Help filling in your ESA form
The ESA50 form is your chance to say how your illness or disability affects your ability to work. You’re being asked to show why Employment and Support Allowance (ESA) is the right benefit for you.
You will already have completed the first ESA form (ESA1) - usually over the phone.
This is a long form, and it can be hard work to fill it in - take a break whenever you need to.
You must send back the form within 28 days of the date you receive it from the Department for Communities (DfC).
Get help with each part of the form
These help pages are to guide you through each question on the form. They will help you to decide if you need to answer each question.
We explain what the questions really mean, and give prompts on what to think about. This should help you to answer the questions and get the benefit.
Help filling in your details
Help with part 1: physical capabilities
Help with part 2: mental, cognitive and intellectual capabilities
Help with part 3: eating and drinking
Help with the last section of the form
Get extra help with the ESA50 form
If you need extra help filling in your ESA50 form, you can go to your local Citizens Advice - someone will help you fill it in and explain everything to you in person.
You can also get help from your local disability support agency.
If you have cancer
You don’t need to fill this form in if you have cancer and you’re:
- waiting for chemotherapy or radiotherapy
- going through chemotherapy or radiotherapy
- recovering from chemotherapy or radiotherapy
Tick the boxes that apply to you on pages 3 and 4 then skip to page 18 and sign the box - then get a health professional (for example your GP or hospital doctor) to fill in page 20.
For both practical help and emotional support you can call the Macmillan Support Line for free on 0808 808 0000, Monday to Friday, 9am – 8pm.