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Mobility Centre South West

Declaration for VAT Relief

If you or the person you are buying on behalf of is eligible for VAT relief are chronically sick or disabled or the products are being purchased on behalf of an individual who is chronically sick or disabled.


A person is ‘chronically sick or disabled’ if he/she is a person with a:

  • physical or mental impairment which has a long-term and substantial adverse effect upon his/her ability to carry out everyday activities
  • condition which the medical profession treats as a chronic sickness, such as diabetes

It doesn’t 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 a parent, spouse or guardian acts on behalf of a ‘chronically sick or disabled’ person, your supply is treated as being made to that ‘chronically sick or disabled’ person.

Section A (To be completed by the person eligible for vat relief)

I am chronically sick or have a disability and I am receiving the goods as stated on this form which are for my personal or domestic use. I claim that the supply of these goods or services is eligible for relief from vat under the vat act 1994.

Please complete the appropriate area below. The first box is for signing on your own behalf. If you complete this declaration you do not need to complete the next. Or if you are signing on someone’s behalf then ignore the first box and complete the second. Many thanks.

    Signing for yourself

    I declare that I am an eligible person under paragraph 1 of the VAT leaflet 701/7/86 and therefore being chronically sick or disabled. I claim relief from VAT under group 14 of the Value Added Act 1983.

    Signed:
    Print name:
    Date:
    Details of disability:

      Signing on someone's behalf

      I declare that I am signing on behalf of an eligible person under paragraph 1 of the VAT leaflet 701/7/86 and therefore being chronically sick or disabled he/she is eligible to claim relief from VAT under group 14 of the Value Added Act 1983.

      (Please sign and print your own name, not the user's name).

      Signed:
      Print name:
      Date:
      Details of disability:
      User's name:
      Relationship to user:

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      Whether you need to have a stairlift installed or want a demonstration of our mobility scooters, Mobility Centre South West Ltd will offer you the best possible mobility solutions for your needs.

      Email: sales@mobilitycentresouthwest.com

      Crockwell Street, Bodmin, PL31 2DS Phone: 01208 75355

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