Form for an Individual claiming VAT relief for products designed for people with disabilities:

Individuals with disabilities who are buying a product that has been designed for people with disabilities can avoid VAT. Please note: there is no relief for Post & Packaging, or for products not specifically designed for disabilities.

GOODS AND SERVICES FOR DISABLED PERSONS: ELIGIBILITY DECLARATION BY AN INDIVIDUAL.

I (full name)**Mr/Mrs/Miss/Ms . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .

of (address) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Town & County . . . . . . . . . . . . . . . . . . . . . . . . . Post Code . . . . . . . . . . .

Daytime Phone. . . . . . . . . . . . . . . . . . . . Mobile. . . . . . . . . . . . . . . . . . . .

declare that I have *dyslexia/other disability . . . . . . . . . (say which), which has a substantial long term adverse effect on my ability to carry out certain normal day to day activities, and which has been assessed or certified by: (give name and address of whoever has diagnosed or certified this, and their organisation)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

and that I am receiving from iANSYST Ltd of Fen House, Fen Road, CAMBRIDGE, CB4 1UN

a copy of *TextHELP! Read and Write, *Claro Read, *Kurzweil 3000, *Reading Pen(Oxford Dictionary), *Co:Writer, *Write:OutLoud, *Penfriend, *other . . . . . . . . . . and a *computer to run it.

(*Ring the relevant product names. Except for the computer, the product must have been specifically designed for people with disabilities).

which is being supplied to me for my personal use; and I claim relief from value added tax under Group 12 of Schedule 8 to the Value Added Tax Act 1994.

(Signature) . . . . . . . . . . . . . . . . . . . . (Date) . . . . . .

(Name if **Parent/Guardian signing on child's behalf . . . . . . . . . . . . .)

If you are in any doubt as to whether you are eligible to receive goods or services zero rated for VAT you should consult VAT Notice 701/7 or seek advice from your local VAT office before signing the declaration.
Warning: Section 39.2. of the VAT Act 1983 provides for severe penalties for anyone who makes use of a document which they know to be false for the purposes of obtaining VAT relief.