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*
Name of person signing the form*
Capacity of Signatory*
Additional Information (if required)

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

Mr Armstrong-Sly – West Midlands OT

“Thanks so much Nicola – for everything you do for us”

Louisa, Nursing Home Deputy Manager

“We can’t thank Dan enough for leaving the chair and sling with us at the time of assessment, as Annie has been up and out of bed every day since”

Mr Dodd, Home Manager

“I wish to say a very big thank you to you for your help and assistance in this matter”

Manager, Athelstan House (Assisted Living Facility)

Seating

Competitive daily rental fees on a wide range of equipment.

User Needs

Rentals

Handling & Mobility

Beds & Mattresses

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