The ESA50 form is your chance to tell the DWP how your illness or disability affects your ability to work. You’re being asked to show why Employment and. Those applying for Employment Support Allowance (ESA) or Universal Credit ( UC) may be sent a capability for work questionnaire, also known as an ESA50 or . Fill esa50 form instantly, download blank or editable online. Get, Create, Make and Sign esa50 40 capability for work questionnaire online form.

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Do try to put down as much information as you can:. This section covers seizures and absences that occur when you are awake. Top links Template letter to raise a grievance at work.

Make a list of any of the above difficulties on page 5 of the questionnaire where it asks you how your disability affects you. Housing Renting privately Finding quetsionnaire place to live Renting from the council or a housing association Mortgage problems Homelessness Renting a home Repairs in rented housing Council tax View all in Housing.

What is the ESA50 limited capability for work questionnaire?

Page 3 on the ESA50 form asks you about any help you would need if you have to go to a face-to-face assessment. This activity looks at your ability to start and finish tasks without needing prompting by someone else. There may be a charge for reports from GPs and hospital consultants. But some of the questions give a highly misleading impression of the evidence you need to give and fail to make you aware of all the points you could score.


Staying conscious when awake. The latest version of the questionnaire will be added to this page shortly. It is very important to check that you have not been placed in this group.

It is really important for you to return the form before its due date.

Capability for work questionnaire ESA50

Capability for work questionnaire – English and Welsh. They will either change the decision in your favour, or write back to say that they have been unable to change the decision. Family Living together, marriage and civil partnership Ending a relationship Death and wills Gender violence Children and young people Looking after people Education.

You should always check details regarding your welfare rights with a local advice centre or the Department for Works and Pensions. If you apply for a tribunal hearing, it will be held at a venue as close to your home as possible.

Get the facts about what’s changing, how it affects you and how to prepare.


Careers Contact Skip to main content. Send in professional evidence to support your claim if you can. Back to Top Need help?

NHS and adult social care complaints Find out how to complain about your doctor or health visitor. Medical evidence Your conditions. This cannot be arranged on the day of the assessment. This site uses cookies to improve your experience. It doesn’t have enough detail. Top links Making a small claim Help for victims of rape and sexual violence.

What is the ESA50 limited capability for work questionnaire? Yes, you can download a copy of the ESA50 form from the directgov website opens in a separate window.

Top links Housing benefit Making welfare work locally – Best practice research. Members Only Guides Training. Northern Ireland region Northern region Southern region Wales region. Apart from our guides, you may be able to get help from a citizens advice bureau or similar advice agency. Communicating – speaking, writing and typing. This activity does not look at your ability to use public transport.