Listing of ESA standard forms.

[nukecad]

Clicking on Download takes you to the official download to fill in.
Clicking on Example gives an example.

NSESAF1 Claim New Style ESA Download

JSA NC1 Claim NI Credits Only Example

ESA2 Circumstances review Example

ESA3 Apply for reassessment due to C of C Example

ESA5 Req for pension info Example

ESA6 Req for pension/income info Example

ESA10 Apply for hardship payment Example

ESA40 General Info leaflet Download

ESA49 Work Related Activity Plan Example

ESA50 Capability for Work questionaire Download
ESA50A Short version, check for SG Example

ESA-N-50 ESA50 claim overseas Example
ESA-N-54B Guide for assessor o/seas Example
ESA-N-54C Med Report o/seas Example

ESA51 Info with ESA50 Example

ESA53 Reminder for ESA50 Example

ESA55/WCA55 Jacket for WCA docs Example

ESA56 DMs points scoresheet Example

ESA60 DM rejection of assessment - req for rework Example

ESA65 Disallowance notification (FFW) Example
ESA65B Letter to GP re fit-notes Example

ESA72 Notification of award Example
ESA72SC Notification of SG & 'Severe Condition' Example

ESA82 Letter - ESA will not be paid until decision made following WCA Example

ESA83 Form - Report worsening condition after previous FFW Example

ESA85 WCA report (f2f)
ESA85a WCA report (no f2f) Example
ESA85s Summary Statement

ESA86 Used to record advice on LCWRA clerical referrals

ESA113 Request info from GP (also FRR# below) Download

ESA120 WFIs when moved from WRAG to SG Example

ESA124 How your ESA payment is worked out Example

ESA125 Proof of receiving ESA Example

ESA214 Detailed guide to the WCA Download

ESA280 Why you are not entitled to ESA Example

ESAL0001 Invite SG claimant to voluntary WFI Example

ESAHWC1 Invite to 'Health & Work Conversation' Example

HWC1 H&W Conversation questionaire Example
Same but with the Work Coach notes included: Example

CRMR1 Request MR form Download


Permitted work
PW1 Permitted work form Download
DWPF01 General info PW Example
DLPW1 letter confirming work is PW Example
DLPW2 proposed work is not PW Example
PW8 check if you are still doing PW Example
PW9 check you are still doing SUPPORTED PW Example

Related forms.
HC1 Claim Free Health Costs, (Low Income) Order (prepaid return envelope) or Download (no envelope)

HCTB1 Housing Benefit claim form Download

IS10 Application for SDP Usable Example

SF500 Budgeting Loan application Download

Other forms related to ESA
BF223 Good Cause form. Sent if you miss WCA Example
DP_Gen Form to give bank details Example
DS1500 Confirmation of terminal illness
FRR2 Request for specific ME, sent to GP Example
FRR3 Request for ME, sent to another HCP
FRR4 Notes of phone contact between HCP & GP, or HCP & claimant
LT54 Decision Makers Report Example (part 3 for ESA decisions)

SSCS1 Appeal application -Now done online

Claim forms for other related benefits:
UC50 Capability for Work questionaire - UC Download

DS700 Carers Allowance claim form Download

PIP2 PIP claim form Example

[Jard]

You've left out LT54, Decision Makers explanation/report of ESA Decision. Normally requested in conjunction with ESA85/85a or found in ESA Tribunal Evidence 'bundle'.

[paul446]

a very usefull thread , i have printed it off for future refference :-)

[Penthouse]

Any idea on the following DWP abbreviations / forms please?

BDC -
HOTT - i think its a handover term
DPA1 - (the note just says "DPA1 held")
DP - Disability Premium???? (note says "DP marker set")
ESF F- (note says "ESF family support")
NQF - regarding framework?
DJ -
(DJ) IRP -
IRP ISS EF -
CFA -
SAH -
SCC -
LR 3207 -
IC.O/P - re: a claimed overpayment

If these help the following are:
PWLL - permitted work lower limit
PWHL - permitted work higher limit
WCA - work capability assessment
WARS or WRAG - work related activity group or support group

[Penthouse]

Also
490 - notes says "arrears issued from (date-date) of (amount) VIA '490'."

[nukecad]

Hi penthouse,

Some of those look like internal jobcentre codes.
We do have a 'sticky' thread for abbreviations already, I've not checKed but you may find them there:
http://www.youreable.com/forums/show...t=abbreviation

JA490 is one of their internal procedures for processing recovery of overpayments.
It is mentioned, along with other "JA" numbers, in this document:
https://www.whatdotheyknow.com/reque...%20benefit.pdf
I do't know exactly what it is but assume the 'JA' stands for Jobseekers allowance.

[nukecad]

29 April 2017.

Various changes and additions.

'Clickable' Weblinks added to known downloads and examples.

Admin have made this thread a 'sticky' (Thanks admin) so it should be easier for people to find in future.

[Wiggy]

Thanks for posting this thread Nukecad. Very useful

[nukecad]

Permitted Work forms updated following removal of '12 month' rule.

[gone]

So, I noticed that you said that the ESA56 form is only given when you have no F2F. I did get/ask for the ESA56 when I asked for the LT54, but I had a F2F, so maybe it's generated for all decisions, not just those with no F2F?

Extremely useful thread though, thank you for posting.