Below is the Custom and Excise Service form for reclaiming VAT on products and services specifically intended for Disabled Persons.

Once you have received the goods, please print out the form and fill in the Customer section for name and address, the first three starred items and the signature and date sections.

For name and address of supplier, click here.

Then, please post the form to us at extremegb (click here for address). We will complete the Supplier section and send on the form to Customs and Excise.

Note that help is available on the National Advice Service number (0845 010 9000) and we will also be very pleased to offer advice if you wish to contact us (click here).

 

Custom and Excise Service Form

10.1 Eligibility declaration by a disabled person

Please note there are penalties for making false declarations

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 reliefs for disabled people or contact our 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: (name and address of supplier)

 

* the following goods which are being supplied to me for domestic or my personal use: (description of goods)

 

* the following services to adapt goods to suit my condition: (description of services and goods)

 

* the following services of installation, repair or maintenance of goods: (description of services and goods)

 

* the following alterations to my private residence: (description of alteration)

 

* the services of monitoring a personal alarm call system and I claim relief from value added tax

 

......................................................................(Signature) .................................................. (Date)

Supplier

I (full name) ..................................................................................

of (address) ..................................................................................

am supplying to the person named above:

* the following goods: (description of goods)

 

* the following services of adapting goods: (description of services and goods)

 

* the following services of installation, repair or maintenance of goods: (description of services and goods)

 

* the following alterations to a private residence: (description of alteration)

 

* the services of monitoring a personal alarm call system for the personal use of the disabled person.

 

......................................................................(Signature) ....................................................... (Date)

*Delete words not applicable.

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.