Download Sample Claim Forms

Below are a list of claim forms that we have available listed by Category. Click the category that fits your requirement and then choose the form that meets your medial condition.

Sample Claim Forms

  • 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.
  • All sample forms are PDF format. We will email your order to your inbox within 24 hours.
  • Click here to view all forms available
  • Click here for the terms and conditions relating to downloaded items.
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Download sample forms to help you understand the complicated ESA, PIP and Attendance Allowance claim forms

"I used your sample for ESA for CFS and was awarded it for 2 Years." E.M.

Claiming benefits usually involves completing a lengthy claim form. The answers you give go a long way to deciding if you get the benefit but there may be a face to face assessment before the decision is made. It is vital to get the form right and worded in the correct way. A Tribunal Judge recently wrote in his explanation for a decision: "In the claim pack Mr B did not reply to the question asking him how far he can normally walk. Need we say more?

Click here to view the available sample forms

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I just wanted to take some time out and thank all of you for your help, support and understanding in winning both my cases for DLA and ESA. I don't know where I would have been without you!

Jennifer