IRRV Alert - week ending 27th March 2020
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New Style Employment and Support Allowance (ESA) claim form (27 March 2020)
Form
New Style Employment and Support Allowance (ESA) claim form
- English
- Cymraeg
Only complete this form if you are asked to. 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 27 March 2020 — 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, 1.38MB, 22 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
Do not complete this form unless you are asked to.
Find out how to claim New Style Employment and Support Allowance.
Published 6 March 2019
Last updated 27 March 2020 + show all updates