This is an HTML version of an attachment to the Freedom of Information request 'Hardship Payment application forms'.

Department for Work and Pensions (DWP) 
Central Freedom of Information Team 
Our reference: VTR 4083  
Date: 29.09.14  
Dear Ian Wolf, 
Thank you for your Freedom of Information request received on 22.09.14. You 
Dear DWP freedom-of-information-requests, 
Please also email me a JSA1 (ILS) form and associated DWP and Jobcentre 
staff guidance. 
Please find attached a copy of the JSA1(ILS) form and the relevant guidance 
you requested. 
If you have any queries about this letter please contact us quoting the 
reference number above.   
Yours sincerely,  
DWP Central FoI Team 
Your right to complain under the Freedom of Information Act 
If you are not happy with this response you may request an internal review by e-mailing or by writing to: DWP, Central FoI Team,  
Caxton House, Tothill Street, SW1H 9NA. Any review request should be submitted within two 
months of the date of this letter.  
If you are not content with the outcome of the internal review you may apply directly to the 
Information Commissioner’s Office for a decision. Generally the Commissioner cannot make a 
decision unless you have exhausted our own complaints procedure. The Information 
Commissioner can be contacted at: The Information Commissioner’s Office, Wycliffe House, 
Water Lane, Wilmslow Cheshire SK9 5AF  or telephone 0303 123 1113 or 01625 545745