Guidance

Send an SR1 medical evidence form

Send medical evidence to support a benefit claim made with the Special Rules for end of life (SR1 form)

• From: Department for Work and Pensions
• Published: 4 June 2025

Applies to England, Scotland and Wales

Overview 

You can send medical evidence with an SR1 form to support a benefit claim made with the Special Rules. 

In most cases, the Special Rules allow people nearing the end of life to: 

• get faster, easier access to certain benefits 
• get higher payments for certain benefits 
• avoid having an in-person medical assessment

Use this service to send an SR1 form to the Department for Work and Pensions if you have a patient who: 

• has a progressive disease 
• you would not be surprised if they were to live for less than 12 months

There is a different process for healthcare professionals to바카라 사이트¯.

Who can send an SR1 form 

To send an SR1 form, you must be a: 

• consultant 
• general practitioner 
• hospice doctor 
• senior specialist nurse (such as a clinical nurse specialist, advanced nurse practitioner) 
• specialty doctor 

There are no negative consequences for the clinician or patient if a patient who claims under the Special Rules lives longer than expected. 

General practitioners and GMC-registered consultants can claim a fee for completing an SR1 form. 

Send an SR1 form 

You can send an SR1 form online, by email or by post. 

What you will need 

You will need to tell us the patient바카라 사이트™s: 

• name, date of birth and address 
• diagnosis and other relevant conditions 
• date of diagnosis 
• awareness of their diagnosis and prognosis 
• date they are thought to have met the criteria for the Special Rules 
• clinical features that indicate a severe progressive condition 
• treatment plan 

You do not need to give a specific prognosis. Use the same language you use when communicating with other clinicians. 

You will also need to tell us your: 

• name 
• role 
• professional registration number 
• organisation바카라 사이트™s phone number and address 

Send online 

Send by email 

Email바카라 사이트¯form.e-sr1@dwp.gov.uk바카라 사이트¯to request an electronic version of the SR1 form and fee form. 

Your email must be from a secure email address and include your: 

• surgery, hospital, or office address 
• phone number 

Secure email addresses end in: 

• @nhs.net 
• @nhs.uk 
• @nhs.scot 
• @nhs.wales.uk 
• @gov.uk 

Emails not sent from a secure email address will be automatically deleted. 

You can save the SR1 form to your device. You do not need to sign either of the forms. 

Email the completed SR1 forms to바카라 사이트¯form.e-sr1@dwp.gov.uk. 

Do not encrypt any part of the email. 

Send by post 

You can order paper SR1 forms using바카라 사이트¯the DWP order form. 

Post completed paper SR1 forms and fee forms to: 

Personal Independence Payment (10) 
Mail Handling Site A 
Wolverhampton 
WV98 1AE 

You must: 

• sign the completed form 
• post the original copy 
• use a separate envelope for each patient바카라 사이트™s form 

Alternatively, you can give the completed SR1 form to the patient or the person who requested it on their behalf. You must still post the fee form to us. 

We cannot accept a printed copy of the electronic SR1 form. 

Do not staple any documents together. 

Get help 

Email:바카라 사이트¯online.sr1@dwp.gov.uk 

We aim to respond within 3 working days. 

Published 4 June 2025