DELIVERING QUALITY

VAT EXEMPTION FORM

You will not have to pay VAT if you can declare that you are chronically sick or disabled. Chronically sick means that you have an illness that is likely to last a long time e.g. arthritis, angina. Disabled means substantially and permanently handicapped by illness or injury. You do not have to be registered disabled to claim relief from VAT, but the nature of your illness or disablement must be specified. Please note that we cannot accept VAT exempt orders by telephone.

VAT Declaration – If you qualify for VAT zero rating you must complete this section to claim relief on the goods you are ordering.

Of the address shown ____________________________________________

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Declare that I am chronically sick or disabled because I am suffering from

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I am receiving from Leycare Limited goods which are being supplied to me for domestic or my person use. I claim relief from Value Added Tax under Group 12 of Schedule 8 to the Value Added Tax Act 1994.

Signature _________________________________ Date _____________

By completing this form you authorise Leycare Limited to hold your information on file. This data will be used for VAT accounting purposes only.