Eligibility declaration by a disabled person

Simply print the form or contact us to request a pre printed version by post, complete and return. If you have any questions please contact us on 0845 899 11 99. We will refund the VAT back to you via the same method you initially paid for your goods, this will be done within 12 days of us receiving the completed form.

Customer Eligibility: Registered disabled Chronically sick (physical or mental impairment with a long term adverse effect on everyday activities or has been deemed chronic by a medical professional) Diabetic Terminally ill For more information please review the HM Customs & Excise web site at http://www.hmce.gov.uk and use the search facility to find 701/7 VAT relief's for disabled people Notice.

Please note there are penalties for making false declarations

Customer Section 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 the National Advice Service on 0845 010 9000 before signing the declaration. I (full name) .............................................................................. of (address) .............................................................................. ................................................................................................. ................................................................................................. ................................................................................................. declare that: I am chronically sick or have a disabling condition by reason of: (give full and specific description of your condition);   and that I am receiving from: Exe Valley Furnishing, Unit 1 Philip House, Honiton Road, Exeter. EX1 3RU the following goods which are being supplied to me for domestic or my personal use: (description of goods)   and I claim relief from value added tax. ................................................................................ (Signature) ........................................................................................ (Date)

Supplier Section - (to be completed by us on receipt of customer completed section) I (full name) .................................................................................. of (address) .................................................................................. ...................................................................................................... ...................................................................................................... ...................................................................................................... am supplying to the person named above the following goods: (description of goods)   for the personal use of the disabled person. ................................................................................ (Signature) ........................................................................................ (Date) Note You should keep this declaration for production to your VAT officer. The production of this declaration does not automatically justify the zero-rating of the supply. You must ensure that the goods and services you are supplying qualify for zero-rating. Exe Valley Furnishing, Unit 1 Philip House, Honiton Road, Exeter, EX1 3RU V.A.T. Reg No. 141 6416 91