Permanent residence deregistration
Official EL/WPS/2 form. If you are leaving Poland for good, file the notice of departure instead.
You get the official PDF with your answers in its boxes, ready to print and sign by hand.
About the form
- Official name
- Zgłoszenie wymeldowania z miejsca pobytu stałego
- Published by
- Ministerstwo Spraw Wewnętrznych i Administracji
- Form and legal basis
- EL/WPS/2
- Pages
- 2
- Official source
- www.gov.pl
- Copy used here
- taken on 4 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 deregister when you leave your place of permanent residence.art. 33 ust. 1, art. 40 ust. 1 ustawy o ewidencji ludności
- File the form, signed by hand, at the municipal office of the place you are leaving, and show your ID card or passport.art. 33 ust. 2 pkt 1, art. 40 ust. 1 ustawy o ewidencji ludności
- You can also file the form online, signed with a qualified electronic signature, a trusted signature (podpis zaufany) or a personal signature (e-ID card).art. 33 ust. 2 pkt 2 ustawy o ewidencji ludności
- Instead of deregistering separately, you can deregister by registering at your new address.art. 33 ust. 3 ustawy o ewidencji ludności
- If you move out without deregistering, the municipality can deregister you by a decision, on its own or at the owner's request.art. 35, art. 40 ust. 1 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
- Mobile phone number
- Email address
- 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.
With PESEL, phone contact
A man with a PESEL deregisters his permanent residence himself and agrees to be contacted by phone.
Flat bought in another city
A woman with a PESEL who bought a flat in another city moves out of her old address, deregisters herself and agrees to e-mail contact.
Father acts for a child
A father deregisters his twelve-year-old daughter with a PESEL as the family leaves their old flat; he signs as her representative and no contact consent is given.
Son acts for his mother
A son deregisters his elderly mother, who has no PESEL; he signs as her proxy and no contact consent is given.
Lease ended, phone and e-mail
A man with a PESEL leaves a rented flat after the lease ends, deregisters his permanent residence and gives both 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
- 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 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)