Residence card: new card or replacement

Official form (annex 13) for a new card when yours expires, or a replacement after a change of data, damage or loss. File it in person with the voivode. A residence permit itself and the CUKR card are applied for in MOS, not with this form.

About the form

Official name

Wniosek o wydanie lub wymianę karty pobytu

Published by

Minister Spraw Wewnętrznych i Administracji

Form and legal basis

Dz.U. 2022 poz. 436 · załącznik nr 13

Pages

8

Official source

eli.gov.pl

Copy used here

taken on 5 November 2026, checked against the source every day

The official blank

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 usually get the first residence card without applying, with the permit. You apply for a further card and for a replacement: when your data or your face change, or the card is lost or damaged.art. 229 ust. 1-2, art. 241 ustawy o cudzoziemcach
• A further card and a replacement are handled by the voivode of the place where you stay. With a humanitarian stay it is the Border Guard commander for the place where you stay.art. 245 ust. 3-5 ustawy o cudzoziemcach
• Apply for a replacement within 14 days of the event that requires it. Apply for a further card at least 30 days before the current one expires.art. 230 ustawy o cudzoziemcach
• Show a valid travel document and attach current photos and documents that confirm the data in the application. Issuing and replacing the card is paid, with exceptions set by the act.art. 231 ust. 2, art. 235 ust. 1 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 of submission
• Date of submission
• Authority you apply to
• Surname
• Previous surnames
• Family name at birth
• Given name(s)
• Previous given name(s)
• Father’s name
• Mother’s name
• Date of birth
• Sex

Example situations

Fictional people. When filling in the form, pick one to see a completed example, then replace the answers with yours.

• Permanent resident's card expires

  A holder of a permanent residence permit asks for a new card because his 10-year card expires.

• Lost card, temporary permit

  A holder of a temporary residence and work permit lost her card and asks for a replacement.

• New surname after marriage

  A holder of a temporary residence and work permit took her husband's surname and asks for a new card with the changed details.

• Refugee with a damaged card

  A man with refugee status replaces his damaged card; he has no travel document of his own.

• First card after family reunion

  A woman who received a temporary residence permit to join her husband in Poland asks for her first card after arriving.

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
• 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)