VAT relief for disabled people - eligibility declaration by a disabled person

To claim your 20% cashback, simply fill out this quick form. This form declares that you have a chronic illness or disability and that the product you're buying is for your personal use at home. Once you have completed and signed the form, submit it – our team will review and refund your 20% VAT on any eligible purchase.

Should you have any questions, please contact us at info@symbyxbiome.com.

Note to supplier
The production of this declaration does not automatically justify the zero rating of your supply.
You must ensure that the goods and/or services you are supplying qualify for zero rating. Please consult Notice 701/7 VAT reliefs for disabled people, before applying VAT relief to your supplies.
You must keep this declaration with your records for production to your VAT officer as required. Please do not return it to the customer or send it to HM Revenue and Customs (HMRC).

 

I Ann Schomakers

of SYMBYX Biome

18 Soho Square

London W1D 3QL 

 

I am supplying the following goods and/or services to the disabled person named overleaf.
Please tick the appropriate box and give details of the goods and/or services in the space provided:

✔	Goods which are being supplied for the customer’s personal use
	Services of adapting goods to suit the needs of the customer
	Services of installation, repair or maintenance
	Alterations to a private residence
	Monitoring a personal alarm call system for the personal use of the disabled person

 

Goods: Handheld laser device.

 

Signed                                                      Date: 10 July 2024

Note to customer
You should complete this declaration if you are ‘chronically sick or disabled’ and the goods or services are for your own personal or domestic use. A family member or carer can complete this on your behalf if you wish.
You can find out more from the Helpsheets on the GOV.UK website or by telephoning the VAT Disabled Reliefs Helpline on Telephone: 0300 123 1073. HMRC staff cannot advise whether or not an individual is chronically sick or disabled.

A person is 'chronically sick or disabled' if he or she is a person:

• with a physical or mental impairment which has a long term and substantial adverse effect upon his or her ability to carry out everyday activities
• with a condition which the medical profession treats as a chronic sickness

It does not include an elderly person who is not disabled or chronically sick or any person who is only temporarily disabled or incapacitated, such as with a broken limb.

If you are unsure, you should seek guidance from your GP or other medical professional.

I am receiving the goods and/or services detailed overleaf, which are being supplied to me for domestic or my personal use and I claim relief from VAT.