Form

New Style Employment and Support Allowance (ESA) claim form

This form is currently unavailable online. You can claim New Style Employment and Support Allowance online or by phone.

From:
Department for Work and Pensions
Published
6 March 2019
Last updated
23 October 2020 — See all updates

This publication was withdrawn on

You can claim New Style Employment and Support Allowance online or by phone.

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Form no longer available online

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This form is currently unavailable online.

You can claim New Style Employment and Support Allowance online or by phone.

Updates to this page

Published 6 March 2019
Last updated 23 October 2020 + show all updates

  1. Removed the claim forms you can print as they are not the valid versions for claiming New Style ESA.

  2. Updated with new guidance on how to claim New Style Employment and Support Allowance.

  3. Updated version of 'New Style' Employment and Support Allowance claim form you can download, fill in on screen, save, and then print - English version only.

  4. Removed options to choose when phoning to book a new claim appointment as these are no longer correct.

  5. Added welsh version of the form.

  6. First published.

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