Help filling in your capability for work questionnaire (ESA 50 form)
The capability for work questionnaire is your chance to tell the DWP how your illness or disability affects your ability to work. You’re being asked to show why Employment and Support Allowance (ESA) is the right benefit for you.
You will already have completed the first ESA form (ESA1) - usually over the phone.
This is a long form, and it can be hard work to fill it in - take a break whenever you need to.
You must send back the form within 4 weeks of the date the DWP sent it to you.
Get help with each part of the form
These help pages are to guide you through each question on the form. They will help you to decide if you need to answer each question.
We explain what the questions really mean, and give prompts on what to think about. This should help you to answer the questions and get the benefit.
Help filling in your details
Help with the physical capabilities questions
Help with the mental health questions
Help with the last section of the form
Get extra help with the capability for work questionnaire
If you need extra help with your form, contact your nearest Citizens Advice.
If you have cancer
You don’t need to fill this form in if you have cancer and you’re:
- waiting for chemotherapy or radiotherapy
- going through chemotherapy or radiotherapy
- recovering from chemotherapy or radiotherapy
Tick the boxes that apply to you on page 5 then skip to page 22 and sign the box - then get a health professional (for example your GP or hospital doctor) to fill in page 24.
For both practical help and emotional support you can call the Macmillan Support Line.
Macmillan Cancer Support
89 Albert Embankment
Admin number: 020 7840 7840
Fax: 020 7840 7841
Support line: 0808 808 00 00
Every day, 8:00am - 8:00pm
Calls are free from mobiles and landlines.