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Application for the booster shot (3rd dose) vaccination voucher

  1. 1

    Input your information

  2. 2

    Confirmation of your information

  3. 3

    Completion of the application for reissue

About the Application for the booster shot (3rd dose) vaccination voucher

In case that you have not received a voucher after more than 8 months since your 2nd dose, please apply to re-issue the voucher.
Please be aware that it is especially necessary to apply for the voucher in the case of following:
・if you moved to another city after receiving the 2nd dose
・if you received your vaccination oversea (only for those who have completed 2 doses of Pfizer, Moderna, or AstraZeneca)
・if you received 2 doses of vaccination through the oversea Japanese vaccination service.
* Those who haved NOT completed the 2 doses of vaccination are not eligible for applying for the booster shot (3rd dose).

Some municipalits do not accept your notifications from this page.

How to apply when your city does not accept the application for the voucher from this website.
Please inquiry at the city for the information about the application at the reception of the city, or application by post.

Application for the booster shot (3rd dose) vaccination voucher

Fill out the form below, and click the "Confirm" button to proceed to the confirm page.

Municipality on the certification of residence
Confirmation
Name
Date of birth

The address on the certification of residence

Reason for notification

Status of the 1st and 2nd dose of vaccination

The 1st dose of vaccination
The 2nd dose of vaccination

Confirmation of your information

  1. 1

    Input your information

  2. 2

    Confirmation of your information

  3. 3

    Completion of the application for reissue

Input information

Check the input information, and click the "Submit" button.

Municipality on the certification of residence
Confirmation
If you received a voucher for the booster shot (3rd dose) from your previous address, please discard it.
Name
Date of birth
Phone number
The address on the certification of residence
Shipping address
Reason for notification
Status of the 1st and 2nd dose of vaccination
The 1st dose of vaccination
Date of vaccination
Type of vaccination
Method of vaccination
The 2nd dose of vaccination
Date of vaccination
Type of vaccination
Method of vaccination

Application for reissue completed

  1. 1

    Input your information

  2. 2

    Confirmation of your information

  3. 3

    Completion of the application for reissue

Application for reissue has been completed

Please keep this receipt number as it will be necessary for inquiries.
In addition, it will take a certain period of time to issue. Please connect with the municipalities directly if it is urgent.

Apply number:


Apply date:

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