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Check how to fill in your claim form

This advice applies to England

When you apply for PIP, you’ll need to fill in a form called ‘How your disability affects you’. You can use our guidance to help you. There is advice for each question, including: 

  • what the questions mean 
  • what to write about in your answers 
  • examples of answers people might give
  • help explaining how your illness or disability affects you 

PIP is based on how your condition affects you. It's not based on your particular illness or disability, or your medication.

It’s very important to think about each question. Our help pages will help you to decide if you need to answer each question.

Help with question 1: listing your condition, medication and treatments

Help with question 2: listing your health professionals

Help with question 3: preparing and cooking food

Help with question 4: eating and drinking

Help with question 5: managing treatments

Help with question 6: washing and bathing

Help with question 7: managing toilet needs

Help with question 8: dressing and undressing

Help with question 9: communicating

Help with question 10: reading

Help with question 11: mixing with other people

Help with question 12: making decisions about money

Help with question 13: going out

Help with question 14: moving around

Help with question 15: additional information

If you run out of space on the form

It's okay to write your extra information on a separate sheet - use our template [ 0.78 kb]

Always attach this sheet to your claim form and include your name, National Insurance number and the question number.

If you need more help with the form 

If you’re having problems with the form, your local Citizens Advice might be able to help you or find somewhere that can - get help from an adviser.

You might also be able to get help from a local disability or mental health support agency. You can:

Sending the form

You can find out more about how to send the form.

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