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【被相続人申請書兼誓約書】しながわ電気・ガス料金緊急支援給付金
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This is an application form and written pledge for a representative heir to apply for and receive the Shinagawa Electricity and Gas Rates Emergency Support Benefit on behalf of a deceased person. The representative heir must pledge that all heirs consent and submit the required documents, including proof of death and kinship, identification, and bank account details.
| What | 被相続人の死亡に伴う代表相続人による「しながわ電気・ガス料金緊急支援給付金」の受給申請および誓約 |
|---|---|
| Who | 被相続人の代表相続人 |
| When | 記載なし |
| Where | 記載なし（宛先：品川区長） |
| How | 被相続人申請書兼誓約書および給付金申請書に必要事項を記入し、死亡確認書類（戸籍謄本や除票等）、関係確認書類（戸籍謄本等）、相続人の本人確認書類、振込先口座確認書類を添えて提出する |
| Deadline | 記載なし |
| Contact | 記載なし |
Open the original PDF ↗ 1 pages
Source page: https://www.city.shinagawa.tokyo.jp/PC/kuseizyoho/20260521143719.html
Checked 2026-09-15. 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.