IRRV Alert - week ending 14th August 2020
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Reports
Capability for work questionnaire (10 August 2020)
Form
Capability for work questionnaire
- English
- Cymraeg
Only fill in this capability for work questionnaire (ESA50) if you’re asked to do so – this is not a claim form.
Published 4 April 2013
Last updated 10 August 2020 — see all updates
From:
Department for Work and Pensions
Applies to:
Wales, England, and Scotland (see publication for Northern Ireland)
Documents
Capability for work questionnaire
Ref: ESA50PDF, 345KB, 25 pages
Details
Find out how to claim Employment and Support Allowance
Using this form
Fill in this form only if you’ve been asked to do a Work Capability Assessment.
- Save a copy of the form.
- Open it in Adobe Acrobat Reader version XI or later.
- Fill it in on screen.
- Print it and sign it.
The form explains where to send it. If you have any questions, please contact the office that asked you to fill it in.
If you need an alternative format
This form is also available in Welsh, braille, large print, audio cassette or CD. If you want any of these, please call Jobcentre Plus on 0800 169 0310 and tell us which you need.
If you are having technical difficulties
Please contact the DWP online helpdesk if you are having difficulty:
- downloading the form
- navigating around the form
- printing the form
DWP online helpdesk
Emaildwponline.helpdesk@dwp.gov.uk
Telephone0800 169 0154
Monday to Friday 8am to 6pm
Closed weekends and all public and bank holidays
If you live in Northern Ireland
Don’t use this form if you live in Northern Ireland. Contact the Employment and Support Allowance Centre.
Published 4 April 2013
Last updated 10 August 2020 + show all updates