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New Style Employment and Support Allowance (ESA) claim form (23 October 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 23 October 2020 — see all updates
From:
Department for Work and Pensions
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Form no longer available online
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This form us currently unavailable online.
You can claim New Style Employment and Support Allowance online or by phone.
Published 6 March 2019
Last updated 23 October 2020 + show all updates