The E111 is necessary if you want free medical treatment. A friend went skiing without his and had to pay 1000 euros after an accident. Also the format has now changed, mine is a credit card style, I'm not too sure if the old paper form is valid anymore.
If you are hiring a car in France, you will need a credit card for the deposit. Just make sure that when you return the car they refund the deposit. I have just hired a car with Europcar through Easyjet and several weeks later I'm still awaiting my deposit refund! Funny how the girl spoke perfect English when I was paying but suddenly could only speak a few words when I returned the car!
Have a safe trip.
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