Notification submitted by the affiliated organization of a specified skilled worker pertaining to employment difficulties

• Notification

  (Note) The following notification format is for reference only. You do not necessarily need to follow this format. However, please use this format where possible to avoid incomplete notifications.

• Presentation of proof of identity (or enclose a copy of your identification if you mail it in)

  (Note) Depending on the content of the notification, additional proof may be required.

1. Notification items

   • (1) The name, date of birth, sex, nationality/region, place of residence, and residence card number of the specified skilled foreigner
   • (2) The reasons for the difficulty in acceptance, as well as the time and cause of the difficulty
   • (3) Current status of the specified skilled worker
   • (4) Measures for the continuation of the activities of the specified skilled worker

2. Notification forms

   Reference Form No. 3-4 PDF (in Japanese)Excel (in Japanese)Document examples (in Japanese)
   Reference Form No. 3-4 (separate sheet) PDF (in Japanese)Excel (in Japanese)

   * If there are multiple relevant individuals, you can use a separate sheet of paper.

This notification should be made prior to the termination of the specified skilled worker’s employment contract and prior to the notification of said termination.
If, for some unavoidable reason, the notification cannot be submitted prior to contract termination, submit it along with the notice of termination of the specified skilled worker’s contract.

(Note) To avoid reducing the size of the copy, uncheck "Reduce page to fit paper size (K)" in the print dialog box before printing.