If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email firstname.lastname@example.org.
Please tell us what format you need. It will help us if you say what assistive technology you use.
Revised ESA1 interactive and print versions (English and Welsh). Corrected a web page URL in the notes.
Added ESA1RR forms - English and Welsh - renewal reclaim versions only to be complete if you got Employment and Support Allowance in the last 12 weeks. Revised ESA1 forms - print and interactive - English and Welsh.
Revised notes for ESA1 interactive form. New contact details for online helpdesk.
Published revised ESA claim form you can print and fill in with a pen – English and Welsh.
Published revised ESA claim form you can download, fill in on screen, save – and then print.
Expanded notes section to inlcude advice for claimants who have claimed ESA before.