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

Please note there are penalties for making false declarations

Supplies of goods and services are only zero-rated when all of the following conditions are met:

  • the customer is eligible to purchase supplies at the zero rate
  • the goods are for the personal or domestic use of the customer
  • the goods and services are eligible to be supplied at the zero rate

If you are in any doubt as to whether you are eligible to receive goods or services zero-rated for VAT you should consult Notice 701/7 VAT reliefs for disabled people or contact our National Advice Service on 0845 010 9000 before signing the declaration.

Please complete all sections

(Full Name)
(please state)

Which has a substantial long term adverse effect on my ability to carry out certain normal day to day activities and I claim relief from value added tax.

I am receiving goods from:

iansyst Ltd
Fen House,
Fen Road,

for personal or domestic use.

The Submit Button is your digital signature; please be aware there are severe penalties if you make a false declaration.