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VAT Exemption Form

Eligibility declaration by a disabled person

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 reliefís for disabled people or Contact the HM Revenue Help desk on 0845 010 9000 before making the declaration.

Please note there are Custom and Excise penalties for false declaration

Contact Information

First Name*

Last Name*

Telephone Number


VAT Declaration

Disability Declaration*

Declaration Confirmation*

I am receiving goods from IRM Mobility & Healthcare Ltd for an eligible chronically sick or disabled individual or for my domestic or personal use.
OR: The goods will be made available through the above charity to a disabled person or persons for domestic or their personal use. I/we claim relief from VAT under Group 12 of Schedule 8 to the Act of 1994.

Please enter your full name to confirm declaration below

Then Press Submit Button to Return to Shopping Cart now VAT Exempt

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