Access paperwork made accessible

Fill in your claim form

This is an accessible version of the Access to Work claim forms. When you finish filling in your details, this service will put all your details into the actual form and return it to you as a PDF for you to print, sign and post. Privacy: the service does not keep any of your details. The filled-in PDF is deleted after it is downloaded to your device.

Claim for
Claim period
Claim week
Claim month

For the below, if you're employed, fill in your employer's details. If you're self-employed, fill in your support worker's details.

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