Those who satisfy all of the following 1 to 3.

1. Those who are registered as residents of Nerima Ward as of April 1, 2022 (*1)
2. Females born between April 2, 1997 and April 1, 2011
3. Those who have received the HPV vaccine at their own expense after April 1, 2013 (*2)

(*1) If you are not registered as a resident in Nerima Ward as of April 1, 2022, apply to the municipality where you were registered as a resident as of April 1.
For those who have been vaccinated after April 1, 2022, those who are registered as residents in Nerima Ward as of the date of vaccination are eligible.
(*2) The type of vaccine is limited to Cervarix (bivalent) or Gardasil (tetravalent). Sylgard 9 (9-valent) is not applicable.

Please submit all documents from 1 to 5 below.

However, if either 4 or 5 cannot be submitted, the application will be accepted with only one.
If you cannot submit both 4 and 5, your application will not be accepted.
If you are unable to download or print the documents to be submitted, please contact us using the contact details below.

1. Voluntary inoculation reimbursement payment application and bill (Word: 26KB) pertaining to human papillomavirus (HPV) infectious disease (*1)
Click here for an example (Word: 55KB)
2. A copy of a document that confirms the name, address, and date of birth of the person who has been vaccinated (*2)
(driver's license, health insurance card, etc.)
3. A copy of the bankbook or cash card of the financial institution to which you wish to make the transfer (to confirm the account number, etc.)
Four. Original document certifying payment of vaccination fee (*3)
(Receipts and statements, payment certificates, etc.)
Five. Documents that can confirm vaccination records (*4)
(Mother and Child Health Handbook, medical record kept at the medical institution where the vaccination was given, certificate for voluntary vaccination reimbursement application for human papillomavirus infection, etc. (Word: 14KB) )

(*1) The applicant is a guardian for minors (under 18 years old), and the applicant himself/ herself for adults (18 years old or older) .
(*2) If the applicant and the recipient are different, a copy of a document confirming the name, address, and date of birth of both parties is required.
(*3) Receipts showing only the total amount cannot be accepted. Please submit a medical statement that shows the breakdown of the amount.
(*4) The document fee for issuing a certificate of vaccination record is not covered (own expense).

In principle, the actual cost , however, the amount determined by the ward for those who have submitted only documents that can confirm the vaccination record

Please mail it to the address below or submit it to the counter.
〒176-8501
6-12-1 Toyotama Kita, Nerima-ku, Tokyo East Government Building 6th Floor, Nerima-ku Public Health Center Health Prevention Division Prevention Section Phone 03-5984-2484

March 31, 2025 (valid postmark on the day)

1. After receiving the grant application, we will review the documents and send a notification of grant or non-grant decision to the applicant's address.
2. For those who decide to receive the subsidy, it will be transferred to the designated account about two months after the date of receiving the subsidy application.