Polski: templates and forms
78 forms available to fill out or download. · Showing 1–24
Receipt for equipment taken in for repair (Poland)
A record of taking in a phone, computer, bike or appliance for repair, issued to the customer by the workshop or drawn up by the customer for the workshop to sign: the job number, the workshop's and customer's details, the item with its serial number, accessories, visible condition, the fault reported, the estimated cost and time, and a rule that more expensive work needs the customer's consent. At collection it proves the condition the item was left in.
Note excusing a pupil's absence from school (Poland)
A parent's or legal guardian's written note to the class teacher excusing a child's absence from a Polish school: the pupil's name, class, the days missed, the reason — illness, a doctor's appointment, family matters, a trip — and a statement that the absence was with the parent's knowledge. The school's statute sets how and by when absences are excused, and may also accept a message through the electronic register.
Receipt for money received (Poland)
The receipt a payer can demand from whoever takes the money (art. 462 of the Polish Civil Code) — when repaying a loan, returning a deposit, or paying a price or instalment in cash: who pays and who receives, the amount in words, what it is for, the date and method of payment, and whether it settles the debt or leaves a balance. It is the basic proof of payment when money changes hands directly.
Vehicle handover record (protokół zdawczo-odbiorczy samochodu)
A record of handing a car over to a buyer, hirer or other user in Poland, to go with the sale or rental agreement: the date and time of handover, the parties, the make, registration and VIN, the odometer and fuel level, the number of keys, the documents and equipment handed over, and visible damage. The handover time settles who answers for fines, charges and damage, and the description of condition heads off disputes about defects.
Claim under an insurance policy (Poland)
A claim or notice of an event under voluntary insurance in Poland — personal accident, travel, home, health or life: the policy number and type, the date and place of the event, what happened, the loss or injury, the amount claimed and the account for payment, and a request for the list of documents needed. It reminds the insurer that it pays within 30 days, and the undisputed part always within that time (art. 817 of the Civil Code).
Application for a duplicate school certificate (Poland)
An application to a Polish head teacher for a duplicate of a lost or damaged certificate — a school-leaving, end-of-year or matura certificate: the type and the year issued, the surname at the time, date of birth, class or programme, the reason, proof of the 26 zł fee, and how it will be collected. A duplicate has the force of the original, and if the school no longer exists, the body holding its records issues it.
Complaint about a medical facility (Poland)
A complaint to the head of a Polish hospital, clinic or practice about treatment, service or a breach of patient rights — a refused service, missing information, poor treatment, records withheld: the patient's details, the date and department, what happened, the action expected and a request for a written answer within 30 days. It notes that the complaint does not close the route to the Patient Rights Ombudsman, the National Health Fund or the courts.
Request for access to medical records (Poland)
A request to a Polish hospital, clinic or practice for a patient's medical records: the patient's details and PESEL, what records and which treatment period, who is asking — the patient, a legal representative, an authorised person or a close relative of a deceased patient — and the form to underline: inspection, a paper or electronic copy, an extract or a transcript. It reminds the provider that the first copy in the requested scope is free for the patient (Patient Rights Act).
Complaint to a bank or other financial institution (Poland)
A customer's complaint to a Polish bank, credit union, lender or insurer — about a wrongly charged fee or interest, an instruction not carried out, a faulty transfer or a refused payout: the product or contract, what the complaint is about, the demand, the amount and account for a refund, and how to reply. It reminds the institution of the statutory 30 days — 15 business days for payment services — after which the complaint is deemed decided in the customer's favour.
Notice to the employer of absence from work (Poland)
The notice a Polish employee must give the employer promptly, and by the second day of absence at the latest: from when and until when the absence will last, the reason to underline — illness, caring for a child or family member, a closed nursery or school, or another — the document that will justify it, and a contact. An electronic sick note (e-ZLA) reaches the employer on its own, but does not replace this notice.
Notice closing a personal payment account (Poland)
Notice ending a personal account agreement with a Polish bank or other payment provider: the account number and contract date, termination of the linked card and service agreements too, the account for the remaining balance, and a request to confirm closure. It relies on the Payment Services Act: notice cannot exceed one month, and closing is free unless it happens within the first 6 months.
Out-of-court settlement agreement (ugoda pozasądowa)
A Polish settlement that ends a dispute without going to court — over a payment, damage, a tenancy account or a service: the parties with PESEL numbers, the dispute, what each side concedes, the amount, deadline and account for payment, and a statement that performing the settlement exhausts the claims concerned (art. 917 of the Civil Code). It explains that such a settlement is not enforceable on its own, and how to make it so if the other side fails to perform.
