You can email completed ESA claim forms to: ESA.firstname.lastname@example.org
Guidance note for PC/Laptop users
Please note, this form is for Northern Ireland claims only
- Click on the Employment and Support Allowance claim form ESA1 link to open the interactive form.
If using Chrome PDF Viewer (right click on open document - save to desktop - open with Adobe Reader)
- Complete all relevant boxes, failure to do so may delay the processing of your application.
- Click on the envelope icon at the top left of screen.
- Click on “Send Copy”.
- Select the “Default email application” option and click on “Continue”.
- If prompted, select “Allow Adobe Acrobat”.
- An email will pop up with your completed Employment and Support Allowance claim form ESA1 attached.
- Type the ESA.email@example.com email address into the send box.
- Send your email