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葛飾区子育て家庭等家事サポーター利用申請書
childrenadmin
This is an application form for the Katsushika City Housework Supporter Dispatch Service, intended for households with pregnant women or infants who have no one to assist them and find childcare or housework difficult. Applicants fill out their details, including expected delivery date or information about children under 3 years old, and submit it with required consents.
| What | 葛飾区子育て家庭等家事サポーター派遣事業の利用申請 |
|---|---|
| Who | 家庭内に妊婦および乳幼児を介助するものがおらず、育児や家事が困難な状況となっている子育て家庭等（妊婦を含む） |
| When | 記載なし |
| Where | 記載なし |
| How | 利用申請書に必要事項（申請者・妊婦情報、出産予定日、親子健康手帳番号、3歳未満の子の情報等）を記入し、同意事項にチェックの上提出する |
| Deadline | 記載なし |
| Contact | 子育て応援課（電話番号等の記載なし） |
Open the original PDF ↗ 1 pages
Source page: https://www.city.katsushika.lg.jp/kosodate/1000056/1002333/1025713.html
Checked 2026-09-13. This page restates the PDF in a fixed structure; nothing is added or removed. Where the PDF does not say, the field reads "not stated". The original Japanese PDF is authoritative — confirm dates and conditions there.