Everything You Need to Know About the ESA1 Form

What is an ESA1 form?
The ESA1 is the paper form used to claim Employment and Support Allowance. It’s an alternative to applying online or by phone, and it asks for personal details, medical information, and work history.

Why do I need to fill out an ESA1 form?
Three main reasons:

1. To officially start your ESA claim if you cannot apply online or by phone.
2. To provide the DWP with details about your condition and how it affects your ability to work.
3. To determine whether you qualify for New Style ESA or income-related ESA (for existing legacy claims).

Who needs to complete an ESA1 form?

• People who cannot work due to illness or disability and want to claim ESA.
• Those unable to use the online or telephone application service.

When don’t I need to complete an ESA1?
You won’t need it if you’re applying for ESA online or by phone, or if you already receive ESA and are just reporting a change of circumstances.

When is the ESA1 form due?
You should submit it as soon as you become eligible to claim ESA to avoid losing entitlement from earlier dates.

Where do I send my completed ESA1?
Post it to the address provided in the claim notes or take it to your local Jobcentre Plus.

How do I sign an ESA1 form online?
If you fill it in digitally with PrimePDF, you can sign it using our secure e-signature tool before printing and posting it to the DWP.