Below is a list of required entries:
-
•
The correct worker's name must be shown in Item 1 of Form J/USA 5.
-
•
Entries in the “Type of period of coverage”, “Date of enrollment”, “Date of withdrawal”,
and “Number of months covered” columns should be present for each period of coverage
listed in Item 2.
-
•
The form J/USA 5 must show the date of certification and signature of the Japanese
official verifying the information.
-
•
If any of the required information is missing, route the case to Division of Training
and Program Support (DTPS) for evaluation.