Home › Tools › 保険料控除申告書 Filled In (年末調整 Insurance Form) — ¥1,100
¥1,100 · official 2026 form · arrives by email

保険料控除申告書 filled in, with the math done

This is the year-end adjustment (年末調整) form where you declare life insurance, earthquake insurance, 国民年金 you paid yourself and iDeCo, to pay less tax. You copy the amounts from your certificates. We apply the formulas and send back the official form filled in as a PDF.

Have your deduction certificates (控除証明書) ready. Insurance companies and the 日本年金機構 send them between October and November. Type the amount shown as 申告額 or 証明額.
Your company also hands out the 扶養控除等申告書 and the 基礎控除申告書. We fill in those two for free. Fill them in for free →

Write the insurance company name and the type of insurance in Japanese, as shown on the certificate. Your マイナンバー is not requested and stays blank.

1 · You

2 · 一般の生命保険料 life insurance

3 · 介護医療保険料 medical and nursing care insurance

4 · 個人年金保険料 private pension

5 · 地震保険料 earthquake insurance

6 · 社会保険料 paid by yourself

Only what you paid outside your salary this year: 国民年金, 国民健康保険 from before you joined the company, or a family member's part that you paid.

7 · 小規模企業共済等掛金 iDeCo and similar

8 · Dependent under 23

Your deduction

These are the amounts that go on the form. The deduction lowers the income that tax is calculated on. Your company does the adjustment in the December payslip.

Get it by email

The PDF arrives in your email a few minutes after payment (up to 15 minutes). Check your spam folder too.

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Common questions

What is the 保険料控除申告書?

It is one of the forms your company hands out in November for the year-end tax adjustment (年末調整). On it you declare what you paid for life insurance, earthquake insurance, pension plans and social insurance you paid yourself. If you do not hand it in, you lose the deduction in the adjustment and can only get it back by filing a tax return.

How much can I deduct?

Life, medical and private pension insurance: up to ¥120,000 combined. Earthquake insurance: up to ¥50,000. 国民年金, 国民健康保険 and iDeCo: the full amount you paid. The formulas are printed on the form itself, and they are the ones we apply.

How do I know if my insurance is 新 or 旧?

It is written on the certificate. In general, contracts made in 2012 or later are 新 (new) and earlier ones are 旧 (old). The formulas and limits are different for each.

Do I need to hand in the certificates?

Yes. The form goes to your company together with the original certificates (控除証明書). Keep a copy.

Self-service tool. Results are estimates based on official tables. They do not replace advice from the responsible public office.
All tools · fred@togolog.jp · kakuteieasy.jp