NHS Eligibility Exemption

Eligibility Declaration for VAT Exemption

Dear Customer

Please fill out this form in order to claim back VAT from your order. Please make sure to fully complete all fields of this form. We will then match details from your form to your order and refund your VAT upon receipt of the order

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


I, First Name:
Last Name: , of
Email Address:
declare that I am chronically sick or have a disabling condition by reason of: (give full and specific description of your condition)

and that I claim relief from value added tax. (VAT) from Daxbourne Ltd, trading as Natural Image of 9 Fenning St , London, SE1 3QR.



NOTES on VAT rebate from Customs

The zero-rating of goods and services is only eligible for disabled people, ie if you are handicapped, a charity or certain other eligible bodies.

Please note there are penalties for making false declarations.



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