When purchasing eligible products from our store, the government requires that you complete a VAT Exemption declaration form. If you are in any doubt as to whether you are eligible to receive goods or services zero-rated for VAT you should consult

HM Revenue and Customs Notice 701/7 VAT relief’s for disabled people Notice 701/7 VAT relief’s for disabled people

Or contact HM Revenue and Customs National Advice Service on 0845 010 9000 before signing the declaration.

It may not always be possible for a disabled person to sign a declaration (for example, if the person is a child or unable to write). In such cases, the signature of a parent, guardian, doctor or another responsible person is acceptable on the declaration.

Please complete the following form. Fields marked * are required.

Eligibility Statement by a disabled person

Full Name of Disabled Person (required)

Full Address of Disabled Person (required)

I declare that the disabled person named on this form is chronically sick or have a disabling medical condition by reason of:

Condition (required)

Please give a full and specific description of your condition (Charity Number if you are a charity)

Full Name of Purchaser (required)

Email Address of Purchaser (required)

Telephone Number of Purchaser (required)

Today's Date (required) (please use the correct date format dd/mm/yyyy