IRRV Alert - week ending 18th October 2019
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'New Style' Employment and Support Allowance (ESA) claim form (18 October 2019)
Form
'New Style' Employment and Support Allowance (ESA) claim form
- English
- Cymraeg
You may be able to claim 'New Style' ESA with, or instead of, Universal Credit, depending on your National Insurance record.
Published 6 March 2019
Last updated 18 October 2019 — see all updates
From:
Department for Work and Pensions
Documents
'New Style' Employment and Support Allowance claim form you can download, fill in on screen, save, and then print
Ref: NSESAF1PDF, 1.43MB, 23 pages
'New Style' Employment and Support Allowance claim form you can print and fill in with a pen
Ref: NSESAF1-printPDF, 214KB, 22 pages
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
Textphone: 0800 328 1344
Welsh language line: 0800 328 1744
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
Call this number if you need this form in Braille, large print or audio.
You can also visit your local jobcentre to get a form and book an appointment.
Published 6 March 2019
Last updated 18 October 2019 + show all updates