Form

How your disability affects you

An example 'How your disability affects you' form, as sent to Personal Independence Payment (PIP) claimants after the initial phone call.

Documents

Detail

This form is provided as an example for support organisations who work with disabled people. It illustrates the information that PIP claimants will be provided with and the questions they will be asked to answer and return to DWP, following their initial call to the PIP claims number. It is not intended to be downloaded and completed. Claimants will be sent a personalised version of the form by post as part of the claims process.

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Please don't include any personal or financial information, for example your National Insurance or credit card numbers.