D I S A B I L I T Y     R E G I S T R A T I O N
DECLARATION FOR RELIEF FROM VAT
I am chronically sick or disabled (as defined below) and I am receiving from DISABILITY AIDS the goods on this order form, which are for my personal or domestic use. I claim that the supply of these goods is eligible for relief from VAT under the VAT Act 1994.
Please insert details of your chronic sickness or disability below.
Note: There are severe penalties for making a false declaration.
 

 
Details of Disability:
Name of Claimant:
Email Address: