Location
2023年1月6日
How to make a request for a Paper Vaccination Certificate

*You can also apply for electronic certificate via smartphone -- see link at bottom of this page

▶Paper Vaccination Certificate

(1)You may apply in person or by mail
   Please fill out the paper application and submit it in person or mail it in.
(2)It is not possible to issue your certificate on the same day of that you apply.
   The certificate will be available for pick up within a few days
   However, if you would like to have it mailed please prepare an envelope with a return address and postage stamp
  (※if you are missing any necessary documentation it will take even longer)
(3)There is no fee for vaccination certificates
(4)You will need a power of attorney if anyone other than the recipient is applying

▶ Necessary documents for paper application

(1)Application form (see link here)
(2)A valid passport(※a copy of the first page containing photo and personal identification)
(3)Record of your vaccination issued at vaccination venue
   ※If lost or misplaced, present documentation that can prove your "My Number" or your address at the time of your vaccination

【 As needed 】
(4)Documentation to prove previous last name, gender, first name (if name differs on passport)
   Ex: My Number card with previous last name, driver's license, residence registration, passport with previous name / gender, etc.
(5)Return envelope(※ addressed with necessary postage attached)
(6)Power of attorney(※if anyone other than the recipient is applying on their behalf)

▶ If you have a smartphone you can download the COVID-19 Vaccination Certificate Application

How to download and apply for electronic vaccination certificates

Inquiries about contents
Fujiyoshida Office of International Affairs
〒:403-8601
Address:1842 Shimoyoshida Fujiyoshida-shi Ymanashi
TEL:0555-24-1236
FAX:0555-22-0703