AAADI Accredited School only■Consent Format for Temporary Certificate ■Supervision:

IAADP President Toni Eames /IAADP USA Vice President

Jill Exposito

To Dr. Moto ARIMA, CEO,Japan Hearing Dogs for Deaf People (Hereinafter referred as to JHDDP)）
Social Welfare Corporation,
Designated Corporation by Japanese Ministry of Health, Labor and Welfare，<This Consent Format must be filled out by the person in charge from the school>
Please type up in English.
Name of the School from which the team graduated:
Address of the School from which the team graduated:
Name of the person in charge from the School：
TEL:

FAX:Email:■Consent Format of Request for the Temporary Certification：
This school is one of ADI Accredited Member, would like to provide the Hearing or the Mobility Support(Service) Dog User mentioned below. The team is a graduate of our school, with the Certificate effects
only in Japan for limited period of time, so that the User will be ensured the right to travel in Japan with
the User’s Hearing or Mobility Support (Service) Dog.

Name of the Hearing or Mobility Support (Service) Dog User:
Name of the dog:

Date of Birth of the dog:

Microchip number:

Dog’s Sexuality:

Place of residence:
User’s TEL:

FAX:

User’s Email:Purpose of visit:■Schedule:
Date of arrival:

Arrival airport:

Flight number:Time of arrival:

Date of departure:

Major plans for the stay:※In terms of the above contents, as far as we know, there is no false description in this Letter and in
the papers attached to this. We completely understand that JHDDP provides the Temporary
Certificate only for the graduate from ADI Accredited School.

■Conditions for Issuance of Temporary Certificate for User/Team:
Note 1: JHDDP only handles Hearing Dogs / Mobility Support (Service) Dogs.
Note 2: International airports you can use when you enter the country are limited to Narita or Haneda.
Note 3: The Temporary Certificate is issued only for graduates from ADI Accredited School. (Inquiryand submission of prior required documents are handled by the school you have graduated from. JHDDP
does not accept direct inquiry and application by Assistance Dog User).
Note 4: JHDDP will conduct interviews/inspections of overseas Assistance Dogs’ public manners in theairport when User’s / Team’s enter the country to ensure accreditation in Japan.
Note 5: There may be cases where the Temporary Certificate cannot be issued, depending on the resultsof interviews/ inspections of public manners, even after the User/Team has entered the country. TheUser/Team will also be requested to return the Temporary Certificate after acceptance or delivery when
the User’s/Team’s behavior violates The Act on Assistance Dogs for Persons with Physical Disabilities
in Japan or police receives any “report” on the Team’s breach of manners.
Note 6: Inspection/issuance of the Temporary Certificate is free of charge.
Note 7: The User will be requested by the airport service post office to return the Temporary Certificate,
whenever the User leaves the country.
Note 8: The ADI Accredited School the User/Team has graduated from shall assume joint and several
liability on any accidents/ unpaid amounts of payments (e.g., ignoring hotel bills) caused in Japan by
the graduate to whom the Temporary Certificate is delivered. The graduates who obtain the Temporary
Certificate will be requested to sign off on the contract to be concluded with JHDDP accordingly.

■ Procedures:
1. Assistance Dogs Users who seek issuance of the Temporary Certificate are requested to submit thefollowing documents/matters which should be typed up in English to JHDDP (OlympicParalympic@hearingdog.or.jp | Fax: +81-265-85-5088), indicating “Re: Temporary Certificate 2020 Tokyo
Olympics & Paralympics,” through the ADI Accredited School they graduated from. We cannot provide anyanswers over the phone. The deadline for submission is 3 months before the entry into Japan to participate
in or watch Olympic & Paralympics’ games.

