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.

Applies to England, Scotland and Wales

Documents

Details

Read more about Attendance Allowance before you apply.

Before you start this form

If you’re using a mobile phone or tablet

You cannot complete the form using a mobile phone or tablet. You have to either:

  • use a desktop or laptop computer
  • print the form and complete it by hand

If you’re using a desktop or laptop computer

Use a PDF reader to open and fill in this form. You can download a free PDF reader online.

If you are using screen reader software to access the form, we recommend that you review all of the notes and the questions on the form before you complete it. As you complete the form, you will be guided through the questions based on the responses you provide.

Do not use your computer’s browser or, if you are an Apple Macintosh user, the Preview application.

You can save data typed into this form if you use a PDF reader. This means that you do not have to fill in the form in one session.

There are reliability issues with some assistive software, which may mean the form will not save properly.

This form will only save if it is both:

  • saved onto your computer
  • opened in a recent version of PDF reader

The form will not save in:

  • versions of Acrobat Reader older than version XI
  • some other PDF readers, for example Preview on a Mac or Foxit on a PC

Help using this PDF claim form

For help and advice on the information you need to put on the form or about the benefit you want to claim, contact the Attendance Allowance helpline.

Contact the DWP Online Helpdesk, if you are having technical difficulties:

  • downloading the form
  • navigating around the form
  • printing the form

DWP online helpdesk

Email dwponline.helpdesk@dwp.gov.uk

Telephone 0800 169 0154

Monday to Friday 8am to 6pm
Closed weekends and all public and bank holidays

Find out about call charges

Where to send the form

Send the completed form to:

Freepost DWP Attendance Allowance

You do not need a postcode or a stamp.

Request an accessible format

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, fill in an accessible format request.

Published 1 April 2013
Last updated 2 July 2021 + show all updates
  1. Replaced AA1 interactive form and AA1 claim form notes with new versions.

  2. Replaced the English version of the form with a more accessible version. An additional question for Swiss and EEA nationals has been incorporated into the claim form.

  3. Added interactive and print versions of the question form required for Swiss and European Economic Area nationals claiming Attendance Allowance from 1 January 2021 - English and Welsh. Updated claim form and notes as they now make reference to this question.

  4. Updated postage address.

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

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

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

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

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

  10. Added revised AA1A interactive and print forms.

  11. Added revised forms with new contact phone numbers.

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

  13. First published.