Click HERE for a PDF copy of this form
IF APPLICABLE PLEASE PRINT, COMPLETE AND RETURN THIS FORM
TO THE ADDRESS AT THE
BOTTOM OF THE PAGE
Dear Customer,
VAT exemption can be claimed on purchases made by or for individuals who are chronically sick or disabled where the
products are for their personal use. The word chronic means enduring or lasting illness. Thus, for instance,
a long term sufferer of a condition can claim VAT exemption whereas a sufferer of a
broken limb cannot submit such a claim.
VAT exemption can also be claimed by charities, but only where the products
purchased are to be made available
to an individual meeting the above criteria for their personal use.
Where possible, all products on our website which attract VAT exemption have the price displayed with VAT already deducted.
VAT EXEMPTION DECLARATION PLEASE PRINT THIS FORM
Name of claimant: (Mr,Miss,Mrs,Ms)______________________________________
Address of claimant or charity: __________________________________________
__________________________________________________________________
I declare that I suffer from chronic condition and/or have a condition which leaves me
permanently disabled OR I declare that this purchase is made for the sole use of
an individual that suffers from a chronic condition and/or has a condition which leaves
them permanently disabled.
Please supply a brief description of the chronic condition: ______________________
___________________________________________________________________
Telephone Number: ___________________ Email Address: ___________________
Signature: _______________________________ Date: _____/______/_______
PLEASE NOW RETURN THE COMPLETED FORM TO:
VAT Exemption Claims
Verteci (Verteci.com)
42 Willian Way
Letchworth Garden City
Hertfordshire
SG6 2HH
Company VAT Number: GB740712261 - For more information about VAT exemption
see H M Revenue and Customs Notice 701/7 'VAT reliefs for disabled people', or contact the
National Advice Service on telephone number 0845 010 9000