DECLARATION OF ELEGIBILITY FOR VAT RELIEF FOR DISABILITY

Please note there are serious penalties for making fraudulent declarations by HMRC
You can request zero-rated services providing you are extending or adapting a bathroom, washroom or lavatory and only where the work is absolutely necessary to suit the condition of a disabled person and their condition

Customer

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 relief for disabled people or contact our National Advice Service on 0845 010 9000 before signing this declaration.

I am chronically sick or have a disabling condition by reason of:
(give full and specific description of your condition and any supporting evidence or registration numbers, continue on separate paper if required);

The following goods are being supplied to me for my domestic or my personal use only

The above listed goods are being supplied to me for my domestic or my personal use only And I am eligible to claim relief from value added tax due to a registered disability.

If you are in any doubt as to whether the customer is eligible to receive goods or services zero-rated for VAT you should consult Notice 701/7 VAT relief at hmrc.gov.uk or contact the National Advice Service on 0845 010 9000 before signing.

Please provide a brief outlay of the goods to be provided and works to take place:

Supplier (for office reference)
I confirm we are due to supply the following goods for the personal use of a disabled person. Products Purchased: