Zakład Ubezpieczeń Społecznych — Social Insurance Institution of Poland (ZUS) Edition ZUR, ZUS 'do wypełnienia i wydruku' file of October 2024 (printing order 3461/24) 3 pages

ZUR — Application for maternity allowance during parental leave (Poland)

The ZUS form for claiming maternity allowance for a period of parental leave, made while the allowance is being paid or after a break in it.

ZUS ZUR parental leave allowance claim · Application for maternity allowance during parental leave (Wniosek o zasiłek macierzyński za okres urlopu rodzicielskiego, ZUR)
The official Zakład Ubezpieczeń Społecznych — Social Insurance Institution of Poland (ZUS) form, edition ZUR, ZUS 'do wypełnienia i wydruku' file of October 2024 (printing order 3461/24) — blank
Page 1 of 3
ZUS ZUR parental leave allowance claim (2024) Application for maternity allowance during parental leave (Wniosek o zasiłek macierzyński za okres urlopu rodzicielskiego, ZUR) — page 1 of 3
Page 1 of 3
ZUS ZUR parental leave allowance claim (2024) Application for maternity allowance during parental leave (Wniosek o zasiłek macierzyński za okres urlopu rodzicielskiego, ZUR) — page 2 of 3
Page 2 of 3
ZUS ZUR parental leave allowance claim (2024) Application for maternity allowance during parental leave (Wniosek o zasiłek macierzyński za okres urlopu rodzicielskiego, ZUR) — page 3 of 3
Page 3 of 3

What is ZUS ZUR parental leave allowance claim?

ZUR (Wniosek o zasiłek macierzyński za okres urlopu rodzicielskiego) is the ZUS application parents use to be paid for parental leave (urlop rodzicielski) when they didn't claim it at the start together with maternity leave. You use it while you are receiving maternity allowance, or after a break, and for each later part of parental leave you take.

On three pages you give your details and your employer's, the parental leave period, why you are claiming (a birth, adoption or foster care, the mother's hospital stay, disability, return to work, abandonment or death, or a discharge from hospital), and the child's details. Page 3 asks who received the allowance before, and whether the other parent will take parental leave allowance at the same time.

FileIt walks you through it in English, checks the PESEL, NIP and bank account numbers, shows only the questions that apply to a first or a later part, and prints your answers onto ZUS's own ZUR with Polish letters intact. The finished PDF is kept in your vault.

Who fills it
An insured parent claiming maternity allowance for parental leave
Given to
The employer that pays your benefits, or ZUS
When
Before each part of parental leave you take after the maternity allowance has started
Signatures
The applicant signs page 3 by hand
Edition
ZUR, ZUS file of October 2024 (printing order 3461/24)
Pages
3

Who needs to fill out ZUS ZUR parental leave allowance claim?

  • Mothers who claimed only maternity leave on ZAM and now want parental leave allowance.
  • Fathers who take part of the parental leave and claim the allowance for it.
  • Parents who take parental leave in several parts and claim a further part.
  • A parent or close family member claiming because the mother is in hospital, has a disability certificate, has returned to work, has abandoned the child or has died.

When to use ZUS ZUR parental leave allowance claim

  • Before the parental leave period you are claiming, as each part comes up.
  • When you return to parental leave after a break in the maternity allowance.
  • If you are claiming maternity and parental leave together from the start, use ZAM instead.

What you need before you start

  • Your PESEL (or identity document and date of birth), address and your employer's NIP and name.
  • The start and end dates of the parental leave you are claiming.
  • The child's name, date and place of birth.
  • For a further part: the periods of parental leave allowance you and the other parent received before.
  • The other parent's or family member's PESEL and name, if they received or will receive the allowance.
  • A Polish bank account number if you want payment into an account.

What’s on ZUS ZUR parental leave allowance claim

The 2024 edition has 3 pages. FileIt asks for it in 7 parts:

  1. Your details (Twoje dane)Applicant
  2. Your payer of contributions (Dane płatnika składek)Applicant
  3. Bank account (Rachunek bankowy)Applicant
  4. What you are claiming (Zakres wniosku)Applicant
  5. Allowance before and during this periodApplicant
  6. The other parent or close family member (Dane identyfikacyjne drugiego rodzica / innego członka najbliższej rodziny)Applicant
  7. Signature (Podpis)Applicant

How to fill out ZUS ZUR parental leave allowance claim, step by step

1 Your details, payer and bank account

As on other ZUS benefit forms: your PESEL, name and address, your payer's NIP and name, and optionally a bank account for the payment.

2 The period and the full-leave statement

Give the start and end of the parental leave you are claiming, printed as dd.mm.yyyy – dd.mm.yyyy. You can also state that you intend to take maternity and parental leave in full, with at least one day of parental leave in the child's first year.

3 Why you are claiming

Pick one reason, from the birth, adoption or foster care through the mother's situation to a discharge from hospital. For a discharge, say whether it was you or the child and give the date.

4 The child

Give each child's name, date and place of birth, and say if a child has the 'Za życiem' certificate.

5 First or further part

Say whether this is the first part of the parental leave allowance or a further one. For a first part, page 3 asks whether you, or the other parent or a family member, received maternity allowance for maternity leave before. For a further part, it asks about earlier parental leave allowance and its dates.

6 Same time as the other parent

Question 3 asks whether the other parent will receive the allowance for parental leave during the same period, and when. Give their details below it.

7 Date and signature

Date page 3 and sign it by hand after printing.

Common mistakes to avoid

  • Using ZUR when you are claiming maternity leave as well; that goes on ZAM.
  • Answering question 1 for a further part (or question 2 for a first part); FileIt shows only the one that applies.
  • Giving an earlier period that overlaps the one you claim now.
  • Leaving out the other parent's details when you said they received, or will receive, the allowance.

After you fill it out

Print ZUR, sign it and give it to your employer, or to ZUS if ZUS pays your allowance. ZUS also accepts this application through its own PUE/eZUS e-form. FileIt doesn't send it for you.

Keep each filled ZUR in your FileIt vault, so you can see which parts of parental leave you and the other parent have already claimed.

Fill out ZUS ZUR parental leave allowance 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 — 45 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 ZUR parental leave allowance claim now — it’s free

ZUS ZUR parental leave allowance claim: frequently asked questions

When do I use ZUR instead of ZAM?

Use ZUR to claim maternity allowance for parental leave on its own, during the maternity allowance or after a break. ZAM is for maternity leave, leave on its terms or supplementary leave, optionally with parental leave in the same claim.

Do I need a new ZUR for each part of parental leave?

The form has a box for a first part and one for a further part, so you fill in a new one for each part you claim.

Can both parents claim at the same time?

The form asks this in question 3: whether the other parent will also receive maternity allowance for parental leave during the same period, and for which dates.

Where do I hand in ZUR?

To your employer if it pays your benefits, otherwise to ZUS.

Can I fill in ZUR online with FileIt?

Yes. FileIt prints your answers onto ZUS's official PDF and keeps it in your vault. You print, sign and hand it in yourself.

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 2026-10-19.