HMRC Eligibility Guidelines*

I have read the guidelines below and would like to complete the declaration.

Note to customer:
You should complete this declaration if you are ‘chronically sick or disabled’ and the goods or services are for your own personal or domestic use. A family member or carer can complete this on your behalf if you wish. You can find out more from the Helpsheets on the GOV.UK website https://www.gov.uk/government/collections/vat-reliefs-for-charities-disabled-and-older-people or by telephoning the VAT Disabled Reliefs Helpline on Telephone: 0300 123 1073. HMRC staff cannot advise whether or not an individual is chronically sick or disabled.

A person is ‘chronically sick or disabled’ if he or she is a person:
- with a physical or mental impairment which has a long term and substantial adverse effect upon his or her ability to carry out everyday activities
- with a condition which the medical profession treats as a chronic sickness It does not include an elderly person who is not disabled or chronically sick or any person who is only temporarily disabled or incapacitated, such as with a broken limb.

If you are unsure, you should seek guidance from your GP or other medical professional.

This information is required by the supplier. They will keep it with their VAT records. Please do not send it to HMRC.

Full name of eligible person*

Address Line 1*

Address Line 2*

Town/City*

County*

Post Code*

Email

Phone*

I declare that I have the following disability or chronic sickness*

List the goods and/or services (including your invoice number ) supplied by Osteopoise here:*

Consent*

I declare I am eligabe for VAT relief

I am receiving the goods and/or services detailed above, which are being supplied to me for domestic or my personal use and I claim relief from VAT.

Date

Signature

If you are using a mobile or table device please sign here.

Consent*

I agree to the privacy policy.

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Vat Relief Eligbilty