VAT Exemption Form

Please complete the following form if you would like to apply for VAT exemption. This form is a legal requirement when claiming the VAT exemption and we will keep a copy on record. It should be filled out by, or on behalf, of the person who will ultimately use the chair.

Complete the form and we will match it to your order.


Name in which the order is made through this website

Email address



I, (Full Name of beneficiary)

of (full address including postcode)

declare that I am sick or disabled by reason of: (brief description of illness / condition)

and that I am receiving from the following goods which are being supplied to me for domestic or personal use:

Waterproofed ChairElectric Riser / Recliner / Lifting ChairOther Mobility Item

and I claim relief from value added tax under group 14 Schedule 5 to the Value Added Tax Act 1983.


You must keep the emailed copy of this declaration for production to your VAT office if required. The submission of this form does not automatically authorise the zero rating of the supply. You must also ensure that the goods and services you are receiving qualify for zero-rating.
If you are in any doubt as to whether you are eligable to recieve goods or services zero-rated for VAT contact your local customs and excise office before submitting this declaration.