VAT Exemption Purchase Form

VAT Exemption Purchase Form

For Hearing Aid Accessories
Eligibility Declaration By Disabled Person For Zero Rated VAT Supply.

(Note: disabled in this instance means having a confirmed hearing loss)
I, *

First Name Last Name

Of address, *

Email
Optional - but if entered you will receive a copy
Declare that:
1. I have an eligible disabling condition by reason of hearing impairment, and
2. I am receiving from Crystal Hearing Ltd the following goods which are being supplied to me for domestic / my personal use to assist my disabling condition (in other words - not solely for business use or bought by a business).
Item 1: *
List product here
Item 2:
List second product here if applicable
Item 3:
List third product here if applicable
And I declare that I am eligible to claim VAT relief due to a hearing loss disabling condition that has been assessed following a proper hearing test by an Audiologist or Hearing Aid Dispenser, and that if requested by HMRC I can submit a copy of my hearing test results or give details of where / who we can obtain a copy of the results.
Note: this form is easier to sign using a tablet or mobile phone
Signed: *

Clear
Date *

Day Month Year
Date Picker Icon
Please note there are heavy penalties for making false declarations to avoid paying VAT. 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 the HMRC National Advice Service on 0845 302 0203 before signing this declaration.
Contact Crystal Hearing Here

More information here on VAT relief
Crystal Hearing Limited - VAT number 982 1129 25
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