IRRV Alert - week ending 8th March 2019

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New style Employment and Support Allowance (ESA) claim form (5 March 2019)

 

 

 

 

 

Form

New style Employment and Support Allowance (ESA) claim form

You may be able to claim new style ESA with, or instead of, Universal Credit, depending on your National Insurance record.

Documents

New style Employment and Support Allowance claim form you can download, fill in on screen, save – and then print

Ref: NSESAF1 PDF, 1.88MB, 23 pages

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email accessible.formats@dwp.gsi.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

New style Employment and Support Allowance claim form you can print and fill in with a pen

Ref: NSESAF1-print PDF, 201KB, 22 pages

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email accessible.formats@dwp.gsi.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

Check you’re eligible for new style ESA before you apply.

You’ll need to book a new claim appointment at your jobcentre, if you have not already arranged one. Take this form to the appointment.

Book a new claim appointment

Telephone: 0800 328 5644 (choose option 2, then option 6)
Textphone: 0800 328 1344
NGT text relay (if you cannot hear or speak on the phone): 0800 328 5644
Monday to Friday, 8am to 6pm

Find out about call charges

You can also phone and ask for the form to be sent to you or ask for it in another format. Or you can visit your local jobcentre to get a form and book an appointment.

Published 6 March 2019

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