IRRV Alert - week ending 14th April 2023
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Employment and Support Allowance: permitted work form (12 April 2023)
Form
Employment and Support Allowance: permitted work form
- English
- Cymraeg
Use this form to tell us if you are working, or want to work, while claiming Employment and Support Allowance (ESA).
- From:
- Department for Work and Pensions
- Published
- 3 April 2017
- Last updated
- 13 April 2023 — See all updates
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Documents
Permitted work form
Ref: PW1PDF, 249 KB, 6 pages
Permitted work factsheet
HTML
Permitted work: factsheet
PDF, 110 KB, 2 pages
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Details
If you’re claiming ESA, fill in the permitted work form before you start any paid or unpaid work.
Post it to the address at the top of any ESA letters we have sent you. Please do not take this form into your Jobcentre Plus office.
You could lose your benefit if you do any kind of work that doesn’t meet the conditions. If you can’t send the form before you start work, send it as soon as possible after starting work.
If you need this form in a different format
Contact Jobcentre Plus to ask for:
- a printed copy of the form
- a different format, such as large print, braille or audio CD
Published 3 April 2017
Last updated 13 April 2023 + show all updates