Apply for an EHIC
You can apply:
● in person - visit your local EHIC office
● online - if you have a medical card or Drugs Payment Scheme card
● by post - if you live in Dublin North West, Cork North & South Lee or Kilcock
To apply in person or by post you will need to give your:
● name
● address
● date of birth
● PPS number
You will need to show both of the following:
● a photo ID - for example, your passport or driving licence
● proof that you live in Ireland - for example, a rent agreement or an employment contract
You also need to show 1 of the following:
● proof of your PPS number - for example, a recent payslip, a Public Services Card or an Employment Detail Summary
(the old P60)
● a letter from the Department of Social Protection if you get any social insurance payments, such as illness benefit,
disability allowance or the state pension
If you’re applying by post do not send original documents. Send us copies of your documents along with your
completed application form.
Your EHIC will be posted to you within 10 working days of applying.
If you need an EHIC urgently, you can get a temporary certificate in person at your local EHIC office.
Departure Date:
PPS Number
Signature:
European Health Insurance Card - Application Form
Fcidhineannacht na Seirbhise
Slain
Health
Service Executive
New Application:
Renewal:
Address of Applicant I Family
I declare that the persons listed are ordinarily resident in the Republic of Ireland
I hereby apply for European Health Insurance Card(s)
Data Protection Notice:
The information on this form will be transmitted to the HSE-PCRS so that an EHIC card(s) may be issued to the person(s) named thereon.
Date:
Date Received by Health Office:
Mobile Number:
Telephone Number:
First Name (s)
Surname
Date of Birth
(dd/mm/yyyy)
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