C-097 — application for a provisional replacement certificate for the European Health Insurance Card (CPS)

C-097 is the form of Spain’s National Social Security Institute (INSS) for requesting a CPS (Certificado Provisional Sustitutorio), a temporary certificate that replaces the European Health Insurance Card (Tarjeta Sanitaria Europea, TSE).

The CPS gives the same cover as the card: medically necessary care during a temporary stay in the EU, Iceland, Liechtenstein, Norway, the United Kingdom and Switzerland, under the rules of the host country. It is issued when the card cannot be produced, when specific documents must be submitted, or when the trip is imminent and the card would not arrive in time.

• the person insured with Spanish Social Security (titular), a dependent family member (beneficiario), or a representative of the insured person;
• the paper form is filed at any CAISS office by appointment — the CPS is handed over on the spot;
• with a digital certificate or Cl@ve permanente you can get the CPS online in the Portal de Prestaciones and print it at home — no form needed;
• the CPS is not valid if the purpose of the trip is medical treatment, or if you move your residence to another country.

The validity period (from and to), the applicant’s details: two surnames, first name, DNI/NIE, date of birth, Social Security number, actual address and the date you have lived there since, phones, e-mail, postal address. If a family member or a representative applies — the insured person’s details. Then two consents, place and date of signing and the province of the INSS directorate.

• the applicant’s DNI, NIE/TIE or passport;
• if a representative applies — proof of representation and the insured person’s ID;
• any documents the CAISS asks for in your case (for example, proof of the right to healthcare abroad).

1. Tell the chat in any language where and when you are travelling and who is applying.
2. The assistant fills in the form in Spanish capitals and splits the signing date across the line.
3. Download the PDF, sign it and take it to the CAISS by appointment.

Official INSS form: seg-social.es — C-097. CPS conditions: seg-social.es — Certificado Provisional Sustitutorio (CPS). Checked 2026-10-09. This is not legal advice.