A GUIDE TO COMPLETING THE ESA This ESA50 form, forms part of the Work Capability Assessment, which assesses whether someone has limited. Complete an ESA50 or UC50 form in order to receive your ESA or UC benefits. A helpline is available if you have any questions. The ESA50 form is part of the Work Capability Assessment, to decide whether This guide aims to assist you by including the whole test alongside the form’s.

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The ESA50 limited capability for work questionnaire is sent to most people who make a claim for employment and support allowance ESA. You can find out more or opt-out from some cookies. Family Living together, marriage and civil partnership Ending a relationship Death and wills Gender violence Children and young people Looking after people Education.

Staying conscious when awake. They will help you to decide if you need to answer each question.

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Explore the topic Carers and disability benefits Jobseeker’s Allowance and low income benefits Welfare reform Work and disabled people. What is the ESA50 limited capability for work questionnaire? Is there anything I should know before filling in the ESA50 limited capability for work questionnaire?

It will take only 2 minutes to fill in. You can get more details of who may be able to help with the ESA50 form from our 12 page guide to Getting help with your benefitsbut you will need to register with the site first.


This is a long form, and it can be hard work to fill it in – take a break whenever you need to. Picking up and moving things. It is vital that you return the form by the date on the letter you are sent. Communicating – speaking, writing and typing. What were you doing? Apart from our guides, you may be able to get help from a citizens advice bureau or similar advice agency. Top links Our pensions advice Write a letter to your creditors Take a financial healthcheck with the Money Advice Service.

England, Scotland, and Wales see publication for Northern Ireland. UK uses cookies to make the site simpler. We support both claimants and professionals.

Find out more about cookies. Thank you for your feedback. Our mailing list is securely managed by icontact in the US. Your medication and treatment. If you need extra help filling in your ESA50 form, you can go to your local Citizens Advice in England and Wales or in Scotland vorm someone will help you fill it in and explain everything to you in person.

These might be a: Northern Ireland home Scotland home Wales home.

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Capability for work questionnaire

If you want any of these, please call Jobcentre Plus on and tell us which you need. Form Ess50 is a self-assessment questionnaire that most people getting Employment and Support Allowance must complete during the course of their claim. You must send back the form within 28 days of the date you receive it from the DWP.


Contact the Employment and Support Allowance Centre.

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Text Size A A A. The form explains where to send it. Department for Work and Pensions. Coping with social situations. We use cookies to improve your experience of our website. Careers Contact Login Form Close Username. Request this information in another format. Along with the outcome of a medical, this information is used to help decide if you pass the assessment of limited capability for work. Capability for work questionnaire Ref: Yes, you can download a copy of the ESA50 form from the directgov website opens in a separate window.

ESA50 / UC50 Questionnaire

Child abuse – advice and support Advice for people affected by child abuse. Published 4 April Last updated 14 November — see all updates.

This should help you to answer the questions and get the benefit. Was this page useful?