Application for reissue COVID-19 vaccination coupons

1

Input your information
2

Confirmation of your information
3

Completion of the application for reissue

About the application for reissue vaccination coupons

If you have lost the vaccination coupon, or have moved to another municipality after receiving your vaccination coupon and your registered domicile has changed, please apply to the municipality(city, special wards, towns, villages) where your registered domicile.

* Please apply here for the booster shot (3rd and 4th dose, and for vaccinations starting in Autumn 2022) vaccination voucher.

Some municipalits do not accept your notifications from this page.

If municipality where you want to get vaccinated do not accept notifications from this page, contact your municipal office.

Application for reissue vaccination coupons

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

Municipality on the certification of residence

Select the prefecture.

Select a city.

The selected municipality is not currently accepting vaccination coupon reissue applications on the COVID-19 Vaccine Navi. For more information, please contact the municipality.

Name

First name

Last name

Please enter the last name.

Please enter the last name within 20 characters.

The last name contains invalid characters. Please enter with hiragana, katakana, kanji, and alphanumeric characters, including punctuation and spaces.

Please enter the first name.

Please enter the first name within 20 characters.

The first name contains invalid characters. Please enter with hiragana, katakana, kanji, and alphanumeric characters, including punctuation and spaces.

Date of birth

Please select the year of the date of birth.

Please select the month of the date of birth.

Please select the day of the date of birth.

Please check the date of birth. The selected date does not exist.

Phone number

Please enter the phone number.

Please enter a correct phone number. Please enter 10 digits or 11 digits number beginning with 0.

Please enter the phone number within 11 characters.

The address on the certification of residence

Zip code

Please enter the zip code.

Please enter the zip code with half-width numbers.

Please enter the zip code with 7 charcaters.

Cannot search an address from the zip code.

The address on the certification of residence

Please enter the address.

Please enter the address within 120 characters.

The address contains invalid characters. Please enter with katakana and alphanumeric characters, including punctuation and spaces.

Shipping address

* Please enter if the shipping address differents from that of your certification of residence.

OPEN CLOSE

Zip code

Please enter the zip code.

Please enter the zip code with half-width numbers.

Please enter the zip code with 7 charcaters.

Cannot search an address from the zip code.

Shipping address

Please enter the address.

Please enter the address within 120 characters.

The address contains invalid characters. Please enter with katakana and alphanumeric characters, including punctuation and spaces.

Name of mansion

Please enter the name of mansion within 40 characters.

The name of mansion contains invalid characters. Please enter with hiragana, katakana, kanji, and alphanumeric characters, including punctuation and spaces.

The reason for reissueing

* If you choose "Others", please enter the reason below.

Please select the reason for reissueing.

Please enter "reason for reissueing" when you select "Others".

Please enter the reason for reissueing within 120 characters.

The reason for reissueing contains invalid characters. Please enter with hiragana, katakana, kanji, and alphanumeric characters, including punctuation and spaces.

vaccination status

not vaccinated

only took first-dose

took second-dose * For infants

Please select the inoculation status

I agree with the terms of use and privacy policy

You must agree to the terms of use and privacy policy.

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Confirmation of your information

1

Input your information
2

Confirmation of your information
3

Completion of the application for reissue

Input information

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

Municipality on the certification of residence

Name

Date of birth

Phone number

The address on the certification of residence

Shipping address

The reason for reissueing

vaccination status

Application for reissue completed

1

Input your information
2

Confirmation of your information
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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