You can apply for one person with one application.
The destination of the vaccination ticket will be the location of the certificate of residence of the person to be vaccinated.
Please use the "application form" below and attach a document that shows your vaccination history (such as a certificate of vaccination) with photo data, etc., and apply.
(explanatory note) When sending is hoped for outside resident's card address , please use mail application as there are necessary documents separately.
Please note that we cannot accept your application if any of your name, address, or date of birth is entered incorrectly.
We do not respond to inquiries regarding application acceptance.

(Note) Applications will not be accepted from 10:00 pm on Wednesday, January 25, 5th year of Reiwa to 5:00 am on Thursday, January 26th, 2023 due to scheduled maintenance.

You can apply for multiple people in the same household with one application.
Required documents vary depending on the destination of the vaccination ticket.

• Vaccination ticket issuance application form
• A copy of your vaccination history (certificate of vaccination, etc.)

Please send

The required documents differ depending on the applicant.

• Vaccination ticket issuance application form
• A copy of the identity verification document of the person to be vaccinated (license, insurance card, etc.)
• A copy of the document that can confirm the whereabouts of the vaccinated person (contract for admission to a facility, hospitalization certificate, etc.)
• A copy of your vaccination history (certificate of vaccination, etc.)

Please send

• Vaccination ticket issuance application form
• Power of attorney (The name of the person entrusted must be signed by the person who entrusted (the person who is vaccinated))
• A copy of the agent's identity verification document (driver's license, insurance card, etc.)
• A copy of the document that can confirm the whereabouts of the vaccinated person (contract for admission to a facility, hospitalization certificate, etc.)
• A copy of your vaccination history (certificate of vaccination, etc.)

Please send

〒176-8501 6-12-1 Toyotama Kita, Nerima-ku, Tokyo Nerima Ward Office Residents' Vaccination Section

(explanatory note) We cannot keep application in ward resident office, welfare office.

After receiving the application, it will be sent in about two weeks.

After receiving the application, it will be sent approximately one week before five months have passed since the date of the second vaccination. If 5 months have already passed, it will be sent in about 2 weeks.

After receiving the application, we will send it about two weeks before the 5th month from the date of the third vaccination. If 5 months have already passed, it will be sent in about 2 weeks.