VAT Exemption Form

If you (or the person you are buying for) are chronically sick or have a chronic disabling condition then you are eligible for VAT exemption. By completing the HMRC form below you can self-certify your condition and you will receive an exemption code to use at the checkout.

10.1 Eligibility declaration by a disabled person
Please note there are penalties for making a false declaration. If you are in any doubt as to whether you are eligible to receive goods or services zero-rated for VAT then you should consult Notice 701/7 VAT reliefs for disabled people or contact our National Advice Service on 0845 010 9000 before signing the declaration.

* Mandatory field

I am / I am buying for a person who is receiving goods from: ACP Solutions Ltd. Unit 8 Nailsworth Mills Estate, Avening Road, Nailsworth, Gloucestershire. GL6 0BS. Tel: 01453 833345 the following goods, which are being supplied to me for domestic or my personal use, Astex PRISTINE (R) Encasements (registered Class 1 Medical Device) and I claim relief from value added tax.