Declaration for relief from VAT

I declare that I am *chronically sick/disabled and suffering from................................................
and that I am receiving from Allied Health TeNS or Acupoint equipment for my personal use. I claim that the supply of these goods is eligible for relief from Value Added Tax (VAT) under Group 14 of Schedule 5 to the Value Added Tax Act 1983.

Signed:.............................................

Date:................................................

*Note:The term 'chronically sick' refers to a chronic pain condition when the condition causing pain lasts for 60 days or more.

VAT Exemption is available for UK customers only, and is applicable to TeNS units; Acupoint; and TeNS Accessories, excluding batteries & cases. All other products are subject to VAT at the normal rate.