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Application, notification, etc. related to the Liquefied Petroleum Gas Act

Last updated on April 1, 2024.

About application, report style, etc.

For applications and notifications, please refer to the “Guidelines for Application and Notification of Law Concerning Security of Liquefied Petroleum Gas and Proper Transactions” in preparation for the required documents.
The application and notification form (book) required for application and reference form in attached documents can be downloaded from this page, so please use it as necessary.

Guide for application and notification of law on ensuring the security of liquefied petroleum gas and optimizing transactions

Form for application and notification of law on ensuring the security of liquefied petroleum gas and optimizing transactions

About electronic application

Electronic application is possible for some procedures related to the Liquefied Petroleum Gas Act.
For the latest information such as procedures and precautions for electronic application, please refer to the "Information for Electronic Application".

Enforcement Regulations of the Act on Ensuring the Security of Liquefied Petroleum Gas and Proper Trading (Ministry of International Trade and Industry Ordinance No. 11 of 1997)

Form for Enforcement of the Law Concerning the Security of Liquefied Petroleum Gas and Proper Transactions
Style number Form name Download (word format)
Regulation Form No. 1 Application for registration of liquefied petroleum gas sales business Download (word: 23KB)
Regulation Form No. 2 Copy of liquefied petroleum gas sales company register (view) invoice Download (word: 23KB)
Regulation Form No. 3 Registered Administrative Agency Change Notification Download (word: 23KB)
Regulation Form No. 5 Notification of change of liquefied petroleum gas sales offices, etc. Download (word: 23KB)
Regulation Form No. 6 Liquefied petroleum gas sales business succession notification (A) Download (word: 23KB)
Regulation Form No. 7 Notification of Succession of Liquefied Petroleum Gas Sales Business (B) Download (word: 23KB)
Regulation Form No. 7-2 Certificate of Transfer of Liquefied Petroleum Gas Sales Business Download (word: 23KB)
Regulation Form No. 8 Certificate of Inheritance of Liquefied Petroleum Gas Sales Operator Download (word: 23KB)
Regulation Form 9 Liquefied petroleum gas sales company inheritance certificate Download (word: 23KB)
Regulation Form 9-2 Liquefied petroleum gas sales company business succession certificate Download (word: 23KB)
Regulation Form No. 10 Notification of appointment (dismissal) of chief of business Download (word: 23KB)
Regulation Form No. 11 Notification of abolition of liquefied petroleum gas sales business Download (word: 23KB)
Regulation Form No. 12 Security Agency Certification Application Form Download (word: 23KB)
Regulation Form No. 13 Security Operations Plan Download (word: 24KB)
Regulation Form No. 14 Application for renewal of Security Agency certification Download (word: 23KB)
Regulation Form No. 15 Application for approval of increase in the number of general consumers Download (word: 23KB)
Regulation Form No. 16 Notification of decrease in the number of general consumers Download (word: 23KB)
Regulation Form No. 17 Application for Approval of Security Operations Regulations Download (word: 23KB)
Regulation Form No. 18 Application for Approval of Change of Security Operations Regulations Download (word: 23KB)
Regulation Form No. 19 Authorized administrative agency change notification Download (word: 23KB)
Regulation Form No. 20 Notification of Change of Security Agency Download (word: 23KB)
Regulation Form No. 21 Notification of Succession of Security Institutions (A) Download (word: 23KB)
Regulation Form No. 22 Notification of Succession of Security Agency (B) Download (word: 23KB)
Regulation Form No. 22-2 Certificate of Transfer of Security Agency Business Download (word: 23KB)
Regulation Form No. 23 Certificate of Inheritance of Security Institutions Download (word: 23KB)
Regulation Form No. 24 Certificate of Inheritance of Security Institutions Download (word: 23KB)
Regulation Form No. 24-2 Certificate of Succession of Security Agency Business Download (word: 23KB)
Regulation Form No. 25 Notification of the abolition of security services Download (word: 23KB)
Regulation Form No. 26 Application for Certification of Liquefied Petroleum Gas Sales Operators Download (word: 23KB)
Regulation Form No. 27 Certified liquefied petroleum gas sales company status report Download (word: 24KB)
Regulation Form No. 27-2 Certified liquefied petroleum gas sales company succession status report Download (word: 24KB)
Regulation Form No. 28 Application for permission to install storage facilities, etc. Download (word: 23KB)
Regulation Form No. 29 Application for permission to change storage facilities, etc. Download (word: 23KB)
Regulation Form No. 30 Notification of change of storage facilities, etc. Download (word: 23KB)
Regulation Form No. 31 Application for completion inspection of storage facilities Download (word: 23KB)
Regulation Form No. 33 Notification of completion inspection of storage facilities Download (word: 23KB)
Regulation Form No. 34 Completion inspection result report for storage facilities Download (word: 23KB)
Regulation Form No. 35 Application for Permitted Equipment Download (word: 23KB)
Regulation Form No. 36 Application for permission to change equipment Download (word: 23KB)
Regulation Form No. 37 Notification of change of equipment Download (word: 23KB)
Regulation Form No. 38 Application for completion of filling equipment Download (word: 23KB)
Regulation Form No. 40 Notification of completion inspection of filling equipment Download (word: 23KB)
Regulation Form No. 41 Completion test result report Download (word: 23KB)
Regulation Form No. 44 Application for equipment security inspection Download (word: 23KB)
Regulation Form No. 46 Notification of equipment security inspection Download (word: 23KB)
Regulation Form No. 47 Results of Safety Inspections Download (word: 23KB)
Regulation Form No. 48 Liquefied petroleum gas facility construction notification Download (word: 23KB)
Regulation Form No. 56 Notification of start of specific liquefied petroleum gas equipment construction business

