Other information

This page is about giving other information which does not fit anywhere else on the form.

You can use extra sheets of paper if there’s not enough space in the box. Attach them to your capability for work questionnaire (ESA50 form), and include your name and National Insurance number.

If someone helped you fill in the form

If someone helped you fill in the form, it’s important to say this. Use the box to explain:

• who did it - for example a family member, a carer or adviser
• why you asked them for help
• how they helped you

How filling in the form made you feel

If filling in the form caused you pain, it’s important to tell the DWP. Use the box to explain the type of pain and how long it lasted.

You should also explain if filling in the form made you anxious or stressed.

If you’re including medical evidence

If you’re sending medical evidence, make sure you list the documents you’re including. Get more help with this in the “medical evidence” part of the form.

Next steps

Back to Help filling in your ESA form