Sample food items
Food Support Application Form
Information about requirements, documents, location, and important notes is written below the form. Please check before applying.
After application, we will send you a confirmation email. Please make sure to check it.
Who Can Use Our Food Support
-Single-parent households
-Families with 3 or more children
-You or a family member has a disability
-You or a family member has a serious illness
-Households caring at home
The service is not available for:
-People receiving Public Assistance (Seikatsuhogo), Old-Age Pension
-People under 18
Documents to Bring (First Visit Only)
Please bring ID and one document that matches your situation: We only check the documents. We do NOT copy them.
-Single parent → Child allowance / Medical subsidy card / Residence certificate
-Multiple children → Child insurance card or residence certificate
-Disability → Disability certificate
-Illness → Medical certificate or hospital documents
-Home care → Care service documents
Location
Sasazuka Community Hall (Sasazuka kuminkaikan) – 4th Floor
3-1-9 Sasazuka Shibuya-ku, Tokyo 150-0073
-8-minute walk from Sasazuka Station (Keio Line / Toei Shinjuku Line)
-1-minute walk from “Sasazuka Junior High School” bus stop (Keio Bus)
Important Notes
-Bring your own bag
-No parking
-Please manage food safely and check expiration dates
-We may refuse future use if deemed inappropriate
-Personal information is strictly protected
For questions, contact us:
Email: iwatakentaro.gentille@gmail.com