Zakład Ubezpieczeń Społecznych — Social Insurance Institution of Poland (ZUS) Edition ESUN, ZUS file of December 2024 (printing orders 3152/24 form, 3153/24 Information) 6 pages

ZUS ESUN — Claim for the supplementary benefit for people unable to live independently (Poland)

The ZUS form adults with a certificate of incapacity for independent living use to claim the supplementary benefit (świadczenie uzupełniające).

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ZUS ESUN supplementary benefit claim · Wniosek o świadczenie uzupełniające dla osób niezdolnych do samodzielnej egzystencji (ESUN)
The official Zakład Ubezpieczeń Społecznych — Social Insurance Institution of Poland (ZUS) form, edition ESUN, ZUS file of December 2024 (printing orders 3152/24 form, 3153/24 Information) — blank
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ZUS ESUN supplementary benefit claim (2024) Wniosek o świadczenie uzupełniające dla osób niezdolnych do samodzielnej egzystencji (ESUN) — page 1 of 6
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What is ZUS ESUN supplementary benefit claim?

ESUN (Wniosek o świadczenie uzupełniające dla osób niezdolnych do samodzielnej egzystencji) is the Social Insurance Institution's (ZUS's) claim form for the supplementary benefit for people who can't live independently. According to the Information sheet attached to the form, you can get it if you are 18 or over, a medical certificate confirms your incapacity for independent living, you live in Poland with Polish citizenship or a right of residence, and your regular public cash benefits together don't exceed a monthly limit that changes every 1 March.

Besides your identity and addresses, the form asks about every regular benefit financed from public funds that you receive or have applied for - a pension, a permanent allowance, a foreign pension - and whether you have also claimed at another pension authority or are in custody. Non-citizens give their right of residence. You then choose how the benefit is paid and how ZUS should reply.

FileIt walks you through each part in plain English, checks your PESEL and bank account number, makes sure each free-text answer fits its box, and prints everything in capitals - with Polish letters intact - into ZUS's own PDF. The finished form is saved in your vault. You print it, sign it and hand it to ZUS yourself.

Who fills it
An adult whose incapacity for independent living is confirmed by a medical certificate
Given to
Any ZUS office (it is decided by the office that pays your pension, or the one for where you live)
Age
18 or over
Signatures
You sign it by hand ('Czytelny podpis')
Edition
ZUS file of December 2024 (printing order 3152/24)
Also needed
The certificate of incapacity, or a doctor's OL-9 certificate and medical records if you have none yet

Who needs to fill out ZUS ESUN supplementary benefit claim?

  • Adults who hold a ZUS certificate of total incapacity for work and independent living, or of incapacity for independent living.
  • People with an older certificate placing them in disability group I (issued before 1 September 1997) on which ZUS pays a benefit.
  • People with an equivalent certificate from KRUS or a uniformed services board, when ZUS handles the claim.
  • People who receive no pension but get another regular public benefit, such as a permanent allowance, or no benefit at all.

When to use ZUS ESUN supplementary benefit claim

  • When you meet the conditions on the form's Information sheet and want the supplementary benefit.
  • If ZUS pays your pension or disability pension - the Information sheet says to file at ZUS then.
  • If you have no pension at all, or only another public benefit - the Information sheet says ZUS also handles those claims.
  • If you receive a pension from KRUS, the military or the interior ministry's pension office instead, the Information sheet says to file with that authority.

What you need before you start

  • Your PESEL number (or an identity document if you have none), date of birth, citizenship and address.
  • Details of every regular public or foreign benefit you receive: its kind, the paying institution and its address, and the monthly amount before deductions.
  • Details of any benefit you have applied for and are waiting on.
  • If you aren't a Polish citizen: the dates of your right of residence, and the document that grants it.
  • Your 26-digit bank account number, if the benefit should go to an account.
  • The certificate of incapacity for independent living, or the OL-9 doctor's certificate (issued no more than a month before you apply), medical records or form OL-9A.

