Dla Pacjenta

From 1 October 2021, by e-mail, you will be able to apply only for the EHIC as an employee (travelling for work). You will be able to apply for the EHIC as a tourist (tourist travelling) only:

• using IKP
• using ePUAP

Step 1: Download the application

Travelling for work:

downloadable application – PDF (291kb) sample of completed application – PDF (441kb)

Step 2: Complete and sign the application

• If you need the EHIC to be labelled with a Braille sticker, please mention this on the application form. Write by hand: Card for blind/visually impaired person.
• Please provide the address where you want us to post the EHIC.
• Sign the application with an electronic signature.
• If you are applying for an EHIC on behalf of an employee or another person, remember to include an authorisation to apply for and obtain an EHIC. The authorisation must be signed by the employee with an electronic signature.

authorisation to apply for an EHIC or a Provisional Replacement Certificate for an EHIC

Step 3: Send the application

Send the signed application to:

•  (only for the EHIC applications as an employee).
• We will process your EHIC application within 5 working days, and within 10 working days from June to September.

PLEASE NOTE! When applying by e-mail, the EHIC is always posted to the address provided.

If you have any questions concerning the issuing of the EHIC, please contact the Patient Information Line at 800-190-590