Sample Claim Forms

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Sample Claim Forms

We frequently get people saying 'I wish I had found you before I made my claim!” Why? Because we know about the commonest mistakes and pitfalls that can cause a claim to fail. Our experts have been working in welfare benefits for over 30 years and have completed thousands of claim forms and attended hundreds of benefit appeal Tribunals. It always make sense to get guidance on completing a claim form because an accurate and well completed claim pack makes it much harder for a decision maker to refuse your claim. The good news is that we are sharing our expertise with YOU.

And unlike other websites you don’t have to pay an annual subscription or membership fee before you can get access to the information you need to make your claim. Just choose what you need and pay to download only what you need.

These are ACTUAL claim forms for Employment Support Allowance (ESA), DLA and Attendance Allowance that were submitted to the DWP and resulted in a successful outcome. Of course we have removed all personal details and PLEASE NOTE that each form is intended as a guide only and MUST NOT be used as a template for your claim form. Your form must reflect your own personal circumstances.

If you've been turned down before, that doesn't mean you won't succeed if you try again with our support.

We have sample forms available for different medical conditions; just click on the one(s) that matches your condition/problems. More forms will be added as the service develops.

Click here for the terms and conditions relating to downloaded items.

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Sample ESA Forms

A Guide to The ESA Medical Examination

This factsheet gives details of some of...

Sales price: £2.99

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ESA Damaged Discs

Sample answers to the questions on the...

Sales price: £2.99

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ESA for Arthritis and Crohns

This sample shows will help you to...

Sales price: £2.99

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ESA for Rheumatoid Arthritis

This sample form will help you to...

Sales price: £2.99

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ESA form for CFS

An example of an ESA50 form completed...

Sales price: £2.99

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ESA Medical Interview

Here we have an extremely detailed...

Sales price: £3.49

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ESA Solely Mental Health

This sample ESA50 form focuses on the...

Sales price: £3.49

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ESA50 for Back Pain and Arthritic Hands

The answers in this form cover severe...

Sales price: £2.99

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