Notification submitted by the affiliated organization of a specified skilled worker pertaining to unfair acts (misconduct) under immigration/labor laws and regulations

• Notification

  (Note) The following notification format is for reference only, and it is not absolutely necessary 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 the notification concerns
   • (2) The period of time when the unfair act or misconduct in relation to laws and regulations related to immigration or labor took place, when said unfair act or misconduct became known, and the response to said unfair act or misconduct
   • Details of the unfair act or misconduct, in relation to laws and regulations related to immigration or labor

2. Notification forms

   Reference Form No. 3-5 PDF (in Japanese)Excel (in Japanese)Document examples (in Japanese)
   Reference Form No. 3-5 (separate sheet) PDF (in Japanese)Excel (in Japanese)

   * If more than one instance of misconduct has taken place or more than one person was involved, additional sheets of paper may be used.

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