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/Laws/Pensions, insurance and welfare/Ordinance for Enforcement of the Employment Insurance Act/Form No. 11-4 様式第１１号の４

Form No. 11-4

様式第１１号の４（第１７条の２関係）

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Ordinance for Enforcement of the Employment Insurance Act

雇用保険法施行規則（こようほけんほうしこうきそく）

305 articlesIn force 22 October 2026

Enacting Statement 1 Chapter I General Provisions Chapter II Covered Businesses, etc.Chapter III Benefits for Unemployment Section 1 General Rules Section 2 Job Applicant Benefits for Generally Insured Persons Subsection 1 Basic Allowance Subsection 2 Skill Acquisition Allowance and Lodging Allowance Subsection 3 Injury and Disease Allowance Section 3 Job Applicant Benefits for Elderly Insured Persons Section 4 Job Applicant Benefits for Specially Insured Persons in Short-Term Employment Section 5 Job Applicant Benefits for Insured Day Workers Section 6 Employment Promotion Benefits Section 6-2 Educational Training Benefits Section 7 Continuous Employment Benefits Subsection 1 Continuous Employment Benefits for the Elderly Subsection 2 Deleted Subsection 3 Nursing Care Leave Benefits Chapter III-2 Childcare Leave Benefits, etc.Chapter IV Employment Stabilization Programs Section 1 Employment Stabilization Program Section 2 Human Resources Development Programs Section 3 Regional Employment Revitalization Promotion Programs and Regional Revitalization Employment Creation Projects Section 4 Orders to Return Benefits, etc. and Publication of Employer Names, etc.Chapter V Miscellaneous Provisions

Appended Table 1Deleted Appended Table 2 Form No. 1 Forms No. 2 to 4Deleted Form No. 5 Form No. 6 Form No. 62 Form No. 6-2 Form No. 6-3 Form No. 7 Form No. 8 Form No. 9Deleted Form No. 9-2 Form No. 10 Form No. 10-2 Form No. 10-2-2 Form No. 10-2-3 Form No. 10-3 Form No. 10-4 Form No. 11 Form No. 11-2 Form No. 11-3 Form No. 11-4 Form No. 11-5 Form No. 12 Form No. 13Deleted Form No. 14 Form No. 15 Form No. 16 Form No. 17 Form No. 18 Form No. 20 Form No. 22 Form No. 22-3 Form No. 24 Form No. 25 Form No. 26 Form No. 28 Form No. 29Deleted Form No. 29-2 Form No. 29-2-2 Form No. 29-3 Form No. 30 Form No. 31 Form No. 32 Form No. 32-2Deleted Form No. 32-3 Form No. 32-4 Form No. 33-2 Form No. 33-2-2 Form No. 33-2-3 Form No. 33-2-4 Form No. 33-2-5 Form No. 33-2-6 Form No. 33-2-7 Form No. 33-2-8 Form No. 33-2-9 Form No. 33-2-10 Form No. 33-2-11 Form No. 33-2-12 Form No. 33-3 Form No. 33-3-2 Form No. 33-4 Form No. 33-5Deleted Form No. 34

Cited by4

Article 17-2, paragraph (1), item (iv)
Procedures for Claiming Unpaid Benefits for Unemployment, etc.
“Form No. 11-4”
Supplementary Provisions, Article 2, paragraph (2)
Transitional Measures accompanying the Partial Amendment of the Ordinance for Enforcement of the Employment Insurance Act, etc.
「様式第十一号の四」「新雇保則様式第十一号の四」
Supplementary Provisions, Article 3, paragraph (1)
Transitional Measures Concerning Forms
「様式第十一号の四」「新雇保則様式第十一号の四」
Supplementary Provisions, Article 6, paragraph (6)
Transitional Measures Accompanying the Partial Amendment of the Ordinance for Enforcement of the Employment Insurance Act
「様式第十一号の四」「新雇保則様式第十一号の四」

This version

as amended by Ministerial Order Partially Amending the Ordinance for Enforcement of the Employment Insurance Act (Ministry of Health, Labour and Welfare Order No. 149 of 2026)雇用保険法施行規則の一部を改正する省令

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