Attendance Allowance claim form

Attendance Allowance claim form.



The notes on the form explain how to fill it in.

Send the completed form to:

Attendance Allowance Unit
Mail Handling Site A
WV98 2AD

Can’t download or print the form?

Phone the Attendance Allowance helpline to ask for a copy.

Read more about Attendance Allowance.

Published 1 April 2013
Last updated 28 July 2017 + show all updates
  1. Added revised AA1A interactive form. Changed contact details for online helpdesk.
  2. Added updated versions of Attendance Allowance claim forms. Removed reference to AA1 and changed to AA1A.
  3. Added revised AA1A interactive and print forms.
  4. Added revised forms with new contact phone numbers.
  5. Published January 2014 versions of the Attendance Allowance claim form.
  6. First published.