English

Information about Special Cash Payment“Tokubetsu Teigaku Kyufukin”
Eligible Person
Those registered in Sendai City’s Basic Resident Register as of April 27, 2020.
Those who satisfy the following condition are also eligible; removed yourself from a Basic
Resident Register before April 27, 2020, but still lived in Japan as of April 27, 2020, andregistered residency in Sendai after April 28, 2020.
Victims of domestic violence who fled their home and were unable to register their address in
Sendai before April 27, 2020, can apply to receive the payment by submitting the request
document and making necessary procedures.
Non-Japanese residents are also eligible if they are registered in Sendai City’s Basic ResidentRegister.

Payment Amount

100,000 yen per household member (one time only)(Household members who are registered in the same Resident Register)

How to Apply
The Special Cash Payment Application Form will arrive at households between approximately May
26 and June 12.
Fill out the Special Cash Payment Application Form with relevant information such as the bankaccount number for the transfer, and send it in the enclosed return envelope together with therequired documents.
Required Documents☑ Special Cash Payment Application Form
☑ Copy of an identity verification document (ex. copy of Residence Card)☑ Copy of a bankbook for transfer account or cash card
(Showing the name of financial institution, account number, and the name of account holder)

Application Deadline

August 26, 2020

EnglishEnquiries for Special Cash Payment

Special Cash Payment Scheme Designated Phone Number

Hours
Weekdays 8:30a.m. - 7:00p.m
Weekends 8:30a.m. - 5:00p.m.
Weekends Hours end June 21, 2020.
Languages Available
Weekdays
English, Japanese, Chinese, Korean, Vietnamese, Nepali, Portuguese, Spanish, Thai,Russian, Tagalog, Hindi, Indonesian
Weekends
English, Japanese, Chinese, Korean, Vietnamese, Nepali

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How to Fill Out the Application Form

Please use non-erasable pen.
Write the date of application. (Ex.) May 30, 2020
Write the name of the head of household (applicant) as same as written on the Residence Card.
Ex. SENDAI TARO
Write the applicant’s name in Katakana above their name. Ex.
Hanko seal is not required if the head of household writes their name.
Write the applicant’s phone number which can be reached anytime. Ex. 022 -123-4567
The applicant’s address is already printed here. Please ensure that the address is correct.

If there are any mistakes, please correct them with a red pen.
Names, relationship to the head of household, and the date of birth of all the eligible household
members who receive the payment were already printed, so please ensure that these are correct.
If any of the household members do not wish to receive the payment, please circle“(I do not wish to receive it)” in the box beside their name.
If wishing to receive the payment, it is unnecessary to write anything.

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Receiving Method
Please put a tick in the box of the method you would like to receive the payment.
If you wish to receive the payment by bank transfer, put a tick in the box next to
If you wish to submit the application in person and receive the cash payment at a later date, put
a tick in the box next ton this case, please call thedesignated phone number at 022-3022-6434 and do not mail the application. This is an option
for those who do not have bank account, or who live far away from their nearest financialinstitution.).
If you choose ①(bank transfer), please choose either(generalbank) or(Japan Post Bank) and write the account information. The designatedbank account should be limited to that of the head of household or of a representative.
If you choose(general bank)Write the name of financial institution and circle the type of bank Ex.
Type of Financial InstitutionBank
Deposit Bank
Agricultural Cooperative

Community Bank
Fisheries Cooperative

Write the branch name and circle the type of the branch.
Type of Branch
Main /Branch StoreJA BankJF Marine BankEx.

Main/Branch Office

Write the three-digit branch number. Ex.
Circle the type of the account. Ex.
Type of AccountRegular AccountLocal Office

Checking AccountWrite the account number aligned to the right.
Ex.
Write the account holder name in Katakana.
Ex.
If you choose
Japan Post Bank
Write the account holder name (head of household)Write the passbook code.
Ex.
Write the passbook number. Ex.

Katakana

Ex.

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Only fill out

if you wish to designate a proxy (representative) to act on your behalf

when making application. If the head of household applies themselves, you can skip thesesections.
Write the name of the proxy. Ex.
Please also write their name in Katakana above it. (Ex.
Write proxy’s date of birth Ex. ☑
Japanese Imperial Year
Meiji
TaishoShowa
Heisei
It is OK to write it in AD
Ex.
Write proxy’s phone number
Ex.
Write proxy’s address and postal code. Ex.
Tick the box in front of the things that you entrust to the proxyThings to entrust to the proxy
Apply / Request and receive payment
Receive payment
Apply / Request
Name of the Head of Household
Hanko seal is not required if the head of household writes their name.
Tick the appropriate box representing the relationship between the head of household and theEnglishproxy.
Relationship between the Head of Household and the Proxy
Any member of the household to which the applicant (recipient) belonged as of April 27, 2020.
A legal representative (it is required to submit a document to prove the relationship between
the head of household and proxy.)
Relative or caregiver who normally takes care of the eligible person of the Special Cash
Payment and whom the City of Sendai recognizes as a proxy (specific documents should berequired). Please contact the Special Cash Payment Scheme Designated Phone Number at022-302-6434 and ask for the required documents.

EnglishIdentity Verification Documents

Please attach a copy of an identity verification document of the head of household such as aResidence Card. When using the Residence Card as your identity verification document, please
make sure to attach copies of both sides of the card. When you apply by proxy, please also
attach a copy of any form of identity verification document of the proxy.
Documents which are accepted as Identity Verification Documents
One of the following.
Residence Card, Special Permanent Resident Card, Health Insurance Card, Passport,
My Number Card with a facial photo, Long-term Care Insurance Card, Pension Book

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Copy of Documents to Confirm the Transfer AccountAttach a copy of a bank book or cash card, showing the name of financial institution, branch
name, account type, account number, and the name of account holder.
For the Japan Post Bank, please attach a copy of the bankbook opened showing the innercover and first page.
When attaching the copy to the application form, it is OK for it to not fit on the paper. If so,please fold it when putting it in the envelope.
If the copy of the document is too big to attach in the designated frame, write the names
and addresses of the head of the household and proxy on the back of the copy and put it in
the envelope together with the application form.