Listing of ESA standard forms.

[nukecad]

Links for fillable forms, clicking on Download takes you to the official page to download a form that you can fill in and send off.

Where the link says Example then that is all it is, if needed request an official copy from the DWP.

ESA1 Claim form 'Old Style' ESA Download (you should claim by phone)
NOTE- Since Jan 2019 this can only be used if you are barred from claiming UC

NSESAF1 Claim form 'New Style' CB-ESA Download

JSA NC1 Claim form for NI Credits Only Example

ESA2 Circumstances review form

ESA3 Claimant application for reassessment because of C of C Example

ESA5 Request for pension information
ESA6 Request for pension & other income information

JSA/ESA10JP Application for hardship payment Example

ESA40 General Information leaflet Download

ESA49 Work Related Activity Plan Example

ESA50 Capability for Work questionaire Download
ESA50A Short version, sent when you qualify for WRAG but DM wants to check for SG Example

ESA-N-50 Capability questionaire, claimant overseas Example
ESA-N-54B Guidance notes, assessor overseas Example
ESA-N-54C Medical Report, claimant overseas Example

ESA51 Info. sent with ESA50.

ESA55/WCA55 Jacket in which WCA documents are kept Example

ESA56 Decision Makers points scoresheet Example

ESA60 DM rejection of paper assessment - (request for F2F assessment) Example

ESA65 Disallowance notification (Fit for Work) Example
ESA65B Letter sent to your GP re fit-notes Example

ESA72 Notification of award after assessment Example
ESA72SC Notification of SG and 'Severe Condition' Example

ESA82 Letter advising ESA will not be paid until a decision is made following WCA
ESA83 Form to report worsening condition after FfW at previous WCA Example

ESA85 WCA report (f2f)
ESA85a WCA report (no f2f) Example
ESA85s Personalised Summary Statement (Extra notes)

ESA86 Form used to record advice on LCWRA clerical referrals

ESA113 Form sent to GPs to request information (also see FRR# below) Download

ESA120 Letter about WFIs when moved from WRAG to SG Example

ESA124 Details of how your ESA payment was worked out Example

ESA125 Written details of ESA claim (Proof of receiving ESA benefit) Example

ESA214 A detailed guide to the WCA Download
THIS INCLUDES A LIST OF ALL THE DESCRIPTORS AND POINTS.

ESAL0001 Letter inviting SG claimant for voluntary WFI Example

ESAHWC1 Invitation letter to 'Health and Work Conversation' Example

HC1 H&W Conversation questionaire Example
Same but with the Work Coach notes included: Example


Permitted work forms
DWPF01 General information leaflet, PW Example
PW1 Permitted work form (Tell the DWP you are/will be doing PW) Download
PW8 Letter/form sent to check if you are still doing PW Example
PW9 Letter/form sent to check you are still doing SUPPORTED PW Example

Related application forms.
HC1 Claim Free Health Costs, (Low Income) Order (comes with a prepaid return envelope) or Download (no envelope)

HCTB1 Housing Benefit claim form Download

IS10 Application for Severe Disability Premium Example

SF500 Budgeting Loan application Download

Other forms related to ESA
BF223 Good Cause form. Sent if you miss a WCA appointment Example
DP_Gen Form to give bank details Example
DS1500 Confirmation of terminal illness
FRR2 Request for specific ME, sent to GP or another healthcare provider Example
FRR3 Request for ME, sent to another HealthCare Professional
FRR4 Recording and/or paper notes of telephone contact between HCP and GP, or HCP and claimant
LT54 Decision Makers Report Example (part 3 for ESA decisions)

UC50 Capability for Work questionaire - Universal Credit Download

SSCS1 Appeal application. -This is now done online Online Application

[Jard]

You've left out LT54, Decision Makers explanation/report of ESA Decision. Normally requested in conjunction with ESA85/85a or found in ESA Tribunal Evidence 'bundle'.

[paul446]

a very usefull thread , i have printed it off for future refference :-)

[Penthouse]

Any idea on the following DWP abbreviations / forms please?

BDC -
HOTT - i think its a handover term
DPA1 - (the note just says "DPA1 held")
DP - Disability Premium???? (note says "DP marker set")
ESF F- (note says "ESF family support")
NQF - regarding framework?
DJ -
(DJ) IRP -
IRP ISS EF -
CFA -
SAH -
SCC -
LR 3207 -
IC.O/P - re: a claimed overpayment

If these help the following are:
PWLL - permitted work lower limit
PWHL - permitted work higher limit
WCA - work capability assessment
WARS or WRAG - work related activity group or support group

[Penthouse]

Also
490 - notes says "arrears issued from (date-date) of (amount) VIA '490'."

[nukecad]

Hi penthouse,

Some of those look like internal jobcentre codes.
We do have a 'sticky' thread for abbreviations already, I've not checKed but you may find them there:
http://www.youreable.com/forums/show...t=abbreviation

JA490 is one of their internal procedures for processing recovery of overpayments.
It is mentioned, along with other "JA" numbers, in this document:
https://www.whatdotheyknow.com/reque...%20benefit.pdf
I do't know exactly what it is but assume the 'JA' stands for Jobseekers allowance.

[nukecad]

29 April 2017.

Various changes and additions.

'Clickable' Weblinks added to known downloads and examples.

Admin have made this thread a 'sticky' (Thanks admin) so it should be easier for people to find in future.

[Wiggy]

Thanks for posting this thread Nukecad. Very useful

[nukecad]

Permitted Work forms updated following removal of '12 month' rule.

[gone]

So, I noticed that you said that the ESA56 form is only given when you have no F2F. I did get/ask for the ESA56 when I asked for the LT54, but I had a F2F, so maybe it's generated for all decisions, not just those with no F2F?

Extremely useful thread though, thank you for posting.