Polish travel document for a foreigner
Official application to issue or replace the document. The voivode decides whether you qualify and checks the attachments.
You get the official PDF with your answers in its boxes, ready to print and sign by hand.
About the form
- Official name
- Wniosek o wydanie lub wymianę polskiego dokumentu podróży dla cudzoziemca
- Published by
- Urząd do Spraw Cudzoziemców
- Form and legal basis
- Dz.U. 2023 poz. 1536 · załącznik nr 10
- Pages
- 10
- Official source
- www.gov.pl
- Copy used here
- taken on 29 September 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 get the document if your passport was lost, destroyed or expired, you cannot get a new one, and you have permanent residence, EU long-term residence, subsidiary protection or a humanitarian stay.art. 252 ustawy o cudzoziemcach
- Citizens of countries named in a regulation of the interior minister can also get it with a temporary residence permit, and even if they never had a passport, if they apply within the period the regulation sets.art. 252a ust. 1, art. 252a ust. 1 pkt 2-3 ustawy o cudzoziemcach
- Apply for the document or its replacement to the voivode of the place where you stay.art. 257 ust. 1 ustawy o cudzoziemcach
- The document is valid for one year from issue and lets you cross the border many times. You must still try to get your own passport, unless you got the document as a citizen of a country named in the regulation.art. 253, art. 254 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.
- Authority you apply to
- Date of submission
- Place of submission
- Surname
- Previous surnames
- Family name at birth
- Given name(s)
- Previous given name(s)
- Father’s name
- Mother’s name
- Place of birth
- Country of birth
Show 68 more
- Citizenship
- Marital status
- Eye colour
- Distinguishing marks
- Phone number (optional)
- Date of birth
- Sex
- Height (cm)
- Minor 1: full name
- Minor 1: sex
- Minor 1: date and place of birth
- Minor 1: relationship
- Minor 2: full name
- Minor 2: sex
- Minor 2: date and place of birth
- Minor 2: relationship
- Minor 3: full name
- Minor 3: sex
- Minor 3: date and place of birth
- Minor 3: relationship
- Minor 4: full name
- Minor 4: sex
- Minor 4: date and place of birth
- Minor 4: relationship
- Minor 5: full name
- Minor 5: sex
- Minor 5: date and place of birth
- Minor 5: relationship
- Minor 6: full name
- Minor 6: sex
- Minor 6: date and place of birth
- Minor 6: relationship
- Minor 7: full name
- Minor 7: sex
- Minor 7: date and place of birth
- Minor 7: relationship
- Voivodeship
- District (powiat)
- Commune (gmina)
- Town
- Street
- House number
- Flat number
- Postal code
- Authority that issued the permit
- Permit issue date
- Residence card: series
- Residence card: number
- Residence card: issue date
- Residence card: valid until
- Authority that issued the residence card
- D2: authority that issued the permit
- D2: issue date
- D2: residence card: series
- D2: residence card: number
- D2: residence card: issue date
- D2: residence card: valid until
- D2: authority that issued the residence card
- Signature date
- Attachment 3
- Attachment 4
- Attachment 5
- Attachment 6
- Attachment 7
- Attachment 8
- Attachment 9
- Attachment 10
- Declaration date
Example situations
Fictional people. When filling in the form, pick one to see a completed example, then replace the answers with yours.
Replacement of a damaged document
The holder asks to replace a Polish travel document that became unreadable after water damage (part E, part D left empty).
Subsidiary protection, children added
A father with subsidiary protection who has lost his national passport applies and enters his two children in part B (part D1).
Replacement after a change of surname
After marriage the holder took her husband's surname and asks to replace her Polish travel document (part E, part D left empty).
Citizen of Belarus, art. 252a
A citizen of Belarus with a temporary residence permit has no valid travel document and applies under art. 252a (part D2).
Humanitarian stay, child added
A stateless mother with a humanitarian stay permit asks for a new document after the old one expired and enters her son in part B (part D1).
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 leaving Poland
- Notice of return to Poland
- Driving licence: apply or exchange
- Change of temporary residence and work permit
- Notice of job loss
- Invitation register application
- Temporary identity certificate for a foreigner (TZTC)