Download (word: 23KB)
[Example] (Word: 28KB)

Regulation Form No. 57 Notification of change in specified liquefied petroleum gas equipment construction business Download (word: 23KB)
Regulation Form No. 58 Notification of abolition of specified liquefied petroleum gas equipment construction business Download (word: 23KB)

Liquefied Petroleum Gas Safety Regulations (Article 52 of the Ministry of International Trade and Industry Ordinance of 1966)

Liquefied Petroleum Gas Safety Regulations
Style number Form name Download (word format)
Liquistone Regulation No. 57 Accident Report Download (word: 19KB)
Liquid Stone Regulation No. 57-2

Accident notification (in the case of accidents related to specified consumption equipment)

Download (word: 20KB)

Yokohama City Liquefied Petroleum Gas Safety and Proper Transaction Guidelines

Act on Ensuring Security of Liquefied Petroleum Gas and Proper Transactions in Yokohama City
Style number Form name Download (word format)
No. 33 Request for certification Download (word: 26KB)

Guide for application and notification of law on ensuring the security of liquefied petroleum gas and optimizing transactions

Guide for application and notification of law on securing security of liquefied petroleum gas and appropriateness of transactions Reference format
Style number Form name

Download (word format or excel format)

Reference Form No. 1 Overview of Liquefied Petroleum Gas Sales Offices Download (word: 30KB)
Reference Form No. 2 Location and structure of storage facilities Download (word: 19KB)
Reference Form No. 3 Scheduled sales area and number of units Download (word: 20KB)
Reference Form No. 4 Overview of Security Operations Download (word: 21KB)
Reference Form No. 5 Non-applicable pledge (individual) ※For distributors Download (word: 20KB)
Reference Form No. 6 Reason for disqualification No applicable pledge (corporate) ※For distributors Download (word: 26KB)
Reference Form No. 7 Consignment pledge for storage of liquefied petroleum gas filling containers, etc. Download (word: 17KB)
Reference Form No. 8 Overview of liquefied petroleum gas sales offices, etc. related to succession Download (word: 40KB)
Reference Form No. 9 Number of Consumers Related to Succession Download (word: 52KB)
Reference Form No. 10 CV of the person to be elected Download (word: 17KB)
Reference Form No. 11-1 Liquefied Petroleum Gas Sales Business Report

Download (word: 19KB)
[Example] (PDF:270KB)

