Personal Independence Payment - sample form and notes Topics: Benefits and pensions, Benefits, Personal Independence Payment Date published: 14 October 2021 Last updated: 28 July 2025 Sample of Personal Independence Claim form and information notes. Documents PIP1 NI (sample)Adobe PDF (179.11 KB)PIP2 NI Clerical (sample)Adobe PDF (2.18 MB)PIP2 Notes booklet (sample)Adobe PDF (808.15 KB)