VAT Exemption Application

Zero-rating relief under the Value Added Tax Act 1994

Certain mobility and disability aids are zero-rated for VAT purposes. If you or the person you are purchasing for is chronically sick or has a disability, you may be eligible to purchase without paying VAT. Please complete this form before placing your order. Once approved, we will adjust your account so VAT is removed at checkout.

Important: VAT relief is governed by the Value Added Tax Act 1994, Schedule 8, Group 12. Making a false declaration to obtain VAT relief is a criminal offence. Rockport Mobility Scooters is not required to verify your eligibility — legal liability rests entirely with the applicant.

Please correct the following before submitting:

Your details

First name *

Last name *

Address line 1 *

Address line 2

Postcode *

Phone number

Email address *

Eligibility

I am applying because *

I am chronically sick or have a disability

The goods are for my own personal or domestic use.

I am purchasing on behalf of a disabled or chronically sick person

You must provide the end-user's details below.

I am purchasing on behalf of a registered charity

Goods will be made available to disabled individuals. Charity number required.

Details of the person the goods are for

Their first name

Their last name

Their address

Your relationship to them

Charity details

Charity name

Charity registration number

Nature of disability or long-term condition *

Brief description of condition (optional)

Product(s) you intend to purchase *

Declaration

I declare that the goods detailed in this application are being purchased by or for a person who is chronically sick or has a disability within the meaning of Note 3 to Group 12 of Schedule 8 of the Value Added Tax Act 1994, and that the goods are for domestic or personal use by that person and are of a kind ordinarily supplied for that purpose.

I understand that it is a criminal offence to make a false declaration in order to obtain relief from VAT, and that Rockport Mobility Scooters will retain this declaration as required by HMRC.

Statutory reference: VATA 1994, Schedule 8, Group 12, Note 3 — Zero-rating of supplies to disabled persons.

I confirm that the declaration above is true and accurate to the best of my knowledge.

I understand that Rockport Mobility Scooters may contact me to confirm my application before processing any order.

I consent to my personal details being held securely for HMRC record-keeping purposes.

Full name as signature *

By typing your name above you are electronically signing this declaration. The date and time of submission will be recorded automatically.

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VAT Exemption Application

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