Apply Online for an E111 European Health Insurance Card

Each person you're applying for will need to provide details of their full name, date of birth and National Insurance Number. If you do not know the dependent child's National Insurance Number, please provide that of the main applicant.

Main Applicant

Spouse / Partner Details

First Dependent Child Details

Second Dependent Child Details

Third Dependent Child Details

Fourth Dependent Child Details

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I understand there will be a charge of £9.95 for this service payable to .