Notice of leaving Poland
Official EL/ZW/3 form for leaving Poland for good or for more than 6 months. File it on the day you leave at the latest.
You get the official PDF with your answers in its boxes, ready to print and sign by hand.
About the form
- Official name
- Zgłoszenie wyjazdu poza granice Rzeczypospolitej Polskiej
- Published by
- Ministerstwo Spraw Wewnętrznych i Administracji
- Form and legal basis
- EL/ZW/3
- Pages
- 2
- Official source
- www.gov.pl
- Copy used here
- taken on 5 November 2026, checked against the source every day
The official blank
The same file as on the official source, to print and fill in by hand.
How to file it
What the law says about filing, each point with the passage it rests on. These sources are checked every day.
- You must report leaving Poland for good; the report deregisters you from your permanent and temporary address. If you leave for more than 6 months without intending to settle abroad, you report the departure and the return.art. 36 ust. 1, art. 36 ust. 2, art. 40 ust. 1 ustawy o ewidencji ludności
- Report the departure on the day you leave your place of residence at the latest.art. 36 ust. 3 ustawy o ewidencji ludności
- On paper: at the municipal office, signed by hand, showing your ID card or passport.art. 36 ust. 3 pkt 1 ustawy o ewidencji ludności
- Online: on the form signed with a qualified, trusted or personal signature, or through the digital affairs ministry's service after you log in.art. 36 ust. 3 pkt 2, art. 36 ust. 4 ustawy o ewidencji ludności
Updated on 6 November 2026. Rules and office practice change: check with your office yourself before you go.
What the form asks for
The questions in your language, as the site asks them. The printed form stays in Polish.
- Surname
- Given name(s)
- PESEL number (if issued)
- Date of birth
- Place of birth
- Country of birth
- Mobile phone number
- Email address
- Date of departure
- Country of destination
- Expected stay abroad: from
- Expected stay abroad: until
- Proxy: surname
- Proxy: given name
- Applicant’s statement: place
- Applicant’s statement: date
Example situations
Fictional people. When filling in the form, pick one to see a completed example, then replace the answers with yours.
Leaving Poland for good
A man who lived in Poland on a permanent residence permit moves to Canada for good; his permanent and temporary residence are deleted.
A year-long contract abroad
A woman leaves for a 12-month contract in the Netherlands, keeps her permanent address and agrees to phone contact.
Father acts for a child
A father reports that his 10-year-old daughter leaves with the family for two years in Ireland; no contact consent.
Going back to Ukraine for good
A woman with PESEL UKR status goes back to Ukraine for good and agrees to contact by e-mail.
Eight months of seasonal work
A man leaves for eight months of seasonal work in Iceland and agrees to contact by phone and e-mail.
This site is not connected to any office. The office decides on your case, so check with it which documents and attachments it needs before you go.
Other forms
- PESEL number application
- PESEL with the UKR status
- Temporary residence registration
- Permanent residence registration
- Temporary residence deregistration
- Permanent residence deregistration
- Residence card: new card or replacement
- Report a lost or damaged document
- Schengen visa extension
- National visa extension
- Register your stay as an EU citizen
- Notice of return to Poland
- Driving licence: apply or exchange
- Change of temporary residence and work permit
- Notice of job loss
- Polish travel document for a foreigner
- Invitation register application
- Temporary identity certificate for a foreigner (TZTC)