Lwfans Cyflogaeth a Chymorth: ffurflen gwaith a ganiateir
Defnyddiwch y ffurflen hon i ddweud wrthym os ydych yn gweithio, neu eisiau gweithio, tra'n hawlio Lwfans Cyflogaeth a Chymorth (ESA).
Dogfennau
Manylion
Os ydych yn hawlio ESA, cwblhewch y ffurflen gwaith a ganiateir cyn i chi ddechrau unrhyw waith â thâl neu ddi-dâl.
Postiwch ef i’r cyfeiriad sydd ar frig unrhyw lythyr ESA rydym wedi’u hanfon atoch. Peidiwch â mynd â’r ffurflen hon i’ch swyddfa Canolfan Byd Gwaith.
Gallech golli eich budd-dal os byddwch yn gwneud unrhyw fath o waith sydd ddim yn bodloni’r amodau. Os na allwch anfon y ffurflen cyn rydych yn dechrau gweithio, anfonnwch hi cyn gynted â phosibl ar ôl dechrau gweithio.
Os ydych angen y ffurflen hon mewn fformat gwahanol
Cysylltwch â’r Canolfan Byd Gwaith i ofyn am:
- gopi o’r ffurflen wedi’i hargraffu
- fformat gwahanol, fel print mawr, braille neu CD sain
Updates to this page
Cyhoeddwyd ar 3 Ebrill 2017Diweddarwyd ddiwethaf ar 8 Ebrill 2024 + show all updates
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Published the latest versions of the form 'Permitted work form you can print and fill in with a pen' in English and Welsh. Updated the English and Welsh 'Permitted work: factsheet' to show that permitted work now allows earnings up to £183.50 every week after tax.
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We have added an accessible HTML version of the Permitted work factsheet.
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Updated with the latest benefit rates, effective from 10 April 2023
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Updated the information about where to send the form.
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Updated with the latest rates.
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Published new version of the English permitted work form.
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Updated with the latest rates effective from 12 April 2021.
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Published the latest versions of the form 'Permitted work form you can print and fill in with a pen' in English and Welsh. Updated the English and Welsh 'Permitted work: factsheet' to show that permitted work now allows earnings up to £140 every week after tax.
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Added updated permitted work factsheets in HTML format in both English and Welsh.
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Published new versions of the English and Welsh permitted work forms.
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Added updated permitted work form in English and Welsh, as well as corresponding factsheets. The form now includes the correct weekly permitted work earnings and the new 0800 phone number.
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First published.