Eligibility Declaration By A Disabled Person

Please note there are penalties for making false declarations

If you are in any doubt as to whether you are eligible to receive goods or services zero-rated for VAT, you should consult VAT Notice 701/7 Reliefs from VAT for disabled people or contact HMRC Advice Service on 0300 123 1073 before signing the declaration.

For information on Reliefs from VAT for disabled & older people (VAT Notice 701/7), please see
https://www.gov.uk/guidance/reliefs-from-vat-for-disabled-and-older-people-notice-7017

Quote Number
I,
Applicants Full Name*
Email Address
of
Address*
Street Address* Address Line 2 Town / City* Postal Code*
declare that I am chronically sick or have a disabling condition by reason of:
Description of your condition*
and that I am receiving from Premiere Healthcare Ltd the following goods which are being supplied to me for domestic or my personal use.
Goods/Services Ordered*
I hereby claim relief from Value Added Tax.
Signature*
Your Name
Your Name
Your Name
Name of person signing the form*
Capacity of Signatory*
Additional Information (if required)

“First of all, I would like to express my deepest appreciation to you and your company for both your support and understanding of a very difficult situation that I am dealing with whilst trying my best to support Joyce with, whilst aiming to improve both the quality of her health and her life”

Private Customer – East Midlands

“Could you please pass on some good feedback to Premiere Healthcare regarding the assessment visit”

Mr Armstrong-Sly – West Midlands OT

“I am delighted to inform you that Joyce loves her new wheel chair - she has spent up to four hours in it in the past couple of days!”

Private Customer

“I really value your input in these stressful times”

Occupational Therapist from South Wales

Seating

Competitive daily rental fees on a wide range of equipment.

Rentals

Shower/Commodes & Trolleys

Wheelchairs

Beds & Mattresses

Bariatric

Paediatric

Hoists

User Needs

You may be entitled to relief from VAT on your purchases from Premiere Healthcare Ltd. If you qualify, please complete the following simple declaration

Eligibility Declaration By A Disabled Person

If you have any questions about our products or services, please get in touch

We operate within a 100-mile radius of our Tewkesbury HQ