<Information to Be Submitted>
1) Microchip number: The microchip must match the number as recorded. The number is found todiffer from documents submitted, then that could cause for the Temporary Certificate to not beissued or canceled and must be forfeited.
2) A copy of the Certificate as the Team obtained from ADI Accredited School3) A copy of the recommendation letter from ADI Accredited School and written guarantee/contract
for joint and several liabilities that is applicable to the accident caused
4) A copy of the liability insurance policy related to the insurable contingency in Japan
5) Assistance Dog’s health Certificate (the one issued 4 months before the entry into Japan, including
matters necessary for quarantine when the Assistance Dogs User/Teams enters Japan)
6) DVD or Video: A video showing the Assistance Dog’s walking motion, basic motion, and auxiliary
movement when accompanying the User/Team at a shopping mall etc. (URL, in the case the video
is uploaded to YouTube etc.)
7) Photo: A recent photo of the Hearing dog or Mobility Support (Service) Dog User and the dog.
*

JHDDP does not accept direct inquiry and application by Assistance Dogs User.

*When falsity such as the microchip number of the Assistance Dog entering Japan that differs from thenumber submitted is found on the documents submitted etc., there may be cases where theTemporary Certificate cannot be issued or the Temporary Certificate once issued is canceled.
2.

The documents etc. that are submitted will be examined by JHDDP, and the results will beannounced through ADI Accredited School.

3.

Then JHDDP will send the school the Temporary Certificate (pdf) as attached file by e-mail The
User has to bring a copy of this pdf file when the User come to Japan for so that Immigrationexamination will go smoothly.

This pdf will be exchanged when the below No.4 process will becompleted by JHDDP staff.
4.

Following the User’s/Team’s entry into Japan, JHDDP’s staff will conduct an interview / inspectionof public manners for the overseas Assistance Dogs at Haneda or Narita Airport.
*

When the Assistance Dog is not up to standards for Assistance Dogs in Japan (the interview /inspection of public manners has revealed the following results: e.g.,. A: The dog shows aggression
towards moving objects such as other dogs or people, B: The dog loses its nerve (mental stability) on
exposure to a loud noise, unfamiliar sound, or strange voice, strange behavior, or strange attire whenaccompanying the User/Team on a train, C: The User/Team’s capacity for managing the Assistance
Dog’s behavior by means of obedience training etc. turns out to be low), there may be cases where
the Temporary Certificate cannot be handed to the Assistance Dog User.

4. The Temporary Certificate will be issued for the overseas Assistance Dog that has passed the inspection.
*When it is found later after an accident or report that the Assistance Dog is not up to standards forAssistance Dogs in Japan, the Temporary Certificate once issued will be canceled and the User/Teamwill be requested to promptly return the Temporary Certificate in a reply envelope provided. In thecase where the Temporary Certificate is not returned, the picture of the Assistance Dog whose
Temporary Certificate is canceled, the reason, and the number of the Temporary Certificate canceled
will be publicly announced on official website (such as SNS) of JHDDP.

5. Compensation liability such as an accident caused by the Hearing Dog/ Mobility Support (Service) Dog
accompanying the Assistance Dog User.
*The User/Team or the training organization will assume compensation liability such as an accident
caused by the Hearing Dog / Mobility Support (Service) Dog accompanying the Assistance Dog user’s
responsibly. JHDDP that has issued the Temporary Certificate assumes no responsibility
whatsoever. Accident example: A bite accident caused by an accompanying dog. A traffic accident
caused by an accompanying dog dashing out etc. Train stops etc. due to an excited accompanying
dog on a train.

6. Please return the Temporary Certificate to JHDDP in a reply envelope provided by the time when youleave Japan.
*In the case where the Temporary Certificate is not returned, the picture of the Assistance Dog whose
Temporary Certificate is canceled, the reason, and the number of the Temporary Certificate canceled
will be publicly announced on website of Japan Hearing Dogs for Deaf People.

＊We are completely understand the above contents and protect this consent Format.

Date:
Name of the school from which the team graduated:
Name of the person in charge from the school:Signature of the person in charge:
Contact information: E-mail of the School:

Tel of the School: (Country number) :Fax of the School:
Address of the School:

Name of Assistance Dogs User:
Signature of the Assistance Dogs User:
Contact information: E-mail of the Use:Tel of the User: (Country number) :Fax of the User:
Address of the User: