Form

Attendance Allowance claim form

Use the Attendance Allowance claim form to apply for financial help for your personal care if you're disabled and State Pension age or older.

Documents

Details

The notes explain how to fill it in.

Send the completed form to:

Freepost DWP Attendance Allowance

If you cannot download or print the form, phone the Attendance Allowance helpline to ask for a copy.

You can also call the helpline for information about a claim you’ve already made for Attendance Allowance.

Read more about Attendance Allowance.

Published 1 April 2013
Last updated 4 February 2020 + show all updates
  1. Updated postage address.

  2. Replaced the Welsh claim forms and notes as the telephone numbers have been updated.

  3. Replaced the interactive version of the English claim form to correct a number of phone numbers.

  4. Added revised AA1 - Attendance Allowance claim form (interactive and print) and new Welsh interactive version.

  5. Added revised AA1A interactive form. Changed contact details for online helpdesk.

  6. Added updated versions of Attendance Allowance claim forms. Removed reference to AA1 and changed to AA1A.

  7. Added revised AA1A interactive and print forms.

  8. Added revised forms with new contact phone numbers.

  9. Published January 2014 versions of the Attendance Allowance claim form.

  10. First published.