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
NSESAL127 New Style ESA Claimant Commitment appointment Example
NSESAL128 New Style ESA Claimant Commitment letter Example
(See ESA49 for Old Style ESA).
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[B]
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