Report a lost or damaged document
Official form (annex 6) to report a lost or damaged residence card or another Polish document issued to a foreigner.
You get the official PDF with your answers in its boxes, ready to print and sign by hand.
About the form
- Official name
- Zgłoszenie utraty lub uszkodzenia dokumentu cudzoziemca
- Published by
- Minister Spraw Wewnętrznych i Administracji
- Form and legal basis
- Dz.U. 2022 poz. 436 · załącznik nr 6
- Pages
- 3
- Official source
- eli.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.
- Report a lost or damaged residence card, Polish travel or identity document for a foreigner, or tolerated stay document within 3 days.art. 232 ust. 1, art. 285 ust. 1 pkt 1 lit. f ustawy o cudzoziemcach
- File the notification with the authority that issued the document, and sign it.art. 232 ust. 1, art. 232 ust. 4 ustawy o cudzoziemcach
- You get a free certificate of the notification. It is valid until the document is replaced, for 2 months at most.art. 232 ust. 2 i 3 ustawy o cudzoziemcach
- If you find the lost document again, tell the authority that issued it within 3 days. Once you have the new one, hand the old one back.art. 233 ustawy o cudzoziemcach
Updated on 7 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.
- Place and date
- Authority you notify
- Surname
- Surname, third line
- Given name(s)
- Given name(s), third line
- Family name at birth
- Family name at birth, third line
- Father’s name
- Mother’s name
- Place of birth
- Country of birth
- Date of birth (DD.MM.YYYY)
- Citizenship
Example situations
Fictional people. When filling in the form, pick one to see a completed example, then replace the answers with yours.
Stolen residence card
A foreign worker reports that his residence card was stolen.
Lost travel document
A holder of a permanent residence permit reports the loss of his Polish travel document for a foreigner.
Damaged travel document
The holder reports that her Polish travel document for a foreigner was damaged by water.
Lost tolerated stay document
The holder reports the loss of his “permit for tolerated stay” document.
Damaged identity document
The holder, who has no national passport, reports that her Polish identity document of a foreigner was damaged in the wash.
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
- Schengen visa extension
- National visa extension
- Register your stay as an EU citizen
- Notice of leaving Poland
- 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)