浜市いき いき広
浜市社会福祉協
センター こころん場
議会
労働者協同組合
岩倉市栄町一T目６６番
ワーカーズコー
生活自立支援相談室
地 岩倉市役所 福祉課
プ・センター事
内業団

0566-545563

大府市地域福祉課 自立 大府市中央町5丁目70番
地
相談支援窓口0562-456228

岡崎市

直営+委託(社会 岡崎市生活困窮者自立岡崎市十王町２T目９番
福祉法人 愛恵協 相談支援事業所「ほっ地とサポートお かざき」
会)

0564-236292

知立市

豊田市

社会福祉法人豊
田市社会福祉協 くらし応援課
議会

豊田市錦町1丁目1番地1

0565-341132

尾張旭市

一宮市

福祉総務課福祉総合相 一宮市本町ニT目５番６号
談室

0586-289145

高浜市

瀬戸市

仕事・生活自立相談窓 瀬戸市追分町64番地の口
１0561-882545

岩倉市

半田市

くらし相談室半田市東洋町二T目１番(半田市役所 2階生活援
地護課内）

0569-840677

豊明市

豊明市社会福祉 豊明市自立生活相談セ 豊明市新田町子持松１ンターよりそい協 議会
番地１0562-913018

春日井市鳥居松町５T目

0568-856152

日進市

日進市社会福祉
くらしサポート窓口
協議会

日進市蟹甲町池下268番
地

0561-731497

0533-892252
0567-24津島市立込町２T目21番
1111 (内線
地
2136)
0566-95碧南市松本町２８番地
9883

田原市

社会福祉法人田
社会福祉法人 田原市社
田原市赤石二丁目2番地
原市社会福祉協
会福祉協 議会議会

0531-230610

愛西市

愛西市社会福祉
ふくしの相談窓口
協議会

愛西市稲葉町米野220番
地10567-316232

清須市くらし・しごと
清須市須ケ口1238番地
サポートセンター

052-4002911

北名古屋市西之保藤塚
93番地

0568-258500

弥富市生活自立支援セ 弥富市鯏浦町上本田95
ンター
番地10567-658105

みよし市三好町湯ノ前4
みよし市くらし・はた
番地５ ふれあい交流館
らく相談センター
内

0561-335020

あま市社会福祉課生活 あま市甚目寺二伴田７
困窮者自立支援 窓口
６番地

052-4443135

社会福祉法人春

春日井市 日井市社会福祉 自立支援相談コーナー ４４番地
協議会

豊川市くらし・
しごと相談支援
センター

豊川市
津島市

社会福祉法人津
島市社会福祉協 生活支援相談窓口
議会
碧南市役所

碧南市役所福祉課

碧南市

豊川市諏訪１T目１番地

碧南市社会福祉 社会福祉協議会地域福 碧南市山神町８T目３５
協議会番地
祉課地域福祉係

0566-463701

清須市
社会福祉法人北北名古屋市 名古屋市社会福 生活困窮者自立相談
祉協議会
社会福祉法人弥
富市社会福祉協
議会
社会福祉法人みよし市社会福祉協議会

0587-385830

刈谷市

生活福祉課
生活支援係

刈谷市東陽町1丁目1番地

0566-621038

弥富市

安城市

社会福祉課
福祉相談係

安城市桜町１８番２３号

0566-712245

みよし市

西尾市

健康福祉部福祉課

西尾市寄住町下田２２番地

0563-652116

あま市

蒲郡市

健康福祉部福祉課

蒲郡市旭町１７番１号

0533-661104

長久手市 久手市社会福祉 と・つながり支援セン 地

長久手市前熊下田171番

ター

0561-624700

犬山市

福祉課

犬山市大字犬山字東畑
36番地

0568-440319

東郷町、豊山町、大口町、 愛知県
扶桑町

名古屋市中区三の丸２
尾張福祉相談センター－６－１ (愛知県三の丸
地域福祉課
庁舎内)

052-9611769

常滑市

社会福祉法人常
くらし・ひきこもり相 常滑市神明町３T目３５
滑市社会福祉協
談 支援センター番地
議会

0569-430660

大治町、蟹江 愛知県町、飛島村

海部福祉相談センター 津島市西柳原町1-14(愛地域福祉課
知県海部総合 庁舎内)

0567-242135

江南市

江南市社会福祉
生活困窮者相談
協 議会

江南市古知野町宮裏121番地

0587-538851

阿久比町、東浦町、南知多 愛知県町、美浜町、
武豊町

知多福祉相談センター
半田市宮路町１－１
地域福祉課

0569-310121

小牧市堀の内三丁目1番
地

0568-761196

稲沢市稲府町１番地

0587-321484

小牧市

稲沢市

生活自立支援相談窓口

社会福祉法人稲沢市社会福祉協 福祉総合相談窓口
議会

社会福祉法人長 長久手市くらし・しご
協議会

幸田町

額田郡幸田町大字菱池
字城山143番地1 幸田町
社会福祉法人愛
社会福祉法人愛恵教会
障害者地域活動支援セ恵教会
ンターつどいの家内

0564-631750

新城設楽福祉相談セン
北設楽郡設楽町田口字ター地域福祉課設楽駐
川原田6番地18
在0536-630070

設楽町、東 愛知県
栄町、豊根村14

4

Procedures for deferment of redemption
Application for Deferral of Redemption
Example of Entry
Please check ア, イ, and ウ.

【 Please write with a ballpoint pen 】

✔
✔
✔
5

8

6

愛知県 花子Please indicate date of submission,name and date of birth.

111-111-1111
1990
3 17

Please check one of theboxes ① to ⑥.

✔

200,000
5
6
7

1
1
12 31

12
6 1
8 12

1
31

Please fill in as much as
you know.

※If the reason for application (6) is checked, please sendthe "Status Confirmation Form Concerning Deferral of
Redemption ⑤-1" (see example on the next page) together
with the application form for deferral of redemption in the
return envelope.
※If your name or address has changed, “Notification of Change ④" should also
be mailed together with the residence certificate.

15

4Procedures for deferment of redemption
Those whose reason for applying for deferral of reimbursement is⑥ on the application form

Status Confirmation Sheet for Deferral of Redemption
Example of Entry【 Please write with a ballpoint pen 】⑤-1

16