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Form ESA1 Employment and Support Allowance claim - Gov UK

Form ESA1 Employment and Support Allowance claim - Gov UK 2025

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The document is a claim form for Employment and Support Allowance (ESA), a social security benefit for individuals with illness or disabilities. It provides instructions on how to claim, including contact information, eligibility criteria, and details about the types of ESA available (contribution-based and income-related). The form requires personal information, medical statements, and financial details to assess eligibility. It emphasizes the importance of completing all sections accurately and submitting required documents promptly.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Part 1, which asks for the date you want to claim Employment and Support Allowance from. Ensure you provide accurate information as this will determine your eligibility.
In Part 2, provide personal details about yourself and your partner if applicable. Include names, dates of birth, and National Insurance numbers.
Proceed to Part 3 where you will describe your illness or disability. Be specific about the nature of your condition and include any relevant medical statements.
Continue through the form, ensuring each section is completed accurately. Pay special attention to sections regarding work history and other benefits received in Parts 5 and 6.
Once all sections are filled out, review your entries for accuracy before submitting. Use our platform's features to save your progress or make edits easily.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (50 Votes)
2014	4.4 Satisfied (46 Votes)
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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What evidence do I need for ESA?

a fit note (sometimes called a sick note or a statement of fitness for work) if youve not been able to work for more than 7 days in a row because of a disability or health condition. details of your income, if youre working. the date your Statutory Sick Pay (SSP) ends, if youre claiming it.

How much is the first ESA payment?

As with the old ESA, New Style ESA is split into two groups. During your assessment phase which can take up to 13 weeks, before it has been decided which group youll be in, you will receive: 72.90 per week if youre under 25 years old. 92.05 per week if youre 25 or over.

How much is paid on ESA?

Assessment phase PersonWeekly rate a single person aged under 25 up to 72.90 a single person aged 25 and over up to 92.05

What illnesses qualify for ESA support group?

Many people with mental health problems, cognitive difficulties, Chronic Fatigue Syndrome, Long Covid, or conditions that are much worse on some days more than others get ESA this way.

How long does it take to get your first ESA payment?

Youll usually get your first ESA payment a few weeks after you apply. You can check how much ESA youll get.

How do I know which ESA Im on?

To check which type of ESA you claim, check your decision letter. You can also call Jobcentre Plus on 0800 169 0310.

What is the highest payment for ESA?

After youre assessed If youre nearing the end of life, youll be put into the support group. Youll get: up to 92.05 a week if youre in the work-related activity group. up to 140.55 a week if youre in the support group.

Form ESA1 Employment and Support Allowance claim - Gov UK 2025

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