Transmit information to and/or request information from ZUS or KRUS via form SSA-e2960-U3–PL.
Use the following address and contact information for ZUS:
Zaklad Ubezpieczen Spolecznych (ZUS)
1 Oddzial ZUS w Warszawie
Wydzial Realizacji Umow Miedzynarodowych
Ul. Kasprowicza 151
01-949
Warszawa, Poland
Tel: 0-048-22-569-36-04
Tel: 0-048-22-569-36-74
Tel:
0-048-22-827-36-46
Fax: 0-048-22-827-53-71
This office investigates claims for benefits from ZUS under the Agreement for claimants
residing in Poland, in the USA or in third country.
This office is responsible for PL/USA 4 (Retirement/Disability Application), PL/USA
5 (Survivor Benefit Application), PL/USA 7 (Request for Medical Evaluation), USA/PL
6 (ICERS), PL/USA 8 (Reimbursement for Medical Evaluation Expense) or PL/USA 10 (Burial/Funeral
Benefit Application).