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豊島区若年がん患者在宅療養支援事業助成金交付申請書兼請求書
health
This form is for applying for and claiming subsidies under the Toshima Ward Young Cancer Patient Home Care Support Project. Subsidies cover expenses including physician medical opinion reports, care plan preparation, home care services, and the rental or purchase of welfare equipment. Applicants must attach copies of receipts and detailed service statements along with the application form.
| What | 豊島区若年がん患者在宅療養支援事業に係る助成金（主治医意見書作成、ケアプラン作成、居宅サービス、福祉用具の貸与・購入費用）の交付申請および請求 |
|---|---|
| Who | 若年がん患者在宅療養支援事業の助成対象者および申請者（生活保護受給世帯は助成割合が10/10） |
| When | 記載なし |
| Where | 豊島区長宛（提出先窓口の記載なし） |
| How | 助成金交付申請書兼請求書に請求金額、振込先口座情報等を記入し、領収書や利用したサービス等の明細書の写しなどの関係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.toshima.lg.jp/588/kenko/2606180957.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.