Personal Independence Payment - sample form and notes Topics: Benefits and pensions, Benefits, Personal Independence Payment Date published: 14 October 2021 Last updated: 3 May 2023 Sample of Personal Independence Claim form and information notes. Documents PIP1 NI (sample) Adobe PDF (323 KB) PIP2 NI Clerical (sample) Adobe PDF (2 MB) PIP2 Notes booklet (sample) Adobe PDF (808 KB) Help viewing documents