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- Policies and Statistics
- Specified Skilled Worker Program
- Specified Skilled Worker Operational Outline, Forms, Etc.
- Reference Forms for the Status of Residence "Specified Skilled Worker" (New Versions)
Reference Forms for the Status of Residence "Specified Skilled Worker" (New Versions)
Comprehensive reminders
Please refer to the following pages for details on various procedures regarding comprehensive reminders.
Items related to applications for residency for specified skilled workers
Items related to registering (or renewing) a registered support organization
| Reference forms | Form name | Forms |
|---|---|---|
| No. 2-1 | Registered Support Organization Written Pledge | Word (in Japanese) PDF (in Japanese) |
| No. 2-2 | Overview of the Registered Support Organization | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 2-3 | Support Supervisor Consent of Assignment and Written Pledge | Word (in Japanese) PDF (in Japanese) |
| No. 2-4 | Curriculum Vitae of the Support Supervisor | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 2-5 | Support Manager Consent of Assignment and Written Pledge | Word (in Japanese) PDF (in Japanese) |
| No. 2-6 | Curriculum Vitae of the Support Manager | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 2-7 | Written Pledge for Registered Support Organization Staff | Word (in Japanese) PDF (in Japanese) |
| No. 2-8 | Explanation of the Fees Related to the Consignment of Aid (Estimated) | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
Items related to ad-hoc and periodic notifications
| Reference forms | Form name | Forms |
|---|---|---|
| No. 3-1 | Notification pertaining to the employment contract of a specified skilled worker | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-1 (Attachment) | Notification pertaining to the employment contract of a specified skilled worker (attachment) | Excel (in Japanese) PDF (in Japanese) |
| No. 3-2 | Notification pertaining to changes to the support plan | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-2 (Attachment) | Notification pertaining to changes to the support plan (attachment) | Excel (in Japanese) PDF (in Japanese) |
| No. 3-3 | Notification pertaining to the support contract of the affiliated organization | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-3 (Attachment) | Notification pertaining to the support contract of the affiliated organization (attachment) | Excel (in Japanese) PDF (in Japanese) |
| No. 3-4 | Notification pertaining to employment difficulties | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-4 (Attachment) | Notification pertaining to employment difficulties (attachment) | Excel (in Japanese) PDF (in Japanese) |
| No. 3-5 | Notification pertaining to unfair acts (misconduct under immigration/labor laws and regulations) |
Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-5 (Attachment) | Notification pertaining to unfair acts (misconduct under immigration/labor laws and regulations) (attachment) |
Excel (in Japanese) PDF (in Japanese) |
| No. 3-6 | Notifications regarding acceptances and activities | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-6 (Attachment) | Acceptance and payment status of foreign national specified skilled workers | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-7 | Notification pertaining to the status of implementation of a support system | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-7 (Attachment) | List of specified skilled workers (i) to be supported | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 4-1 | Notification pertaining to the suspension or dissolution of support services | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 4-2 | Notification of the resumption of support services | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 4-3 | Notification pertaining to the status of implementation of a support system | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 4-3 (Attachment) | List of specified skilled workers (i) to be supported | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 4-4 | Notification regarding changes to registration items (Appendix Form 29-16) |
Excel (in Japanese) PDF (in Japanese) |
| No. 5-1 | Improvement report (Article 19-19) | Word (in Japanese) PDF (in Japanese) |
| No. 5-2 | Improvement report (Article 19-21) | Word (in Japanese) PDF (in Japanese) |
| No. 5-3 | Improvement report (Article 19-31) | Word (in Japanese) PDF (in Japanese) |
| No. 5-4 | Consultation records | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 5-5 | Periodic interview (written report, for foreign national specified skilled workers (i)) | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 5-6 | Periodic interview (written report, for supervisors) | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 5-7 | Proof of payment of remuneration | Word (in Japanese) PDF (in Japanese) |
| No. 5-8 | Confirmation of orientation for life in Japan | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 5-9 | Confirmation of advance guidance | Word (in Japanese) PDF (in Japanese) |
| No. 5-10 | Support contract | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 5-11 | Document outlining the particular circumstances which have resulted in difficulties in accepting a specified skilled worker | Word (in Japanese) Excel (in Japanese) PDF (in Japanese) |
Forms in English and nine other languages
Forms that require the applicant's signature and full understanding (*1) have been published in English and nine other languages.
Please note that with certain system settings, some languages may not display correctly.
| Language | Forms |
|---|---|
| English | (Word) (Excel) (PDF)(※２) |
| Vietnamese | (Word) (Excel) (PDF)(※3) |
| Tagalog | (Word) (Excel) (PDF)(※3) |
| Indonesian | (Word) (Excel) (PDF)(※3) |
| Thai | (Word) (Excel) (PDF)(※3) |
| Myanmar Language | (Word) (Excel) (PDF)(※3) |
| Khmer | (Word) (Excel) (PDF)(※3) |
| Mongolian | (Word) (Excel) (PDF)(※3) |
| Nepali | (Word) (Excel) (PDF)(※3) |
| Chinese | (Word) (Excel) (PDF)(※3) |
(*1)
Form No. 1-3 Health Check Report
Form No. 1-5 Employment Contract for Specified Skilled Workers
Form No. 1-6 Written Employment Conditions
Form No. 1-7 Confirmation of Advance Guidance
Form No. 1-10 Written Declaration on the Transfer of Skills
Form No. 1-13 Statement of Employment Conditions
Form No. 1-16 Explanation of Employment Background
Form No. 1-17 Support Plan for Specified Skilled Workers (i)
Form No. 5-7 Proof of Payment of Remuneration
Form No. 5-8 Confirmation of Orientation for Life in Japan
(*2)
Forms No. 1-13 and 1-17 are only available as Excel documents, due to their use of variable data. All other reference forms are available as Word documents
(*3)
Form No. 1-13 is only available as an Excel document, due to its use of variable data. All other reference forms are available as Word documents.
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