Annex 5 - Forms
Employment and Support Allowance (DWP1001)
Employment Verification Template
Employment Verification Template for Job at Start of Sustained Claim
Period
JCP80a Decision About Your Work Focussed Interview
JCP80b Decision About Your Work Focussed Interview
JO4 Job Outcome Payment Claim form
JO5 Sustained Job Outcome payment Claim form
Jobcentre Plus Letters
- Letter 1 – WFI appointment letter
- Letter 2 – Fail to attend / Participate in WFI
- Letter 3 – Unsuccessful Home Visit
Employment Verification Template (multiple job starts)
Notification to Provider (NTP)
Notification from Provider (NFP)
Programme Accident Report Form 1(PARF1)
Programme Accident Report Form 2 (PARF2)
PLP1 (JCP) Provider Led Pathways mandatory element - referral notification (JCP)
PLP1 (Prov) Provider Led Pathways voluntary element - referral notification (Prov)
Return to Work Credit Application
Return to Work Credit – Self Employment Application
Return to Work Credit – Change of Circumstances
Self declaration Verification template
Self employment verification template
Self declaration sustained outcome employment verification template
Sustained outcome self employment verification template
Sustained Outcome Employment Verification Template
Work Focussed Health Related Assessment – Assessment Report – WFHRA example
Work Focussed Health Related Assessment Report – WFHRA3 Rejection
