Schengen visa extension
Official form (annex 1) to extend a Schengen visa while you are in Poland. File it with the voivode where you stay.
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 przedłużenie wizy Schengen
- Published by
- Minister Spraw Wewnętrznych
- Form and legal basis
- Dz.U. 2014 poz. 593 · załącznik nr 1
- Pages
- 5
- 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.
- Apply to the voivode of the place where you stay.art. 84 ust. 1 ustawy o cudzoziemcach
- Apply no later than the last day of your legal stay. An application filed later is not examined at all.art. 85 ust. 1, art. 86 ustawy o cudzoziemcach
- Show your travel document when you file the application.art. 85 ust. 4 ustawy o cudzoziemcach
- If you applied in time and the application is complete, the voivode stamps your travel document and your stay is legal until the decision becomes final.art. 87 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
- Given name(s)
- Father’s name
- Mother’s name
- Mother’s maiden name
- Date of birth
- Place of birth
- Country of birth
Show 41 more
- Citizenship
- Nationality (ethnic origin)
- Education
- Occupation
- Travel document: series
- Travel document: number
- Travel document: date of issue
- Travel document: expiry date
- Travel document: issuing authority
- Number of persons entered in the travel document (including you)
- Town
- Street
- House number
- Flat number
- Postal code
- Voivodeship
- District (powiat)
- Commune (gmina)
- Extension for (days)
- Trips abroad in the last 5 years (country, period of stay)
- Extension until
- Justification of the application
- Last visa issued: date of first entry
- Last visa issued: period of stay (days)
- Last visa issued: series
- Last visa issued: number
- Employment: date of issue
- Entity that entrusts you with work
- Employment: expiry date
- Employment: issuing authority
- Attachment 1
- Attachment 6
- Attachment 2
- Attachment 7
- Attachment 3
- Attachment 8
- Attachment 4
- Attachment 9
- Attachment 5
- Attachment 10
- Date of your signature
Example situations
Fictional people. When filling in the form, pick one to see a completed example, then replace the answers with yours.
Treatment in hospital
A woman on a single-entry visa broke her leg, and the doctor does not allow her to fly until January.
Cancelled flights
A woman on a two-entry visa waits for her airline to resume flights home.
Caring for a relative
A man on a multiple-entry visa stays to look after his brother after heart surgery.
Helping after a birth
A mother on a two-entry visa stays to help her daughter, whose baby was born prematurely.
Delayed machine installation
An engineer on a multiple-entry business visa stays until the delayed installation of a production line is finished.
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
- 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)