# 労働保険の保険料の徴収等に関する法律施行規則 / Ordinance for Enforcement of the Act on the Collection, etc. of Insurance Premiums of Labor Insurance — 第二十条の四 (Article 20-4)

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- Law: 労働保険の保険料の徴収等に関する法律施行規則 (Ordinance for Enforcement of the Act on the Collection, etc. of Insurance Premiums of Labor Insurance), 昭和四十七年労働省令第八号
- English title "Ordinance for Enforcement of the Act on the Collection, etc. of Insurance Premiums of Labor Insurance": claude-opus-5-5
- Kind: MinisterialOrdinance — the distinction between 法律 (Act), 政令 (Cabinet Order), 省令 (Ministerial Order) and 条例 (local ordinance) decides who may issue it and what it may say.
- Provision: 第二十条の四 (Article 20-4)（労災保険率特例適用申告書） — address `art-20-4`
- Text in force since: 2026-05-21
- URL (the page that opens at this provision): https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4
- e-Gov law ID: 347M50002000008 — never renamed. A permanent link, `/l/{lawId}/{address}` on this site, redirects to the page.
- Every provision below carries its address and its URL on the line under it.
- Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below.

Only the Japanese as published by the government has legal effect; the text
below is a copy of it. Every English rendering below is a translation and
says which kind: the Ministry of Justice's translation, or this
site's machine translation, whose model and date the Sources list names.
They are never merged and never substituted for one another.

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### 第二十条の四（労災保険率特例適用申告書） — Written Declaration for Application of the Special Provisions for the Industrial Accident Insurance Rate
<sup>caption: machine translation, not official</sup>
<sup>art-20-4 · https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4</sup>

**第一項**  法第十二条の二の厚生労働省令で定める事項は、次のとおりとする。
<sup>art-20-4/par-1 · https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4/par-1</sup>
The matters specified by Order of the Ministry of Health, Labour and Welfare under Article 12-2 of the Act are as follows:
<sup>machine translation, not official</sup>

  **一**  労働保険番号
  <sup>art-20-4/par-1/item-1 · https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4/par-1/item-1</sup>
  Labor insurance number;
  <sup>machine translation, not official</sup>

  **二**  事業の名称及び事業の行われる場所
  <sup>art-20-4/par-1/item-2 · https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4/par-1/item-2</sup>
  Name of the business and the place where the business is conducted;
  <sup>machine translation, not official</sup>

  **三**  事業主の氏名又は名称及び住所又は所在地
  <sup>art-20-4/par-1/item-3 · https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4/par-1/item-3</sup>
  The employer's name or title, and address or location;
  <sup>machine translation, not official</sup>

  **四**  事業主が行う事業の概要
  <sup>art-20-4/par-1/item-4 · https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4/par-1/item-4</sup>
  an outline of the business conducted by the employer;
  <sup>machine translation, not official</sup>

  **五**  事業主が常時使用する労働者数
  <sup>art-20-4/par-1/item-5 · https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4/par-1/item-5</sup>
  the number of workers constantly employed by the employer; and
  <sup>machine translation, not official</sup>

  **六**  事業主が講じた前条の労働者の安全又は衛生を確保するための措置及び当該措置の講じられた保険年度
  <sup>art-20-4/par-1/item-6 · https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4/par-1/item-6</sup>
  the measures referred to in the preceding Article that the employer has taken to secure safety or health of the workers, and the insurance year in which those measures were taken.
  <sup>machine translation, not official</sup>

**第二項**  前項第六号に掲げる事項については、事業場の所在地を管轄する都道府県労働局長の確認を受けなければならない。
<sup>art-20-4/par-2 · https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4/par-2</sup>
The matters listed in item (vi) of the preceding paragraph must be confirmed by the Director of the Prefectural Labor Bureau having jurisdiction over the location of the workplace.
<sup>machine translation, not official</sup>

**第三項**  法第十二条の二の申告書には、前条の労働者の安全又は衛生を確保するための措置が講じられたことを明らかにすることができる書類を添えなければならない。
<sup>art-20-4/par-3 · https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4/par-3</sup>
Documents by which it can be made clear that the measures referred to in the preceding Article to secure safety or health of the workers have been taken must be attached to the written declaration under Article 12-2 of the Act.
<sup>machine translation, not official</sup>

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## Cites
- art-20-4/par-1: 法第十二条の二 → 労働保険の保険料の徴収等に関する法律 第十二条の二 (Article 12-2), art-12-2 — https://japanlaw.org/ja/labor-insurance-premium-collection-act/art-12-2 (e-Gov law ID 344AC0000000084)
- art-20-4/par-1/item-6: 前条 → 労働保険の保険料の徴収等に関する法律施行規則 第二十条の三 (Article 20-3), art-20-3 — https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-3
- art-20-4/par-2: 前項第六号 → 労働保険の保険料の徴収等に関する法律施行規則 第二十条の四第一項第六号 (Article 20-4, paragraph (1), item (vi)), art-20-4/par-1/item-6 — https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4/par-1/item-6
- art-20-4/par-3: 法第十二条の二 → 労働保険の保険料の徴収等に関する法律 第十二条の二 (Article 12-2), art-12-2 — https://japanlaw.org/ja/labor-insurance-premium-collection-act/art-12-2 (e-Gov law ID 344AC0000000084)
- art-20-4/par-3: 前条 → 労働保険の保険料の徴収等に関する法律施行規則 第二十条の三 (Article 20-3), art-20-3 — https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-3

## Cited by

2 provisions cite this one. No official source publishes this direction.

- 労働保険の保険料の徴収等に関する法律施行規則 第二十条の四第二項（労災保険率特例適用申告書） — https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-20-4/par-2
- 労働保険の保険料の徴収等に関する法律施行規則 第七十八条第一項（申請書の提出等の経由） — https://japanlaw.org/ja/labor-insurance-premium-collection-act-enforcement-ordinance/art-78/par-1

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## Sources

- claude-opus-5-5 — English title of a law in this collection, written for this site, written 2026-11-06
- e-Gov 法令検索, Digital Agency (デジタル庁) — 労働保険の保険料の徴収等に関する法律施行規則 — the text in force from 2026-05-21 (https://laws.e-gov.go.jp/law/347M50002000008/20260521_508M60000100088), retrieved 2026-11-06
- claude-sonnet-5-5 — Machine translation, batch labor-insurance-premium-collection-act-enforcement-ordinance-20261106T133737-005, translated 2026-11-07
- claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch labor-insurance-premium-collection-act-enforcement-ordinance-20261106T133737-005, translated 2026-11-07
- claude-sonnet-5-5 — Machine translation, batch labor-insurance-premium-collection-act-enforcement-ordinance-20261106T133737-006, translated 2026-11-07
- claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch labor-insurance-premium-collection-act-enforcement-ordinance-20261106T133737-006, translated 2026-11-07
- This site's parser, version 227 — 労働保険の保険料の徴収等に関する法律施行規則 — structure, counts, cross-references and defined terms, computed 2026-11-06