Zakład Ubezpieczeń Społecznych (ZUS) Edition ERSU, updated 2 January 2025 (printing order 4066/24(E)) 4 pages

ZUS ERSU: claim for the parental supplementary benefit (Mama 4+)

The claim to the President of ZUS for the rodzicielskie świadczenie uzupełniające, for parents who raised at least four children.

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ZUS ERSU (Mama 4+) · ERSU Wniosek o rodzicielskie świadczenie uzupełniające (claim for the parental supplementary benefit, Mama 4+)
The official Zakład Ubezpieczeń Społecznych (ZUS) form, edition ERSU, updated 2 January 2025 (printing order 4066/24(E)) — blank
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ZUS ERSU (Mama 4+) (2025) ERSU Wniosek o rodzicielskie świadczenie uzupełniające (claim for the parental supplementary benefit, Mama 4+) — page 1 of 4
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ZUS ERSU (Mama 4+) (2025) ERSU Wniosek o rodzicielskie świadczenie uzupełniające (claim for the parental supplementary benefit, Mama 4+) — page 2 of 4
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ZUS ERSU (Mama 4+) (2025) ERSU Wniosek o rodzicielskie świadczenie uzupełniające (claim for the parental supplementary benefit, Mama 4+) — page 3 of 4
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ZUS ERSU (Mama 4+) (2025) ERSU Wniosek o rodzicielskie świadczenie uzupełniające (claim for the parental supplementary benefit, Mama 4+) — page 4 of 4
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Fill this form online Blank PDF from Zakład Ubezpieczeń Społecznych (ZUS)

What is ZUS ERSU (Mama 4+)?

ERSU is ZUS's claim form for the parental supplementary benefit (rodzicielskie świadczenie uzupełniające), widely known as 'Mama 4+'. You address it to the President of ZUS, who decides whether to grant it.

According to the information printed with the form, the benefit can be granted to a mother who gave birth to and raised, or raised, at least four children, has reached 60 and doesn't have the income needed to live on, and to a father who raised at least four children and has reached 65, after the mother's death, or if she abandoned the children or long stopped raising them. It isn't paid to someone entitled to a pension of at least the minimum pension. You can file the claim at any ZUS office.

FileIt asks the questions in English with the Polish labels, prints your answers in capital letters with Polish letters intact, and fills ZUS's own four-page PDF. You sign it by hand.

Who fills it
The parent claiming the benefit
Age
60 for a mother, 65 for a father (as the form's information says)
Filed at
Any ZUS office (as the form's information says)
Goes with
The statement on your personal, family, property and financial situation (form ERU) and other documents
Signature
Your legible handwritten signature (czytelny podpis)
Edition
ERSU, updated 2 January 2025

Who needs to fill out ZUS ERSU (Mama 4+)?

  • Mothers aged 60 or over who gave birth to and raised, or raised, at least four children and lack the income needed to live on.
  • Fathers aged 65 or over who raised at least four children after the mother died, abandoned them or long stopped raising them.
  • Parents whose own pension, if any, is below the minimum pension.

When to use ZUS ERSU (Mama 4+)

  • When you reach the age the benefit needs and want to claim it.
  • When you have no pension, or one below the minimum pension.
  • Together with form ERU and the documents ZUS lists in its information.

What you need before you start

  • Your PESEL number, or the series and number of your ID card or passport.
  • Your names (including your surname at birth and any earlier surnames, if you want to give them), date of birth and citizenship.
  • Your home address, and your last address in Poland or correspondence address if they apply.
  • Details of any old-age or disability pension you have (the body that pays it and the case number), and whether you receive the nursing benefit.
  • Your 26-digit bank account number, or the address in Poland where the benefit should be paid.

What’s on ZUS ERSU (Mama 4+)

The 2025 edition has 4 pages. FileIt asks for it in 7 parts:

  1. Applicant (Dane wnioskodawcy)Applicant
  2. Home address (Adres zamieszkania)Applicant
  3. Last address in Poland / place of stayApplicant
  4. Correspondence address (Adres do korespondencji)Applicant
  5. What you claim (Zakres wniosku)Applicant
  6. PaymentApplicant
  7. Additional information, attachments and dateApplicant

How to fill out ZUS ERSU (Mama 4+), step by step

1 Applicant

Give your PESEL number (or an identity document if you have none), first name and surname, and optionally your father's first name, surname at birth and earlier surnames. Then your date of birth, citizenship and, optionally, a phone number.

2 Addresses

Your home address. If you now live abroad, or have no home address, also give your last address in Poland or where you stay. A correspondence address is only for post that should go somewhere else: an address, poste restante, a PO box or a post office pigeonhole.

3 What you claim

You claim the parental supplementary benefit. Say whether you have an established right to an old-age or disability pension, and from which body (ZUS, KRUS, WBE, ZER or another) with its town and your case number, or tick 'not applicable'. Say whether you receive the nursing benefit and, if so, from which body.

4 Payment

Choose a bank account you own or co-own (FileIt checks the 26-digit number) or one of the addresses in Poland given in the claim.

5 Additional information and attachments

Add anything that may affect the decision, give the number of documents you attach, and the date. You sign by hand.

Common mistakes to avoid

  • Giving neither a PESEL number nor an identity document.
  • Claiming before reaching 60 (mother) or 65 (father).
  • Asking for payment to a last or correspondence address you didn't give in the claim.
  • A mistyped bank account number: FileIt checks the check digits.
  • Leaving out form ERU and the documents ZUS lists.

After you fill it out

Print the claim from your FileIt vault and sign it by hand.

File it at any ZUS office with form ERU and the documents you attach. FileIt does not send it to ZUS.

Keep the PDF in your vault. You must tell ZUS about anything that affects your right to the benefit or its amount.

Fill out ZUS ERSU (Mama 4+) online with FileIt

  1. Pick the person. Choose someone from People and FileIt fills in their name, date of birth, address and other details it already knows.
  2. Answer plain-language questions. One part of the form at a time, with the official help text beside each question — 39 fields in all. Your answers save as you go.
  3. Check the live preview. Watch your answers land on the real Zakład Ubezpieczeń Społecznych (ZUS) form, and let FileIt do any worksheet arithmetic.
  4. Generate the official PDF. FileIt prints your answers into the agency’s own PDF and files it in that person’s folder in your vault.

FileIt fills the form — it never files or submits anything for you. Deliver the finished form to whoever asked for it, the way the form’s instructions say.

Start ZUS ERSU (Mama 4+) now — it’s free

ZUS ERSU (Mama 4+): frequently asked questions

What is 'Mama 4+'?

The common name for the parental supplementary benefit (rodzicielskie świadczenie uzupełniające), claimed on form ERSU.

Can a father claim it?

Yes, at 65, if he raised at least four children after the mother's death, or if she abandoned them or long stopped raising them, as the form's information says.

Does the form ask about the children?

Not on ERSU itself. ZUS decides on the basis of the documents, in particular the ERU statement; you can add details under additional information.

Can I have a pension and the benefit?

The form's information says the benefit isn't paid to someone entitled to a pension of at least the minimum pension.

Can I sign it electronically?

Not through FileIt. You sign the printed claim by hand, or use ZUS's own PUE/eZUS service.

Official sources

FileIt is not affiliated with or endorsed by Zakład Ubezpieczeń Społecznych (ZUS) or any government. This page explains the form in general terms and is not legal, tax or immigration advice. Always read the official instructions, and check that you are using the edition the recipient accepts. Page last reviewed 2026-10-25.

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