WCA50 form: Capability for work questionnaire
Source: gov.uk (2025-11-24)

Only fill in this capability for work questionnaire if you're asked to do so, this is not a claim form.

This form is replacing forms ESA50 and UC50. This new WCA50 form will be issued by our Assessment Providers from 24 November 2025.

If you have already filled in a ESA50 or UC50 form, this will be accepted by the Health Assessment Advisory Service.

Fill in this form only if you’ve been asked to do a Work Capability Assessment.

Find out how to claim:

Employment and Support Allowance (https://www.gov.uk/employment-support-allowance/how-to-claim)

Universal Credit (https://www.gov.uk/universal-credit/how-to-claim)

Before you start this form

If you live in Northern Ireland

Find out how to claim Employment and Support Allowance in Northern Ireland (http://www.nidirect.gov.uk/index/information-and-services/money-tax-and-benefits/benefits-and-financial-support/ill-or-injured/employment-and-support-allowance-people-with-disabilities.htm).

Find out how to claim Universal Credit in Northern Ireland (https://www.nidirect.gov.uk/articles/universal-credit#skip-link).

If you’re using a mobile phone or tablet

You cannot complete the form using a mobile phone or tablet. You have to either:
- use a desktop or laptop computer
- print the form and complete it by hand
If you’re using a desktop or laptop computer

Use a PDF reader to open and fill in this form. You can download a free PDF reader online.

If you are using screen reader software to access the form, we recommend that you review all of the notes and the questions on the form before you complete it. As you complete the form, you will be guided through the questions based on the responses you provide.

Do not use your computer’s browser or, if you are an Apple Macintosh user, the Preview application.

You can save data typed into this form if you use a PDF reader. This means that you do not have to fill in the form in one session.

There are reliability issues with some assistive software, which may mean the form will not save properly.

This form will only save if it is both:
- saved onto your computer
- opened in a recent version of PDF reader
The form will not save in:
- versions of Acrobat Reader older than version XI
- some other PDF readers, for example Preview on a Mac or Foxit on a PC
Help using this PDF claim form

Employment and Support Allowance help

For help and advice on the information you need to put on the form or about Employment and Support Allowance, contact Jobcentre Plus (https://www.gov.uk/contact-jobcentre-plus/existing-benefit-claims).

Universal Credit help

You will not be able to get answers to any questions you may have about your benefit. For this you’ll need to either:
- sign in to your Universal Credit account (https://www.gov.uk/sign-in-universal-credit) if you have one
- call the Universal Credit helpline if you do not have an online account
Universal Credit helpline

Telephone: xx-xxxx-xxxx Monday to Friday, 8am to 6pm

Relay UK (https://www.relayuk.bt.com/) (if you cannot hear or speak on the phone): 18001 then xx-xxxx-xxxx Monday to Friday, 8am to 6pm

Welsh language: xx-xxxx-xxxx Monday to Friday, 8am to 6pm

Find out about call charges (https://www.gov.uk/call-charges)

If you’re having technical difficulties

Contact the DWP Online Helpdesk if you have difficulties:
- downloading the form
- navigating around the form
- printing the form
DWP online helpdesk

Email xxx@xxx.xx (mailto:xxx@xxx.xx)

Telephone xx-xxxx-xxxx

Monday to Friday 8am to 6pm Closed weekends and all public and bank holidays

Find out about call charges (https://www.gov.uk/call-charges)

If you need this form in a different format

We can send you the form in the the following formats:
- a printed copy
- a different format, such as large print, braille or audio CD
If you are claiming Universal Credit and need a different format, call Universal Credit. You can find the number at the top of any letters we have sent you, or tell us using your online journal if you have one.

If you are claiming Employment and Support Allowance and need a different format, contact Jobcentre Plus (https://www.gov.uk/contact-jobcentre-plus/existing-benefit-claims).

If you are having technical difficulties

Please contact the DWP online helpdesk if you are having difficulty:
- downloading the form
- navigating around the form
- printing the form
DWP online helpdesk

Email xxx@xxx.xx (mailto:xxx@xxx.xx)

Telephone xx-xxxx-xxxx

Monday to Friday 8am to 6pm Closed weekends and all public and bank holidays