Reference Form No. 11-2 Details of the number of general consumers, etc. to sell Download (Excel: 13KB)
Reference Form No. 11-3 Details of the Contractor Security Agency Download (Excel: 10KB)
Reference Form No. 12 Certified Consumer Percentage Statement Download (word: 115KB)
Reference Form No. 13 Security Equipment Statement Download (word: 30KB)
Reference Form No. 14 Overview of Constant Monitoring System in Environmental Pollution Monitoring Center Download (word: 49KB)
Reference Form No. 15 Overview of monitoring systems at each sales office Download (word: 39KB)
Reference Form No. 16 Certified Security Agency that performs emergency dispatch operations Download (word: 24KB)
Reference Form No. 17

Name, location, and location of business sites related to security operations
Number of General Consumers, etc. by Security Operations

Download (word: 18KB)
Reference Form No. 18

Name and location of the store that has concluded a security business agreement
And the number of general consumers, etc. by security business category

Download (word: 18KB)
Reference Form No. 19 Consumer statement related to security operations Download (word: 20KB)
Reference Form No. 20 List of Qualifications for Security Services, etc. Download (word: 20KB)
Reference Form No. 21 Number of Security Services Qualified Persons Download (word: 21KB)
Reference Form No. 22 Number of Equipment for Security Operations Download (word: 21KB)
Reference Form No. 23 Non-applicable pledge (individual) ※For security agencies Download (word: 17KB)
Reference Form No. 24 Reason for disqualification No applicable pledge (corporate) ※For security agencies Download (word: 18KB)
Reference Form No. 25 Documents concerning officers and members Download (word: 18KB)
Reference Form No. 26 List of Large Shareholders Download (word: 15KB)
Reference Form No. 27 Documents related to the type of business other than security business and the contents of business Download (word: 17KB)
Reference Form No. 28 Security Operations Implementation Status Report

Download (word: 35KB)
[Example] (PDF:270KB)

Reference Form No. 29 Statement of location and structure of storage facilities Download (word: 28KB)
Reference Form No. 30 Overview of the situation near storage facilities Download (word: 23KB)
Reference Form No. 31 Statement of position and structure of specified supply facilities Download (word: 35KB)
Reference Form No. 32 Statement of position and structure of specified bulk supply facilities Download (word: 33KB)
Reference Form No. 33 Changes in the location and structure of storage facilities Download (word: 28KB)
Reference Form No. 34 Changes in location and structure of specified supply facilities Download (word: 31KB)
Reference Form No. 35 Changes in the position and structure of the specified bulk supply facilities Download (word: 32KB)
Reference Form No. 36 Allotment plan Download (word: 38KB)
Reference Form No. 37 Overview of the situation near the location of the headquarters for use of the equipment Download (word: 23KB)
Reference Form No. 38 Change statement of equipment to be allocated Download (word: 38KB)
Reference Form No. 39 Appended table of liquefied petroleum gas equipment construction notification Download (word: 35KB)
Reference Form No. 40 Buried Pipe Construction Checklist Download (word: 48KB)
Reference Form No. 41 Storage Equipment Structure Manual Download (word: 33KB)
Reference Form No. 42 Technical Standards Conformity Survey Form for Equipment Construction Notification Download (word: 55KB)
Reference Form No. 43 Record of the installation of bulk storage tanks Download (word: 62KB)
Reference Form No. 44 Record of construction of specified liquefied petroleum gas facilities Download (word: 19KB)
Reference Form No. 45 Specific liquefied petroleum gas facility construction business plan Download (word: 17KB)
Reference Form No. 46 Notification of withdrawal of permission application, etc. Download (word: 36KB)
Reference Form No. 47-1 Allotted Business Report Download (word: 19KB)
Reference Form No. 47-2 Details of supply facilities related to the allocation Download (Excel: 9KB)

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Inquiries to this page

Fire Bureau Prevention Department Security Section

Phone: 045-334-6407

Phone: 045-334-6407

Fax: 045-334-6610

E-Mail address [email protected]

Return to the previous page

Page ID: 247-292-871

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