If you do not you may only get benefit from the date you give us all the information we need. Please read the notes before you fill in this form. They will help you decide what to claim. Please ll in this form with BLACK INK and in CAPITALS. For our use Office code Issue date / ESA1 03/15 Notes What is Employment and Support Allowance security benefit for people who have an illness or a disability.
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If you’re getting Statutory Sick Pay, you can fill in the ESA claim form up to 3 months before it's due to finish.
... Fill in the claim form (called ESA1) - everyone has to do this.
... by filling in an ESA1 form and giving it to your local Jobcentre or posting it to the DWP.