Personal Independence Payment - sample form and notes

Date published: 14 October 2021

Last updated: 03 May 2023

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Sample of Personal Independence Claim form and information notes.

Documents

PIP1 NI (sample)
PDF (323 KB)
PIP2 NI Clerical (sample)
PDF (2.2 MB)
PIP2 Notes booklet (sample)
PDF (808 KB)

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