European Health Insurance Card (EHIC) – RENEWAL APPLICATION

  • Our online application is fully secure and no sign up is required.
  • Your EHIC will be valid for 5 years.
  • NHS-E111-EHIC.org.uk will charge a service fee of £21.99.
  • If for any reason your application is unsuccessful we will re-apply FREE of charge.
   
Main Applicant Details Fields marked with an * are required
Title:
Surname: *
 
Forename(s): *
 
Date of Birth: * i.e. 01/01/1966
NHS or NI No.: *
 
EHIC PIN Number:
(Only for Renewals)
   
 
   
Contact Details  
House Number/Name: *
 
UK Postcode:
Street: *
 
Town: *
 
County: *
 
Country:
Telephone No. (inc STD): *
 
Email: *
 
Confirm Email: *
 
 
 
Click the ' + ' if your would like to add:  
  Spouse/Partner Details
+ Click Here To Add Details
   
  Dependent Children Details
+ Click Here To Add Details
 
   
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Terms & Conditions
In Accepting These Terms And Conditions
I agree that I have British, EU, EEA or Swiss nationality. I agree that all persons to be specified in this application are UK residents. The persons named have consented to their personal details being disclosed. Main applicant must be 16 or over. The information that I give on this form is correct and complete to the best of my knowledge. I understand that should any person on this application decide to remain abroad to live or work, then the relevant authorities must be informed and the EHIC returned. I understand that this card is not an entitlement card for NHS services, or proof of identity. I agree to the Data Protection/Privacy Statement terms of this site.