Cancellation of a standing order or direct debit (Poland)
An instruction to a Polish bank cancelling a standing order or withdrawing consent to direct debits for a named payee — a telecoms firm, an electricity supplier, a club or a former landlord — with the account number, the payee's details and payment reference, and if needed a request to refund the last debit within 8 weeks. It reminds the reader that cancellation must arrive by the business day before the debit at the latest.
Acknowledgement of debt (uznanie długu)
A debtor's written acknowledgement of a debt under Polish law: the creditor, what the debt is for and how much it is as of a stated date, in words, and an undertaking to pay by a date or on a schedule into a stated account. Acknowledging a debt interrupts the limitation period, which then starts again (arts. 123 and 124 of the Civil Code), and is strong evidence the debt exists, which is why creditors often ask for one before agreeing to instalments.
Pre-action demand for payment (Poland)
A final demand before going to court, for use between private individuals or by a consumer against a business: the amount and what it is for, when it fell due, statutory late-payment interest from a stated date, the payment deadline and account, and notice of a lawsuit. It is the attempt at amicable settlement a Polish court asks about (art. 187 § 1(3) of the Code of Civil Procedure). Invoices between businesses have a separate document.
Loan agreement (umowa pożyczki)
A Polish agreement for a cash loan between private individuals, family included: the parties with their PESEL numbers, the amount in words, how and when it is paid out, the interest, the repayment date or schedule, late-payment interest and the account for repayment. It explains the tax on civil-law transactions: 0.5% and a return within 14 days, with close family exempt up to 36,120 zł without formalities, and above that only after filing and a bank transfer.
Complaint about a package holiday (Poland)
A complaint about a trip organised by a Polish travel agency, under the Package Travel Act: the contract number, the trip and dates, the price, the travellers, the failures to perform as agreed — hotel, meals, transport, programme — when and to whom they were reported on the spot, and a demand for a price reduction and for damages or compensation for a spoiled holiday (art. 50). It lists the evidence and the account for payment.
Complaint about an unauthorised payment transaction (Poland)
A complaint to a Polish bank or other payment provider when money has left an account or card through transactions the customer did not make: the account or card, the disputed transactions with dates and amounts, when they were discovered and the card blocked, the police report, and a demand for a refund by the end of the next business day (art. 46 of the Payment Services Act). It reminds the bank that it must prove authorisation.
Request to the local consumer ombudsman for help with a dispute (Poland)
A request to the Polish municipal or county consumer ombudsman (rzecznik konsumentów), who helps free of charge with individual disputes with businesses — the ones UOKiK does not handle: the business's details, the facts and the correspondence so far, the outcome wanted and the kind of help to underline — advice, an approach to the business, or a claim brought for the consumer (art. 42 of the Competition and Consumer Protection Act).
Notice ending a subscription or membership (gym, subscription) — Poland
Notice ending a contract for an ongoing service in Poland — a gym or pool membership, a course, a subscription, a service plan: the contract and customer numbers, the service, how it ends to underline — with the contract's notice period, immediately for important reasons, or without notice for an open-ended contract that sets none — withdrawal of consent to recurring payments, and a demand to refund fees taken in advance. It relies on rules the terms and conditions cannot exclude.
Claim for compensation for a delayed or cancelled flight (EU 261)
A passenger's claim to an airline, in Polish, for compensation under Regulation (EC) No 261/2004: the flight number and date, the route, the booking reference, the scheduled and actual arrival times, the disruption to underline — a delay of 3 hours or more, a cancellation, or denied boarding — the 250, 400 or 600 euro due, expenses and the account. It reminds the airline that only extraordinary circumstances, which it must prove, release it.
Complaint about a telecoms service (Poland)
A complaint about a phone, internet or TV service under Poland's Electronic Communications Law, which replaced the Telecommunications Law in November 2024: the contract and service, the period complained of, what went wrong — an outage, poor quality, a wrong invoice — the refund or compensation claimed and how the answer should come. It reminds the provider that it has 30 days, and that no answer in that time means the complaint is accepted.
Notice terminating a telecoms contract (Poland)
Notice ending a contract with a Polish phone, internet or TV operator: the customer and contract numbers, the service and number, the basis for ending it to underline — a contract rolled over after the promotional term, an open-ended one, early termination, or a change of terms by the operator — the date wanted, and the return of equipment and any overpayment. It states the one-month notice for a rolled-over contract under the Electronic Communications Law.
Complaint to an electricity or gas supplier (Poland)
A household customer's complaint to a Polish electricity or gas supplier — about an inflated bill, an estimated reading, the wrong tariff or an interruption: the customer, contract and meter numbers, the invoice and billing period, the meter reading, what is wrong, the demand and the account for an overpayment. It reminds the supplier that a complaint not dealt with in 14 days is upheld, and that one filed after a disconnection notice holds off the disconnection until it is decided.