Employment and Support Allowance: permitted work form
Use this form to tell us if you are working, or want to work, while claiming Employment and Support Allowance (ESA).
Documents
Details
If you’re claiming ESA, fill in the permitted work form before you start any paid or unpaid work.
Post it to the address at the top of any ESA letters we have sent you. Please do not take this form into your Jobcentre Plus office.
You could lose your benefit if you do any kind of work that doesn’t meet the conditions. If you can’t send the form before you start work, send it as soon as possible after starting work.
If you need this form in a different format
Contact Jobcentre Plus to ask for:
- a printed copy of the form
- a different format, such as large print, braille or audio CD
Updates to this page
Last updated 8 April 2024 + show all updates
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Published the latest versions of the form 'Permitted work form you can print and fill in with a pen' in English and Welsh. Updated the English and Welsh 'Permitted work: factsheet' to show that permitted work now allows earnings up to £183.50 every week after tax.
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We have added an accessible HTML version of the Permitted work factsheet.
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Updated with the latest benefit rates, effective from 10 April 2023
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Updated the information about where to send the form.
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Updated with the latest rates.
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Published new version of the English permitted work form.
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Updated with the latest rates effective from 12 April 2021.
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Published the latest versions of the form 'Permitted work form you can print and fill in with a pen' in English and Welsh. Updated the English and Welsh 'Permitted work: factsheet' to show that permitted work now allows earnings up to £140 every week after tax.
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Added updated permitted work factsheets in HTML format in both English and Welsh.
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Published new versions of the English and Welsh permitted work forms.
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Added updated permitted work form in English and Welsh, as well as corresponding factsheets. The form now includes the correct weekly permitted work earnings and the new 0800 phone number.
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First published.