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Owner's statement confirming a resident's stay for address registration (Poland)

Poland · in Polish · for landlords

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This document is in Polish

The PDF you download is in Polish — that is the language it has to be filed in, so it is not translated. Everything on this page is here to tell you what it says.

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A written statement by the owner of a flat or house in Poland, or by another holder of a legal title to it, that a named person lives there. It is needed to register an address (zameldowanie) by anyone without their own document of title, such as a written lease: online, its scan is attached with the owner's title document (art. 28(2a) of the Polish Population Register Act). At the municipal office, the owner confirms the stay by signing the free official registration form, which this statement does not replace. The law speaks of confirming the stay, not of consent.

  • Last updated October 27, 2026
Polski
Affidavit
Poland
Real Estate
Print & sign
1 page

Published byDocMuse

When to use this document

  • You rent a room in Poland without a written contract and need the owner to confirm you live there.
  • You want to register your address online and the owner has to confirm in writing that you live there.
  • You live in a relative's or a close friend's flat and want to register your address there.
  • You own a flat and the person living there asks you for a written confirmation to register.

What you fill in

The details the document asks for.

  • City
  • Date
  • Owner
  • Owner's PESEL number
  • Owner's address
  • Legal title to the home (e.g. ownership, lease)
  • Document of title
  • Address of the property
  • Registrant
  • PESEL of the person registering (or passport number if none)
  • Start date
  • On what basis the person lives there (e.g. a lease of a given date, a loan for use, as family)
  • Period to
  • Type of stay to register: permanent or temporary

Common questions

Does registering an address in Poland need the flat owner's consent?
The law requires not consent but confirmation of the stay. At the municipal office, the owner or another holder of a legal title to the flat confirms the stay on the registration form, and the title document, such as a lease, is shown (art. 28(2) of the Polish Population Register Act). Online, a person with their own title, such as a lease, attaches that document; a person without one attaches the owner's statement confirming the stay and the owner's title document (art. 28(2a)).
Does a person registered at a flat in Poland gain a right to live there?
No. Registration serves record-keeping only and confirms the fact of the stay; it gives no right to the flat, which depends on the lease or loan agreement and the rules on them. If a registered person moves out without deregistering, the owner can apply to the municipal office to have them deregistered by an administrative decision.
How do you register an address in Poland online without a written lease?
The registration is made in the free „Zamelduj się” service on gov.pl, after logging in with a trusted profile (Profil Zaufany) or the e-ID card. A person without their own document of title attaches the owner's statement confirming the stay and the owner's title document, such as a land register extract, or scans of them if they cannot be had in electronic form (art. 28(2a) of the Polish Population Register Act). Registration is due by the 30th day after moving in.

How you can sign this document

  • Print it and sign by hand. The signature lines in the document are left blank on purpose — sign on them in ink.
  • Sign it yourself with a qualified electronic signature. If you already hold a QES — Evrotrust, B-Trust, StampIT, ZealiD or any qualified provider on the EU Trusted List, on a card, a USB token, in a mobile app or in the cloud — our signing guide explains step by step how to sign this exact file without invalidating it. Step-by-step help, and a way to check it worked

DocMuse sells documents, not legal advice. Acceptance always depends on the recipient's rules and your local law.

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