UC50 form: Universal Credit capability for work questionnaire

Only fill in this capability for work questionnaire (UC50) if you’re asked to do so, this is not a claim form.


Welsh: Credyd Cynhwysol holiadur gallu i weithio (UC50)

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Find out how to claim Universal Credit.

Using this form

Fill in this form only if you’ve been asked to do a Work Capability Assessment.

You can either print the form and complete using a pen or you can:

  1. Save a copy of the form
  2. Open it in Adobe Acrobat Reader version 11 or later
  3. Fill it in on screen
  4. Print it and sign it

The form explains where to send it. If you have any questions, please contact the office that asked you to fill it in.

Alternative formats

If you would like this questionnaire in braille, large print or audio, please call Universal Credit. You can find the number at the top of any letters we have sent you, or tell us using your online journal if you have one.

If you are having technical difficulties

Please contact the DWP online helpdesk if you are having difficulty:

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

DWP online helpdesk

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

Residents of Northern Ireland

Don’t use this form if you live in Northern Ireland.

Published 4 January 2018