What’s on ZUS ESUN supplementary benefit claim

The 2024 edition has 6 pages. FileIt asks for it in 9 parts:

  1. Your details (Dane wnioskodawcy)Applicant
  2. Home address (Adres zamieszkania)Applicant
  3. Last address in Poland / place of stay (Adres ostatniego miejsca zamieszkania w Polsce / adres miejsca pobytu)Applicant
  4. Correspondence address (Adres do korespondencji)Applicant
  5. Your statement about other benefits (Oświadczenie wnioskodawcy)Applicant
  6. Other information affecting the claim (Inne informacje)Applicant
  7. If you are not a Polish citizen (Oświadczenie wnioskodawcy, który nie posiada polskiego obywatelstwa)Applicant
  8. How the benefit is paid (Sposób wypłaty świadczenia)Applicant
  9. Attachments, reply and date (Załączniki, sposób odbioru odpowiedzi)Applicant

How to fill out ZUS ESUN supplementary benefit claim, step by step

1 Your details (Dane wnioskodawcy)

PESEL, first name, surname, father's first name (optional), date of birth, sex, citizenship and an optional phone number. The identity document box is only for people with no PESEL.

2 Addresses (Adres zamieszkania, adres do korespondencji)

Your home address, your last address in Poland if you now live abroad or have no home address, and a correspondence address only if ZUS should write elsewhere. For poste restante, a PO box or a pigeonhole, the form explains what goes in which box.

3 Your statement on other benefits (Oświadczenie wnioskodawcy)

Tick whether you have a right to a regular cash benefit financed from public funds, and list up to four in the table. Then say whether you are waiting on another claim, and whether you have or have claimed a benefit from a foreign pension institution.

4 Other information (Inne informacje)

Whether you have also claimed the supplementary benefit at another pension authority, and whether you are in pre-trial detention or serving a prison sentence.

5 Non-citizens (Oświadczenie wnioskodawcy, który nie posiada polskiego obywatelstwa)

Only if you aren't a Polish citizen: your right of residence and its dates, or a permanent right of residence.

6 Payment, attachments, reply (Sposób wypłaty, załączniki, sposób odbioru odpowiedzi)

Choose a bank account in Poland or an address in Poland - you can skip this if ZUS already pays you a benefit, which then sets the method. Give the number of documents attached, say whether you attach the certificate, choose how ZUS replies, date it and sign by hand.

Common mistakes to avoid

  • Leaving out a benefit you receive, such as a permanent allowance or a foreign pension - the limit counts them together.
  • Listing a benefit without its paying institution or monthly amount.
  • Forgetting the document confirming a foreign benefit and its amount.
  • For a non-citizen, forgetting the document that grants the right to stay in Poland.
  • Typing a bank account number with a wrong digit - FileIt checks it for you.
  • Attaching an OL-9 certificate older than a month.

After you fill it out

Print the form, sign it by hand and hand it in at any ZUS office, or have someone authorised do so. You can ask for ZUS's reply in your PUE / eZUS account. FileIt never sends anything to ZUS.

Attach the certificate or medical documents the Information sheet lists, plus any foreign-benefit or residence documents.

The Information sheet says you can withdraw the claim in writing or orally before the decision, or within a month of receiving it.

A copy stays in your FileIt vault under the person you filled it for.

Fill out ZUS ESUN supplementary benefit claim 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 — 60 fields in all. Your answers save as you go.
  3. Check the live preview. Watch your answers land on the real Zakład Ubezpieczeń Społecznych — Social Insurance Institution of Poland (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 ESUN supplementary benefit claim now — it’s free

ZUS ESUN supplementary benefit claim: frequently asked questions

Who can get the supplementary benefit?

According to the form's Information sheet: people aged 18 or over whose incapacity for independent living is confirmed by a medical certificate, who live in Poland with Polish citizenship or the required right of residence, and whose regular public cash benefits together don't exceed the monthly limit set each year.

How much is the income limit?

The Information sheet says the limit changes every year from 1 March and is announced by the President of ZUS in Monitor Polski. FileIt doesn't state an amount; check the current announcement on zus.pl.

Do I need to attach my certificate again?

Not if it was issued earlier in your case for another benefit, such as a nursing allowance or a disability pension - the Information sheet says ZUS already has it.

Can I get it while in prison?

The Information sheet says the benefit isn't paid to a person in pre-trial detention or serving a prison sentence, except a sentence served under electronic monitoring.

Where do I file it?

At any ZUS office. It is decided by the office that pays your pension, or, if you have no pension, the office for where you live.

Does FileIt calculate the benefit?

No. The form doesn't ask for amounts beyond your other benefits, and ZUS decides the benefit.

Official sources

FileIt is not affiliated with or endorsed by Zakład Ubezpieczeń Społecznych — Social Insurance Institution of Poland (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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