Employment & Support Allowance: New claims

5. Questionnaire

You will normally be sent a Limited Capability for Work Questionnaire (the ‘ESA50’) to complete. This form has a number of questions with tick-boxes and a space to provide more detailed information about the difficulties you face. When completing each section, let them know if your ability to perform the activity varies.

Make it clear if you cannot perform an activity repeatedly, safely or reliably or if it would take you a long time to complete it. Let them know about any pain, tiredness or discomfort you would feel completing the activity.

It is advisable to include any supporting medical evidence you may have.The time limit for completing and returning the ESA50 is four weeks.

You need to score at least 15 points in order to qualify for the work related activity group (WRAG).

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